Introduction F-ACT is a flexible version of Assertive Community Treatment to deliver care in a changing intensity depending on needs of individuals with severe mental illnesses (Van Veldhuizen, 2007). In 2016 a number of the FACT-teams in the Dutch region of Utrecht moved to locations in neighborhoods …

Background: Emergency department utilization has increased tremendously over the past years, which is accompanied by an increased necessity for emergency medicine research to support clinical practice. Important sources of evidence are systematic reviews (SRs) and meta-analyses (MAs), but these can only …

Background One way to achieve universal health coverage (UHC) in low- and middle-income countries (LMIC) is the implementation of health insurance schemes. A robust and up to date overview of empirical evidence assessing and substantiating health equity impact of health insurance schemes among specific …

Literature and industry standards do not mention inclusive guidelines to generate safety recommendations. Following a literature review, we suggest nine design criteria as well as the classification of safety recommendations according to their scope (i.e. organisational context, stakeholders addressed …

Multiple organizations around the world have issued evidence-based exercise guidance for patients with cancer and cancer survivors. Recently, the American College of Sports Medicine has updated its exercise guidance for cancer prevention as well as for the prevention and treatment of a variety of cancer …

In the four studies comprising this dissertation, we aim to shed more light on the role of implementation quality of FLPs. In the first study, we reviewed the literature on implementation quality of FLPs, to gain insight into how implementation has been assessed in studies so far, what previous studies …

Introduction: The implementation of oncology care pathways that standardize organizational procedures has improved cancer care in recent years. However, the involvement of “authentic” patients and caregivers in quality improvement of these predetermined pathways is in its infancy, especially the scholarly …

Coastal soft-sediment habitats are some of the most valued ecosystems due to their high productivity, sustaining coastal food webs. However, coastal soft-sediment habitats are under pressure due to human activity and sea level rise. To preserve or restore soft-sediment habitats different management strategies …

Introduction In the harbor of Zierikzee there is a strong tidal influence. The difference between the water levels during high and low tide lies around the three meters. The harbors De Oude Haven and ‘T Sas fall dry during an extremely low tide. When these harbors fall dry, foundations will come in …

Abstract Quality problem: Unplanned hospital readmissions frequently occur and have profound implications for patients. This study explores chronically ill patients' experiences and perceptions of being discharged to home and then acutely readmitted to the hospital to identify the potential impact on …