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How should health service organizations respond to diversity? A content analysis of six approaches

Background Health care organizations need to be responsive to the needs of increasingly diverse patient populations. We compared the contents of six publicly available approaches to organizational responsiveness to diversity. The central questions addressed in this paper are: what are the most consistently recommended issues for health care organizations to address in order to be...

A short assessment of health literacy (SAHL) in the Netherlands

Background An earlier attempt to adapt the REALM (Rapid Estimate of Adult Literacy in Medicine) word recognition test to Dutch was not entirely successful due to ceiling effects. In contrast to REALM, the Short Assessment of Health Literacy (SAHL) assesses both word recognition and comprehension in the health domain. The aim of this study was to design, test and validate a SAHL...

A students’ survey of cultural competence as a basis for identifying gaps in the medical curriculum

Karien Stronks 0 Marie-Louise Essink-Bot 0 0 Department of Public Health, Academic Medical Centre, University of Amsterdam , P.O. Box 22660, 1100 DE Amsterdam , The Netherlands 1 Netherlands School of

Course of post-traumatic stress disorder and health care utilisation among resettled refugees in the Netherlands

Background Post-traumatic stress disorder (PTSD) is a major health problem among refugees worldwide. After resettlement, the prevalence of PTSD remains high despite the fact that various PTSD treatments are known to be effective. Methods We examined the course of PTSD and the role of mental health care utilisation at a 7-year interval (2003–2010) among a cohort of refugees from...

Quality of primary care for resettled refugees in the Netherlands with chronic mental and physical health problems: a cross-sectional analysis of medical records and interview data

Marije A van Melle 0 Majda Lamkaddem 0 Martijn M Stuiver Annette AM Gerritsen Walter LJM Devill Marie-Louise Essink-Bot 0 0 Department of Public Health, Academic Medical Center, University of

Deficiencies in culturally competent asthma care for ethnic minority children: a qualitative assessment among care providers

Asthma outcomes are generally worse for ethnic minority children. Cultural competence training is an instrument for improving healthcare for ethnic minority patients. To develop effective training, we explored the mechanisms in paediatric asthma care for ethnic minority patients that lead to deficiencies in the care process. We conducted semi-structured interviews on care for...

Design of a prospective cohort study to assess ethnic inequalities in patient safety in hospital care using mixed methods

Background While US studies show a higher risk of adverse events (AEs) for ethnic minorities in hospital care, in Europe ethnic inequalities in patient safety have never been analysed. Based on existing literature and exploratory research, our research group developed a conceptual model and empirical study to increase our understanding of the role ethnicity plays in patient...

Negative health care experiences of immigrant patients: a qualitative study

Background Negative events are abusive, potentially dangerous or life-threatening health care events, as perceived by the patient. Patients' perceptions of negative events are regarded as a potentially important source of information about the quality of health care. We explored negative events in hospital care as perceived by immigrant patients. Methods Semi-structured...

Effectiveness of a web-based health risk assessment with individually-tailored feedback on lifestyle behaviour: study protocol

Background Physical inactivity, unhealthy dietary habits, smoking and high alcohol consumption are recognized risk factors for cardiovascular disease and cancer. Web-based health risk assessments with tailored feedback seem promising in promoting a healthy lifestyle. This study evaluates the effectiveness of a web-based health risk assessment with individually-tailored feedback...

A labelled discrete choice experiment adds realism to the choices presented: preferences for surveillance tests for Barrett esophagus

Michelle E Kruijshaar michelle.kruijshaar@hpa.org.uk 2 5 Marie-Louise Essink-Bot M.L.Essink-Bot@amc.uva.nl 2 4 Bas Donkers donkers@few.eur.nl 1 Caspar WN Looman c.looman@erasmusmc.nl 2 Peter D

Individual differences in the use of the response scale determine valuations of hypothetical health states: an empirical study

Background The effects of socio-demographic characteristics of the respondent, including age, on valuation scores of hypothetical health states remain inconclusive. Therefore, we analyzed data from a study designed to discriminate between the effects of respondents' age and time preference on valuations of health states to gain insight in the contribution of individual response...

Study protocol: population screening for colorectal cancer by colonoscopy or CT colonography: a randomized controlled trial

Background Colorectal cancer (CRC) is the second most prevalent type of cancer in Europe. Early detection and removal of CRC or its precursor lesions by population screening can reduce mortality. Colonoscopy and computed tomography colonography (CT colonography) are highly accurate exams and screening options that examine the entire colon. The success of screening depends on the...

Well being of obstetric patients on minimal blood transfusions (WOMB trial)

-Bot 19 Nina CJ Peters 0 Carin A Uyl-de Groot 18 Dimitri NM Papatsonis 17 Bettina MC Akerboom 16 Godfried CH Metz 21 Henk A Bremer 20 Aren J van Loon 15 Rob H Stigter 9 Joris AM van der Post 10 Marcel