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Type 1-diabetes bij kinderen en adolescenten: de afgelopen 15 jaar in Nederland

Sterkte, zwakte, kansen en bedreigingen

  • Published:
Tijdschrift voor Kindergeneeskunde

Samenvatting

Dit artikel beschrijft veranderingen in de stijl van behandeling met nadruk op empowerment van de patiënt.Vervolgens worden de onvoldoende resultaten van de behandeling bij kinderen en adolescenten toegelicht. Zwakke punten liggen bij inadequate behandeling en bij de aansluiting op de interne geneeskunde. Sterke punten zijn de concentratie van poliklinische zorg met optimaal gebruik van ICT-technologie. De beste kansen liggen gedurende het eerste jaar van behandeling en bij de problematiek rond het kind van de zwangere diabetica. Acuut bedreigd wordt de psychosociale zorg door de overheveling van de jeugdzorg naar de gemeenten in 2015.

Summary

This article on childhood diabetes over the past fifteen years in the Netherlands describes changes in treatment style, on patient empowerment in particular. Next the poor results of the treatment of diabetic children and adolescents are summarized. Weak points are in the inadequacy of medical treatment proper and with the continuum with internal medicine. Strong points were the concentration of out-patient care with optimal usage of ICT technology. Major opportunities prevail during the first year of treatment and around the child of the pregnant diabetic woman. An acute threat is the switch in 2015 of psycho-social care for youth from health insurance driven to the responsibility of the community where the child lives.

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Authors and Affiliations

  1. Erasmus Medisch Centrum/Sophia Kinderziekenhuis, Rotterdam, The Netherlands

    G.J. Bruining

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  1. G.J. Bruining
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Correspondence to G.J. Bruining.

Additional information

The task remains to impart the nuance, to elucidate the complication, to imply the contradiction

Philip Roth

Auteur

Em. prof.dr. G.J. Bruining, Erasmus Medisch Centrum/Sophia Kinderziekenhuis, Rotterdam, mubruining@ziggo.nl.

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Bruining, G. Type 1-diabetes bij kinderen en adolescenten: de afgelopen 15 jaar in Nederland. Tijdschr Kindergeneeskd 83, 4–9 (2015). https://doi.org/10.1007/s12456-015-0003-7

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  • DOI: https://doi.org/10.1007/s12456-015-0003-7

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