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Top-down and bottom-up approach of malnutrition leads to a decrease in malnutrition prevalence rates in all health care settings in the NetherlandsM. van Bokhorst - de van der Schueren, C. Jonkers - Schuitema, H. Kruizenga, A. Evers, E. van der Heijden, E. Leistra, J. Schilp, J. Meijers, R. Halfens, J. Schols, K. Joosten, G. Wanten, C. Mulder
cross-sectional measurements of malnutrition across all health-care setting in the Netherlands, n ~30.000 patients per year
(involving all disciplines as well as associations of specialists and hospital boards)
lobbies the Ministry of Health to raise attention to the ongoing problem of disease related malnutrition in Dutch health care
The Dutch approach
Provision of instruments, website and half-products
Toolkits: (development, testing, implementation with the field)
Continuous internal and external audits and feedback on malnutrition prevalence, screening and treatment
Annual prevalence measurement
Screening instruments, toolkits, website
Mandatory reports on treatment
SNAQ, MUST, STRONGkids, growth analyzer
Experiments leading to best practices
Annual report to Healthcare Inspectorate
Annual report to Healthcare Insp.
Steady decrease in malnutrition prevalence rates
Ellen van der Heijden, RD Hinke Kruizenga, PhD RD Anja Evers, RD LLM Chris Mulder, PhD MD
coordinator DMG project leader DMG project leader DMG president DMG
Cora Jonkers - Schuitema, RD Koen Joosten, PhD MD Geert Wanten, PhD MD Eva Leistra, MSc
secretary NESPEN & DMGNESPEN & DMG president NESPEN PhD student DMG
Ruud Halfens PhD RN Jos Schols, PhD MD Judith Meijers, PhD RN Janneke Schilp, MSc
LPZ LPZ & DMG LPZ PhD student DMG
... and all other researchers, dietitians, dietetic assistants, nurses, physicians, policy makers, patients, ...