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Your search keyword '"Braspenning, Jozé C.C."' showing total 26 results
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26 results on '"Braspenning, Jozé C.C."'

8. Variation in Integrated Head and Neck Cancer Care: Impact of Patient and Hospital Characteristics

Author

van Overveld, Lydia F.J., primary, Takes, Robert P., additional, Braspenning, Jozé C.C., additional, de Jong, Robert J. Baatenburg, additional, de Boer, Jan P., additional, Brouns, John J.A., additional, Bun, Rolf J., additional, Dik, Eric A., additional, van Dijk, Boukje A.C., additional, van Es, Robert J.J., additional, Hoebers, Frank J.P., additional, Kolenaar, Barry, additional, Kropveld, Arvid, additional, Langeveld, Ton P.M., additional, Verschuur, Hendrik P., additional, de Visscher, Jan G.A.M., additional, van Weert, Stijn, additional, Witjes, Max J.H., additional, Smeele, Ludi E., additional, Merkx, Matthias A.W., additional, and Hermens, Rosella P.M.G., additional

Published
2018
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15. Minimally Invasive Intervention for Primary Caries Lesions: Are Dentists Implementing This Concept?

Author

Laske, Mark, Opdam, Niek J.M., Bronkhorst, Ewald M., Braspenning, Jozé C.C., van der Sanden, Wil J.M., Huysmans, Marie Charlotte D.N.J.M., Bruers, Josef J., Opdam, Niek J M, Bronkhorst, Ewald M, Braspenning, Jozé C C, van der Sanden, Wil J M, Huysmans, Marie Charlotte D N J M, and Bruers, Josef J

Subjects
DENTAL enamel, DECIDUOUS dentition (Tooth development)
Abstract

Contemporary minimally invasive treatment concepts for restorative treatment of primary caries lesions include both delayed intervention and smaller-sized preparations restricted to removal of carious tissue. The aim of this study was to investigate whether these concepts have resulted in a trend towards a more conservative choice made by dentists regarding treatment thresholds and restorative techniques. The results from previously conducted, precoded questionnaires developed by Espelid and Tveit, as well as from a recent Dutch questionnaire, were collected and analysed. A worldwide trend towards more minimally invasive strategies in the operative treatment of caries lesions could not be observed, neither for the initiation of operative treatment nor for the preparation techniques. However, in some countries, changes over time could be assessed, especially in Norway, where a reduction in the proportion of interventions is visible for both occlusal and approximal lesions, indicating that more dentists are postponing interventions until the lesions have progressed to a deeper level. From the Dutch national survey, it could be concluded that operators that intervene at an earlier stage of approximal lesioning (stage ≤4) also intervene at an earlier stage of occlusal caries (stage ≤3) (p = 0.012; OR = 2.52; 95% CI: 1.22-5.22). Generally, it can be concluded that dentists worldwide still tend to operatively intervene at a too early stage of caries, although variations exist between countries. A worldwide shift could be observed in the restorative material applied, since composite resin has almost completely replaced amalgam for restoring primary caries lesions. [ABSTRACT FROM AUTHOR]

Published
2019
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24. Impact of nurse practitioners on workload of general practitioners:randomised controlled trial.

Author

Laurant, Miranda G.H., Hermens, Rosella P.M.G., Braspenning, Jozé C.C., Sibbald, Bonnie, and Grol, Richard P.T. M.

Subjects
NURSE practitioners, NURSING, GENERAL practitioners, FAMILY medicine, MEDICAL care, SICK people, MEDICAL practice
Abstract

Objective To examine the impact on general practitioners' workload of adding nurse practitioners to the general practice team. Design Randomised controlled trial with measurements before and after the introduction of nurse practitioners. Setting 34 general practices in a southern region of the Netherlands. Participants 48 general practitioners. Intervention Five nurses were randomly allocated to general practitioners to undertake specific elements of care according to agreed guidelines.The control group received no nurse. Main outcome measures Objective workload,derived from 28 day diaries,included the number of contacts per day for each of three conditions (chronic obstructive pulmonary disease or asthma,dementia, cancer),by type of consultation (in practice, telephone,home visit),and by time of day (surgery hours,out of hours).Subjective workload was measured by using a validated questionnaire. Outcomes were measured six months before and 18 months after the intervention. Results The number of contacts during surgery hours increased in the intervention group compared with the control group (P <0.06),particularly for patients with chronic obstructive pulmonary disease or asthma (P <0.01).The number of consultations out of hours declined slightly in the intervention group compared with the control group,but this difference did not reach significance.No significant changes became apparent in subjective workload. Conclusion Adding nurse practitioners to general practice teams did not reduce the workload of general practitioners,at least in the short term.This implies that nurse practitioners are used as supplements, rather than substitutes,for care given by general practitioners. [ABSTRACT FROM AUTHOR]

Published
2004
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26. Precision of Individual and Composite Performance Scores

Author

Doorn-Klomberg, Arna L. van, Braspenning, Jozé C.C., Feskens, Remco C.W., Bouma, Margriet, Campbell, Stephen M., and Reeves, David

Abstract

In many countries, quality indicators are used to assess the quality of care of family practice. Such assessments need to have an adequate precision, so that the results can be interpreted correctly. However, a small sample size per practitioner can lead to inadequate precision. A possible solution could be to create composite performance scores.

Published
2013
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