Cover Page
The handle http://hdl.handle.net/1887/55848 holds various files of this Leiden University dissertation.
Author: Bezem, J.
Title: Exploring the potential of triage and task-shifting in preventive child health care
Issue Date: 2017-11-28
Exploring the potential of triage and task-shifting in Preventive Child Health care
Janine Bezem
Exploring the potential of triage and task-shifting in Preventive Child Health care
PROEFSCHRIFT
ter verkrijging van
de graad van Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus prof. mr. C.J.J.M. Stolker,
volgens besluit van het College voor Promoties te verdedigen op dinsdag 28 november 2017
klokke 11.15 uur
door Janine Bezem geboren te Rotterdam
in 1957
Promotores
Prof.dr. M.E. Numans Prof.dr. S.E. Buitendijk Imperial College London
Copromotor Dr. P.M. Kocken
Leden promotiecommissie Prof.dr. M.Y. Berger
Rijksuniversiteit Groningen Prof.dr. A.A. de Bont
Erasmus Universiteit Rotterdam Prof.dr. J. Mesman
Prof.dr. R.R.J.M. Vermeiren Dr. M.R. Crone
Colophon
The research presented in this thesis was performed at TNO Child Health Department, Leiden, Public Health and Primary Care of Leiden University Medical Center, Leiden and at the Regional Public Health Service Gelderland- Midden, Arnhem (GGD Gelderland Midden).
The research was funded by the GGD Gelderland Midden and the Dutch organization for Health Research and Development (ZonMw, Den Haag).
Cover design : Studio Rieke, Utrecht, the Netherlands
Printing : GVO Drukkers en Vormgevers B.V., Ede, the Netherlands Layout : Ferdinand van Nispen, my-thesis.nl
ISBN : 978-94-6332-250-8
© J. Bezem, Ede, the Netherlands, 2017.
TABLE OF CONTENTS
1 Introduction and aims of this thesis 7
2 A novel triage approach of child preventive health assessment:
an observational study of routine registry-data BMC Health Services Research 2014;14:498
17
3 A novel triage approach to identifying health concerns Pediatrics 2016;137(3):e20150814
39
4 Triage in Preventive Child Health care: a prospective cohort study of care use and referral rates for children at risk
Accepted for publication by BMJ Open 27-09-2017
57
5 Preventive child health care at elementary school age: the costs of routine assessments with a triage approach
PloS ONE 2017;12(8):e0183068
85
6 Improving access to school health services as perceived by school professionals
Submitted
107
7 General discussion 127
Summary 145
Samenvatting 153
Dankwoord 163
Curriculum vitae 167
List of publications 171
