Healthcare systems face rising costs, aging populations, and increasing chronic conditions, creating a need for personalized, multidisciplinary care. Value-Based Health Care (VBHC) offers a promising approach by shifting focus from volume to value. Burn care is particularly suited for this model due …

At the macro level, the Netherlands has become an agricultural giant thanks to its efficient, intensive farming practices. At the micro level, farmers are under pressure to make ever-larger investments and focus heavily on improving operational efficiency. This has led to a series of business decisions, …

Background & aim Adequate protein intake is essential during recovery from illness to prevent complications such as malnutrition, sarcopenia, and delayed wound healing. Mobile applications may support self-monitoring and early detection of inadequate intake. This study evaluated the concurrent validity …

Early identification of the palliative phase in patients with COPD and heart failure remains difficult, often delaying needed care. Since most patients are cared for at home, timely recognition in primary care is crucial. However, screening tools are rarely used, and identification relies on professional …

Based on a Dutch corpus of 40 dietitian–client conversations on malnutrition in the primary care setting, we use conversation analysis to investigate how dietary advice is provided in the context of shared decision-making. We demonstrate how client involvement is encouraged in some ways but constrained …

Background: Discussing end-of-life care with people with dementia and their family soon after diagnosis is a crucial aspect of professional care. Research in the hospital setting is scarce. Aim: To investigate how often end-of-life issues and euthanasia are discussed during hospital consultations with …

The approach to homelessness in the Netherlands is currently undergoing a paradigm shift, moving away from shelter-based systems toward direct and unconditional housing, as articulated in the National Action Plan on Homelessness Eerst een Thuis. However, the regular housing supply often fails to meet …

BACKGROUND/AIMS Malnutrition is a common clinical problem causing poor outcomes, including longer hospital stays, complications, functional decline, and mortality. Oral nutritional supplements (ONS) are a key component of medical nutrition therapy for patients who cannot meet their nutritional needs …

Purpose: The purpose of this project was to improve exercise-friendliness of a low SES neighbourhood in the Netherlands. This neighbourhood was chosen because it scored below average on important health parameters like self-efficacy, resilience, and quality of life. Methods: We followed the Our Voice …

Objectives To assess the impact of BCG vaccination on systemic inflammation in neonates, focusing on sex-specific differences and the relationship between circulating inflammatory proteins and immune responses, including cytokine production and antibody levels. Methods A randomized clinical trial was …