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1. Sports medicine in The Netherlands: consultation with a sports physician without referral by a general practitioner

Author

de Bruijn MC, Kollen BJ, and Baarveld F

Subjects
Sports medicine, RC1200-1245
Abstract

Matthijs C de Bruijn,1 Boudewijn J Kollen,2 Frank Baarveld21Center for Sports Medicine, 2Department of General Practice, University Medical Center Groningen, University of Groningen, The NetherlandsBackground: In The Netherlands, sports medicine physicians are involved in the care of about 8% of all sports injuries that occur each year. Some patients consult a sports physician directly, without being referred by a general practitioner. This study aims to determine how many patients consult a sports physician directly, and to explore differences in the profiles of these patients compared with those who are referred.Methods: This was an exploratory cross-sectional study in which all new patients presenting with an injury to a regional sports medical center during September 2010 were identified. The characteristics of patients who self-referred and those who were referred by other medical professionals were compared.Results: A total of 234 patients were included (mean age 33.7 years, 59.1% male). Most of the injuries occurred during soccer and running, particularly injuries of the knee and ankle. In this cohort, 39.3% of patients consulted a sports physician directly. These patients were significantly more often involved in individual sports, consulted a sports physician relatively rapidly after the onset of injury, and had received significantly less care before this new event from medical professionals compared with patients who were referred.Conclusion: In this study, 39.3% of patients with sports injuries consulted a sports physician directly without being referred by another medical professional. The profile of this group of patients differed from that of patients who were referred. The specific roles of general practitioners and sports physicians in medical sports care in The Netherlands needs to be defined further.Keywords: sports injuries, sports medicine physician, primary care, secondary care

Published
2013

2. Knieklachten

Author

Baarveld, F., Zwerver, J., de Jongh, T.O.H., editor, de Vries, H., editor, Knottnerus, B.J., editor, Keurlings, P.A.J., editor, Damen, J., editor, and Reinders, M.E., editor

Published
2021
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3. Knieklachten

Author

Baarveld, F., van Enst, G. C., de Jongh, drs. T.O.H., editor, de Vries, Prof. dr. H., editor, Grundmeijer, dr. H.G.L.M., editor, and Knottnerus, dr. B.J., editor

Published
2016
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4. 38 Onderbeen

Author

van Enst, G.C., Baarveld, F., Baarveld, F., editor, Backx, F.J.G., editor, and Voorn, Th.B., editor

Published
2009
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5. 31 Pols

Author

Peters-Veluthamaningal, C., Baarveld, F., Baarveld, F., editor, Backx, F.J.G., editor, and Voorn, Th.B., editor

Published
2009
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8. Doping

Author

Backx, F.J.G., Stoele, F.W.J., Baarveld, F., van Everdingen, J.J.E., editor, Schobben, A.F.A.M., editor, and Wiersma, Tj., editor

Published
2014
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11. 49 Knieklachten

Author

Baarveld, F., van Enst, G.C., de Jongh, T.O.H., editor, de Vries, H., editor, and Grundmeijer, H.G.L.M., editor

Published
2011
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19. 29 Doping

Author

Backx, F.J.G., primary, Stoele, F.W.J., additional, and Baarveld, F., additional

Published
2013
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21. Knieklachten

Author

Baarveld, F., primary, Hekker, G. A., additional, Reenders, K., additional, and van Enst, G. C., additional

Published
2007
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24. Assessing the assessment in emergency care training

Author

Dankbaar MSc, M.E.W. (Mary), Stegers-Jager, K.M. (Karen), Baarveld, F. (Frank), Merriënboer, J.J.G. (Jeroen) van, Norman, G.R. (Geoffrey), Rutten, F.F.H. (Frans), Saase, J.L.C.M. (Jan) van, Klein Nagelvoort-Schuit, S.C.E. (Stephanie), Dankbaar MSc, M.E.W. (Mary), Stegers-Jager, K.M. (Karen), Baarveld, F. (Frank), Merriënboer, J.J.G. (Jeroen) van, Norman, G.R. (Geoffrey), Rutten, F.F.H. (Frans), Saase, J.L.C.M. (Jan) van, and Klein Nagelvoort-Schuit, S.C.E. (Stephanie)

Published
2014
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25. Assessing the Assessment in Emergency Care Training

Author

Dankbaar, Mary, Stegers - Jager, Karen, Baarveld, F, van Merrienboer, JJG, Norman, GR, Rutten, FL, Saase, Jan, Schuit, Stephanie, Dankbaar, Mary, Stegers - Jager, Karen, Baarveld, F, van Merrienboer, JJG, Norman, GR, Rutten, FL, Saase, Jan, and Schuit, Stephanie

Abstract

Objective: Each year over 1.5 million health care professionals attend emergency care courses. Despite high stakes for patients and extensive resources involved, little evidence exists on the quality of assessment. The aim of this study was to evaluate the validity and reliability of commonly used formats in assessing emergency care skills. Methods: Residents were assessed at the end of a 2-week emergency course; a subgroup was videotaped. Psychometric analyses were conducted to assess the validity and inter-rater reliability of the assessment instrument, which included a checklist, a 9-item competency scale and a global performance scale. Results: A group of 144 residents and 12 raters participated in the study; 22 residents were videotaped and re-assessed by 8 raters. The checklists showed limited validity and poor inter-rater reliability for the dimensions "correct'' and "timely'' (ICC=.30 and. 39 resp.). The competency scale had good construct validity, consisting of a clinical and a communication subscale. The internal consistency of the (sub)scales was high (alpha=.93/.91/.86). The inter-rater reliability was moderate for the clinical competency subscale (.49) and the global performance scale (.50), but poor for the communication subscale (.27). A generalizability study showed that for a reliable assessment 5-13 raters are needed when using checklists, and four when using the clinical competency scale or the global performance scale. Conclusions: This study shows poor validity and reliability for assessing emergency skills with checklists but good validity and moderate reliability with clinical competency or global performance scales. Involving more raters can improve the reliability substantially. Recommendations are made to improve this high stakes skill assessment.

Published
2014

26. Verdienen aan neerslachtigheid

Author

Dehue, T., Bügel, P.C., Baarveld, F., Schuling, J., Theory and History of Psychology, and Heymans Instituut (Psychologie)

Published
2005

32. Wensen rond aanbod en dienstverlening van de Zonnebloem

Author

Baarveld, F., Ramakers, C., and Woldringh, C.

Subjects
Zorg, arbeid en samenleving, Instituut Toegepaste Sociale Wetenschappen
Abstract

Item does not contain fulltext De klanten van de Zonnebloem zijn uitermate tevreden met het huisbezoek dat zij krijgen van hun vrijwilliger. Ze vinden het vooral gezellig om met iemand te kunnen praten. En ze vinden het fijn dat iemand naar hen luistert en begrip toont. Het huisbezoek heeft naast deze sociale component ook duidelijk een betekenis in de bestrijding van eenzaamheid en neerslachtigheid. Toch is er ook kritiek. Deze komt meestal van mensen die maar één keer in de maand bezoek krijgen of waarbij het bezoek maar heel kort duurt. Ook geven veel klanten aan dat ze er meer op uit te willen.

Published
2001

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