Publications by authors named "R Bekker"

Objective: Understanding the longitudinal patterns of health care utilization among older adults is crucial for designing effective patient journeys and enhancing care coordination across settings. This study aims to uncover the most common patient journeys of older adults.

Design: This explorative study used process mining techniques to analyze national health care data from 2017 to 2019, focusing on patient care journeys of older adults (aged ≥65 years) in the Netherlands.

View Article and Find Full Text PDF
Article Synopsis
  • Tumors interact with the immune system, creating different environments that can affect how well treatments like radiation or immunotherapy work.
  • Inflamed tumors tend to respond better to treatments, while "immune deserts" do not.
  • Researchers are using computer models to study how different radiation methods might help create a better immune response to fight tumors effectively.
View Article and Find Full Text PDF

The aim of this constructive study was to develop model-based principles to provide guidance to managers and policy makers when making decisions about team size and composition in the context of home healthcare. Six model-based principles were developed based on extensive data analysis and in close interaction with practice. In particular, the principles involve insights in capacity planning, travel time, available effective capacity, contract types, and team manageability.

View Article and Find Full Text PDF

Objective: The current waiting times for intermediate care in the Netherlands prohibit timely access, leading to unwanted and costly hospital admissions. We propose alternative policies for improvement of intermediate care and estimate the effects on the waiting times, hospitalization, and the number of patient replacements.

Design: Simulation study.

View Article and Find Full Text PDF

In this article, we try to present the available data regarding the pharmacokinetics and pharmacodynamics of sulbutiamine (Enerion), the mechanisms of its anti-asthenic action. Then we analyze and summarize the available evidence base considering the efficacy and safety of Enerion for the treatment of asthenic syndromes. Then we compare Enerion with some other drugs.

View Article and Find Full Text PDF