Transmurale zorg

Wetenschappelijk onderzoek

De afdeling Transmurale Zorg (RVE Patient en Zorg) is een nationaal en internationaal erkend centrum voor research en development op het gebied van Health Care Redesign met betrekking tot kwaliteit, effectiviteit en doelmatigheid. Uitgangspunt in het onderzoeksprogramma is de evaluatie van zorgvernieuwing in alle stadia: van experiment of pilot in het ontwikkelstadium tot effectmeting na volledige implementatie.

CAPHRI

Het onderzoek vindt plaats binnen het Care And Public Health Research Institute (CAPHRI). Binnen CAPHRI worden vele wetenschappelijke onderzoeken uitgevoerd op het gebied van prevention, public health and primary care.

Zowel nationaal als internationaal worden de wetenschappelijke prestaties van het azM op het gebied van 'integrated care' erkend als trendsettend en vooropstaand.

Projecten Transmurale Zorg (RVE Patient en Zorg) azM:

  • Structurele zorg voor CVA patiënten in de thuissituatie tijdens de chronische fase / Structured care for stroke patients at home during the chronic phase;
  • HITEM: Heuvelland Integrated Health Care Team Effectiveness Model NL: De waarde van [G]OUD: Een evaluatiestudie naar de effecten van de consultatiefunctie voor ouderen. (The added value of [G]OUD: An evaluation study of the effects of screening elderly people in order to detect frailty at an early stage;
  • Telemonitoring in patients with heart failure: a randomized control trial;
  • Pijn bij diabetische neuropathie en kwaliteit van leven/ Prevalence and impact of pain in diabetic neuropathy;
  • Feasibility and cost-effectiveness of a nurse-led diagnostic process for fibromyalgia patients;
  • Cost-effectiveness of multidisciplinary treatment with aftercare patients with fibromyalgia;
  • Development of chain care for fibromyalgia patients;
  • Prevention of cardiovascular diseases, applying the Quattro-model: general practitioner & practice nurse in the primary care, cardiologist & specialist nurse in the hospital.

Ondersteuning op maat: het skillmixinstrument

Ondersteuning op maat: het skillmixinstrument The aim of this project is to develop a practical instrument that can be used by group practices to map and predict demand of patients and translate the nature of patients demand into an adequate skill mix. The development of this instrument seeks to systematically align demand and supply, especially to be prepared for the future challenges in primary care.

 

Contactgegevens:
Juliane K. Strassel Promovendus
Telefoonnummer: + 31 (0)43 387 5378
E-mail: juliane.strassel@mumc.nl

Cost-effectiveness of multidisciplinary treatment with aftercare for patients with fibromyalgia

Fibromyalgia (FM) is a chronic disorder with a worldwide prevalence rate from 0.5%-5%. The disorder affects preferentially women in the working age and is characterized by widespread, persistent musculoskeletal pain. In addition, a variety of other manifestations such as fatigue, loss of muscle strength, memory and concentration problems, depression, anxiety, headaches and symptoms of irritable bowel syndrome occurs.

Contactgegevens:
Yvonne van Eijk-Hustings, onderzoeker
Telefoonnummer: 043-3874426
E-mail: yvonne.eijk.hustings@mumc.nl

[G]OUD: Een evaluatiestudie naar de effecten van de consultatiefunctie voor ouderen.

The aging of the Dutch population is accompanied by an increase in elderly who will suffer from complex, multiple health complaints. A failure to detect health complaints among elderly in time will cause unnecessary neediness and will threaten their ability to function independently. The present evaluation study investigates the effects of the early identification of elderly people above the age of 75 years in order to detect frailty at an early stage.

Contactgegevens:
Mandy M. N. Stijnen
Promovendus
Telefoonnummer: 043-3882295
E-mail mandy.stijnen@hag.unimaas.nl

HITEM: Heuvelland Integrated Health Care Team Effectiveness Model

Deze studie betreft de totstandkoming van een meetinstrument op basis van het Integrated Health Care Team Effectiveness Model (ITEM), specifiek voor COPD-zorg.

Contactgegevens:
Anneke van Dijk, onderzoeker
Huisartsgeneeskunde
anneke.vandijk@hag.unimaas.nl
T 043-3882315 F 043-3619344

Pijn bij diabetische neuropathie en kwaliteit van leven

A study to describe the prevalence, severity and medical treatment of painful diabetic neuropathy (PDNP) of patients treated in secondary care. Moreover, we determined Qol and the relationship between severity of pain and severity of diabetic neuropathy (DNP).

Contactgegevens:
Margot Geerts
Nurse Practitioner
Telefoonnummer: 043-3875669
E-mail: m.geerts@mumc.nl

HaVah' primary care, 'TraZoCoh' hospital

A substantial part of prevention for cardiovascular diseases is delivered in primary care. According to the Dutch guideline, the heavy workload of cardiovascular risk management for general practitioners (GP) could be shared with advanced practice nurses. The aim of our study was to investigate different aspects of advanced practice nurses substituting for GPs in cardiovascular risk management, after one year follow-up.

Contactgegevens:
Helene Voogdt-Pruis
Phd student
E-mail: hrvoogdt@gmail.com

Structurele zorg voor CVA patiënten in de thuissituatie tijdens de chronische fase m.b.v. SIGEB (Signaleringsinstrument Gevolgen Beroerte)

Each year 40,000 people in the Netherlands suffer their first stroke. These patients often experience a range of problems, like physical limitations en difficulties in daily life, while psychosocial problems usually emerge in the long term. When patients are discharged home after stroke, they have to deal with the consequences of their stroke for the rest of their lives, which is referred to as the chronic phase.

Contactgegevens:
Msc. M. Fens, Researcher
Telefoonnummer: 31 (0)43 38 744 63
E-mail: m.fens@mumc.nl

Telemonitoring in patients with heart failure

To study the feasibility of telemonitoring a feasibility study - with a pre-post design - was performed in 2005. The results of this study shows that patients and caregivers were able to deal with the Health Buddy® . The Health Buddy® is a very simple device - with 4 buttons and a display - which is connected via a telephone connection with the computer in the heart failure nurse office. Daily dialogues concerning symptoms, knowledge and behaviour appear in the display.

Contactgegevens:
J.Boyne
Nurse Practitioner Hartfalen
Telefoonnummer: 043-3875392
E-mail: j.boyne@mumc.nl

The effects of involving a NP in primary care for adult patients with urinary incontinence

Guidelines recommend pelvic floor muscle/bladder training for most patients. Unfortunately, GPs use this training only incidentally (probably too time consuming) and prescribe incontinence pads. Over 50% of patients get such pads, costing € 90 million each year. Due to ageing of the population a further increase is expected. Several national reports recommend to involve nurse practitioners to support GPs and improve patient care.

Contactgegevens:
Dr R. Winkens
Telefoonnummer: 043-3877389
e-mail: Ron.winkens@mumc.nl