If you are not able to attend the defense in person, you can access the livestream via: https://www.youtube.com/watch?v=NeVyFldZExo
Healthy ageing is a global priority as people worldwide are living longer. With longer lifespans, older adults are at increased risk of chronic conditions. Service provision based on disease-specific guidelines can be inappropriate for people with multiple health conditions; care can become duplicative and inefficient due to poor coordination. Person-centred integrated care is seen as a promising approach to delivering care that is proactive, coordinated and centred around people’s needs. In addition, digital health technology has the potential to involve patients better in their care process and could, therefore, support person-centred integrated care.
The research described in this thesis provides insights into the determinants of health outcomes that matter to older adults (Part 1), stakeholder perspectives regarding person-centred integrated care supported by digital health technology (Part 2), and how to design and evaluate appropriate person-centred integrated care (Part 3).
A diverse healthcare workforce is important to increase and equalize access to high quality healthcare for the whole population. There are concerns, however, that diversity amongst health professionals is already harmed in an early stage: during the selection of prospective students. Therefore, this dissertation provides insights into how selection tools, preparatory activities and applicant acceptance can play a role in shaping student diversity in health professions education. In addition, this dissertation offers recommendations to improve the design of selection procedures in order to ensure or even enhance student diversity.
Prof. dr. Andrea Woltman will give her Inaugural lecture entitled “Fostering Flourishing” (Floreren (stimu)leren) in honor of her appointment as Professor Innovation of Health Professions Education on Friday the 27th of September 2024 at 4:00 pm. The lecture will be given in Dutch.
There will be a reception afterwards.
The inaugural lecture can also be viewed via a livestream : https://eur.cloud.panopto.eu/Panopto/Pages/Viewer.aspx?id=f0d05f94-2dd7-4719-8218-b1a40087ac42
De rede is ook te volgen via een livestream.
Link: https://eur.cloud.panopto.e
u/Panopto/Pages/Viewer.aspx?id=c11b80b4-9598-4203-bf04-b0a1009b2b25
Vrijdag 26 januari 2024 houdt Judith Rietjens om 15 uur in de aula van de TU Delft haar oratie met de titel: “The Person Formerly Known as Patient”. Dit is de officiële en openbare aanvaarding van haar leerstoel “Design for Public Health” in de afdeling Maatschappelijke Gezondheidszorg van het Erasmus MC, én de faculteit Industrieel Ontwerpen van de TU Delft.
Ze zal reflecteren op het “wicked problem” van de zorg die onvoldoende persoonsgericht is. Ze zal laten zien hoe ontwerpers en public health onderzoekers nieuwe richtingen kunnen aandragen om het tij te keren.
De oratie wordt gevolgd door een interactieve tentoonstelling die bezocht kan worden tijdens de receptie.
Inschrijven kan hier: https://www.aanmelder.nl/rietjens/subscribe
De rede is ook te volgen via een livestream.
Link: https://nmclive.tudelft.nl/Mediasite/Play/4abeb10ba4e84bc2b75f37fa22d4a0471d
picture: Geisje van der Linden.
Aneurysmal subarachnoid hemorrhage is a bleed into the subarachnoid space that surrounds the brain caused by the rupture of an intracranial aneurysm. Because aneurysmal subarachnoid hemorrhage affects relatively young patients, it disproportionately contributes to stroke-related loss of (productive) life. The cornerstone of treatment of aneurysmal subarachnoid hemorrhage is occlusion of the aneurysm, thereby preventing an aneurysmal rebleed. By and large, there are two approaches to aneurysm occlusion: neurosurgical clip-reconstruction and endovascular coiling. The choice between these approaches depends on multiple factors and is made multidisciplinary on a case-by-case basis.
This dissertation aims to explore and improve such decision-making processes. Firstly, by describing international practice variability of aneurysmal subarachnoid hemorrhage treatment and paving the way for conducting comparative effectiveness research on observational data (PART I). Secondly, by enabling individualized outcome prediction to tailor treatment to the individual instead of the group (PART II). Thirdly, by developing models to predict individualized treatment benefit of endovascular coiling versus neurosurgical clip-reconstruction in terms of functional outcome, durability of treatment, and quality-adjusted life expectancy (PART III).
The Case detection delay (CDD), as reflected by grade 2 disability (G2D), is still a problem in leprosy programs globally, including in Indonesia. Unfortunately, there is no clear information on duration delay and related factors to case detection delay. Also, Indonesia has no valid instruments to measure case detection delay. This thesis used a narrative systematic review method, an instrument validity and reliability test, and a community-based study to describe the duration of CDD and its related factors in Indonesia. According to systematic review results, the predominant factors associated with CDD are health-seeking behaviour, stigma, and misdiagnosis in individuals, communities, and healthcare factors, respectively. The validated CDD questionnaire in the Indonesian context is reliable and valid for measuring the duration of CDD of leprosy in Indonesia. The mean CDD is 13 months. The factors associated with CDD of leprosy in Indonesia are being younger of age, being male, not having a family member with leprosy, having inappropriate health-seeking behaviour, anticipated stigma of leprosy, and being found through passive case detection. It is recommended that an integrated leprosy intervention programme, combining active case detection with health education, be implemented to improve the early leprosy case detection program in Indonesia.