By Prof.dr. R. M. Lapré, Dr. J. P. Mackenbach (auth.)
In order to chart the best way for long term rules within the box of public overall healthiness, the Dutch govt must have the absolute best perception into strength destiny tendencies and the issues to which those may possibly provide upward push. It was once on the way to compiling a couple of long-range reports that the self sufficient guidance Committee on healthiness situations used to be organize in 1983. In 1985 the guidance Committee appointed a board of specialists to behavior a long-range learn of "Accidents and traumatology" (traumatology being that point of drugs inquisitive about the therapy of coincidence victims). In shut session with this board, the Institute of Public overall healthiness and Social medication of the Erasmus collage Rotterdam conducted a state of affairs examine, the result of that are in brief summarized lower than. 0.1 goals and method The learn had ambitions: To discover attainable "autonomous" advancements (in the experience of being self sufficient of presidency intervention) within the box of injuries and the therapy of twist of fate sufferers. To specify the results of attainable coverage measures, on the subject of either the prevention of injuries and enhancements within the take care of coincidence sufferers. The study was once exploratory instead of predictive. It didn't transcend the 12 months 2000, because it was once felt that the speed of swap during this box governed out taking a look a lot additional than ten to 15 years ahead.
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Additional info for Accidents in the Year 2000: Accident and Traumatology Scenarios 1985–2000 Commissioned by the Steering Committee on Future Health Scenarios
At least one heading also clearly indicates a decline in case fatality: the fracture of the lower limb, This type of injury - which accounts for a large share of mortality from accidental falls - shows a slight rise in the number of hospital admissions, but a sharp decline in mortality. This seems to point to a reduction in case fatality, confirmed by further studies of hospital data, which indicate that the in-hospital case fatality for this complaint has declined sharply, in particular for the age groups in which there has been a considerable increase in the percentage of patients operated on.
2 Possibilities for control Many possibilities for control exist in both the field of prevention and that of medical care, largely based on information from scientific research. 5% of health research expenditure is spent on accident research. The major proportion of these funds is spent on research - mainly aimed at prevention - conducted by a number of 49 independent research institutes with interests in the fields of traffic safety, occupational safety and home and leisure safety. Research into medical care for accident victims is at present very limited in the Netherlands.
The field of rehabilitation too lacks a clearly structured government policy. Considering the presumable importance of early identification and treatment of disabilities and handicaps, in rehabilitation medicine particular importance is attached to early diagnosis and referrals. In some situations a start will have to be made right from the intensive hospital care stage with multidisciplinary therapy directed at the prevention of residual disabilities. This would involve an increase in the number of rehabilitation physicians and early mobilization of these specialists, for instance in the proposed trauma centres.
Accidents in the Year 2000: Accident and Traumatology Scenarios 1985–2000 Commissioned by the Steering Committee on Future Health Scenarios by Prof.dr. R. M. Lapré, Dr. J. P. Mackenbach (auth.)