When providing care, we take account of a patient’s social and individual context. Our research has shown us that the environment and disposition of the individual patient play an important role. A broad approach is essential for dealing with rising life expectancy and the number of people with chronic conditions. Developments and solutions are not the same for all population groups. Each socio-economic status has its own challenges. COACH AND YOUR COACH NEXT DOOR The academic centre of expertise COACH (Centre for Overweight Adolescent and Children’s Healthcare) has been established for the treatment of children and adolescents who are seriously overweight or obese. A comprehensive approach provides appropriate support for the child and its family: medical causes are diagnosed and treated at the hospital and in the COACH network. In this network, professionals from the medical and social sectors work together and offer guidance for lifestyle improvements. The scientific research carried out within COACH/Maastricht UMC+ has shown that the COACH programme delivers health benefits and a healthier weight. In cooperation with JOGG (Jongeren op Gezond Gewicht) Young People at a Healthy Weight, the Province of Limburg, Municipal Health Services (GGD) of South Limburg and North Limburg, the municipality of Maastricht, Limburg hospitals, and social services, COACH has been translated into the prevention of health problems. This programme is called ‘Your COACH Next Door’ and it is mainly active at the neighbourhood level. In this way, we keep care close to home and out of the hospital wherever possible. MAMMACARE CARE PATHWAY Chemotherapy, radiation therapy, surgery, immunotherapy and hormone therapy: breast cancer patients currently have a wide range of treatment options. But when do we use which therapy? Every tumour is unique and not everyone benefits from the same treatment. Each specific type of tumour can be characterised increasingly precisely thanks to advanced techniques, for example by drawing up a DNA profile and using ever more precise imaging. This knowledge subsequently allows us to determine the most effective treatment method. Patient choice is a leading factor in this process, which we refer to as shared decisionmaking. One patient will seize every option for remaining tumour-free, while another might come to terms with their shortened life expectancy and seek the best possible quality of life for the time they have left. If a woman with breast cancer wishes to have children, this will be accommodated, for example by freezing eggs or embryos. To assist our patients during their illness, we are developing decision aids based on scientific evidence. This allows people to make a well-informed and well- considered choice on whether or not to go down a certain treatment route. We are by our patients’ side to help them choose the best possible path. 41 Healthy Living 2025
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