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Medische Advisering Ziekgemelde Leerling door de jeugdarts (M@ZL)

Ontwikkeling van een interventie

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Tijdschrift voor gezondheidswetenschappen Aims and scope

Sociaal economische gezondheidsverschillen kunnen worden gereduceerd door het verminderen van gezondheidsrisico’s en het verhogen van onderwijskansen. Bij dit laatste is omvangrijk schoolverzuim een risicofactor. Door aandacht te besteden aan schoolverzuim wegens ziekte levert de jeugdgezondheidszorg een bijdrage aan de gezondheid, het welbevinden en de onderwijskansen van jongeren en daarmee aan het terugdringen van sociaal economische gezondheidsverschillen. De GGD West-Brabant heeft in een pilot de interventie M@ZL (Medische Advisering Ziekgemelde Leerling) voor de aanpak van ziekteverzuim door scholieren in het voortgezet onderwijs ontwikkeld. In dit artikel worden methodiek en pilotresultaten beschreven. Van de leerlingen met omvangrijk ziekteverzuim werd 98% bereikt door de jeugdarts of de leerplichtambtenaar; 50% had lichamelijke klachten, veel leerlingen hadden psychosociale problemen. Bij 63% van de leerlingen die in het begeleidingstraject kwamen nam de verzuimomvang af. Het ziekteverzuim op schoolniveau nam af met gemiddeld 1,1 ziektedagen per leerling per schooljaar. Uit de pilot wordt voorlopig geconcludeerd dat de interventie M@ZL veelbelovend is voor het terugdringen van ziekteverzuim op het voortgezet onderwijs. Er worden aanknopingspunten voor verdere ontwikkeling gegeven.

ABSTRACT

Medical advice for the sick reported student in secondary school by the youth health care physician (M@ZL): development of an intervention.

Socio-economic health differences can be reduced by decreasing health risks and increasing educational opportunities. In the latter substantial school absenteeism is a crucial risk factor. By addressing school absenteeism for medical reasons, youth health care makes a positive contribution to health, welfare and educational opportunities for young people and thereby to reduction of socio-economic health differences. The Regional Public Health Service (RPHS) West Brabant has developed M@ZL (medical advice for the sick reported student) to address school absenteeism for medical reasons by secondary school students. We present you with a description of M@ZL and data from the pilot study. Almost all students (98%) that missed a substantial number of schooldays due to illness were reached by the youth health care physician or school attendance officer. Half of the latter group showed physical symptoms, for many students psychosocial problems appeared to be the main cause for health-related absenteeism. The size of medical absence decreased in 63% of the students receiving guidance while on the school level it was reduced with 1,1 schooldays per student per year. It is concluded that M@ZL is a promising intervention for reducing secondary school medical absenteeism, leads for further development are therefore given.

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Authors and Affiliations

  1. GGD West-Brabant, Breda, The Netherlands

    Yvonne Vanneste & Carin Rots

  2. Tranzo, Tilburg University, Tilburg, The Netherlands

    Yvonne Vanneste, Carin Rots & Ien van de Goor

  3. CAPHRI - Sociale Geneeskunde, Maastricht University, Maastricht, The Netherlands

    Yvonne Vanneste & Frans Feron

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  1. Yvonne Vanneste
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  2. Carin Rots
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  3. Ien van de Goor
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Mw. Y.T.M. Vanneste, GGD West-Brabant, Postbus 3369, 4800 DJ Breda, tel. 076-5282000, e-mail: y.vanneste@ggdwestbrabant.nl

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Vanneste, Y., Rots, C., van de Goor, I. et al. Medische Advisering Ziekgemelde Leerling door de jeugdarts (M@ZL). Tijds. gezondheids.wetenschappen 90, 412–419 (2012). https://doi.org/10.1007/s12508-012-0145-2

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