By Prof.dr. R. M. Lapré, Dr. J. P. Mackenbach (auth.)
In order to chart the best way for long term regulations within the box of public healthiness, the Dutch govt must have the absolute best perception into power destiny tendencies and the issues to which those might provide upward push. It was once in an effort to compiling a couple of long-range experiences that the self reliant steerage Committee on well-being situations used to be organize in 1983. In 1985 the guidance Committee appointed a board of specialists to behavior a long-range research of "Accidents and traumatology" (traumatology being that element of drugs excited by the therapy of twist of fate victims). In shut session with this board, the Institute of Public wellbeing and fitness and Social medication of the Erasmus collage Rotterdam conducted a state of affairs examine, the result of that are in brief summarized less than. 0.1 goals and process The examine had pursuits: To discover attainable "autonomous" advancements (in the feel of being self sustaining of presidency intervention) within the box of injuries and the remedy of coincidence sufferers. To specify the consequences of attainable coverage measures, when it comes to either the prevention of injuries and enhancements within the take care of coincidence sufferers. The learn was once exploratory instead of predictive. It didn't transcend the 12 months 2000, because it used to be felt that the velocity of swap during this box governed out having a look a lot additional than ten to 15 years ahead.
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Extra info for Accidents in the Year 2000: Accident and Traumatology Scenarios 1985–2000 Commissioned by the Steering Committee on Future Health Scenarios
There are no policy documents summarising the situation, and it is therefore not easy to review the current approach of the Dutch government to medical care. The professional groups involved, however, do have firm ideas on possible improvements in trauma care, of which the most important ones are mentioned below. Four elements can be distinguished in medical care for accident victims: notification and first aid; ambulance service and transport; therapeutic intervention in a health care institution; rehabili tat ion .
3 Mortality and case fatality In 1984 approximately 3900 people were killed in accidents (cf. 1). Home and leisure accidents claimed the highest number of deaths, closely followed by traffic accidents. 2 illustrates the percentage shares in more detail and distinguishes between age and various sub-categories. 2 Percentage share of various accident categories in total accident mortality by age (1984) 0-14 100 15- 64 65+ n =1625 n =1971 passenger car moped traffic 90 bicycle pedestrian 80 other traffic occupational home and leisure ..
This would lead to the kind of economic circumstances encountered in the 1930s. 8. Socio-cultural factors Human behaviour undoubtedly contributes to the occurrence of accidents. In the first place the pattern of activities in the community plays an important role, in as far as this determines exposure to accident risks: leisure activities, road use, etc. 10 Q. 150 10 u s.. QI Q. e ..... ---. /,/ / ------ stagnation /,,' . - z II / I I 1920 1940 1960 1980 2000 Source: "De Neder1andse economie op 1angere termijn" (The Dutch economy in the longer term) (Central Planning Bureau 1985).
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.)