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26 papers found.
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Social support plays a role in the attitude that people have towards taking an active role in medical decision-making

Background There is a growing emphasis towards including patients in medical decision-making. However, not all patients are actively involved in such decisions. Research has so far focused mainly on the influence of patient characteristics on preferences for active involvement. However, it can be argued that a patient’s social context has to be taken into account as well, because...

Voorschrijven van antibiotica bij kinderen

Nederlandse huisartsen zijn terughoudend in het voorschrijven van antibiotica. Toch zijn er nog gebieden waar verbetering mogelijk is. Een voorbeeld hiervan zijn oor- en luchtweginfecties bij kinderen. Vaak is in zo’n geval geen antibioticum geïndiceerd. De vraag is hoe vaak hiervoor toch een antibioticum wordt voorgeschreven. En ook of de keuze van het antibioticum overeenkomt...

What role does health literacy play in patients' involvement in medical decision-making?

Patients vary in their preferences towards involvement in medical decision-making. Previous research, however, gives no clear explanation for this observed variation in their involvement. One possible explanation might be health literacy. Health literacy refers to personal characteristics and social resources needed for people to access, understand and use information to make...

Use of pharmacy dispensing data to measure adherence and identify nonadherence with oral hypoglycemic agents

Purpose A framework for calculation of adherence for oral hypoglycemic agents (OHAs) based on data from health-insurance claims is available. Pharmacy dispensing data aid identification of nonadherent patients in pharmacy practices. However, use of these data for calculation of OHA adherence requires additional methodological categories. We examined the impact of different...

Off-labelgebruik van de Diane-35-pil

Het Landelijk Registratie Bureau Bijwerkingen (LAREB) meldde in 2013 dat er mogelijk 27 vrouwen zijn overleden als gevolg van het gebruik van de Diane-35-pil of een generieke variant. In het debat dat volgde op deze meldingen was het off-labelgebruik van de Diane-35-pil en de generieke varianten een belangrijk punt van discussie.

Understanding Statin Non-Adherence: Knowing Which Perceptions and Experiences Matter to Different Patients

Background Non-adherence to statins is substantial and is associated with numerous perceptions and experiences. However, time limits in clinical practice constrain in depth explorations of these perceptions and experiences. Objectives To propose and examine a strategy aimed at an efficient assessment of a wide array of perceptions and experiences regarding the efficacy, side...

Knowledge Claims, Jurisdictional Control and Professional Status: The Case of Nurse Prescribing

Over the past decades, professional boundaries in health care have come under pressure, and the expansion of prescriptive authority to include nurses touches on issues of professional domains and interprofessional competition. Knowledge claims play an important role in achieving jurisdictional control. Knowledge can take on multiple forms, ranging from indeterminate to technical...

Opti-Med: the effectiveness of optimised clinical medication reviews in older people with ‘geriatric giants’ in general practice; study protocol of a cluster randomised controlled trial

Background Inappropriate drug use has been identified as one of the most important problems affecting the quality of care in older people. Inappropriate drug use may increase the risk of the occurrence of ‘geriatric giants’ such as immobility, instability, incontinence and cognitive impairment. There are indications that clinical medication reviews (CMR) can reduce inappropriate...

Patient organisations and the reimbursement process for medicines: an exploratory study in eight European countries

Janneke Noordman 0 Liset van Dijk 0 Roland Friele 0 0 NIVEL, Netherlands Institute for Health Services Research , PO Box 1568, 3500 BN Utrecht , the Netherlands Background: Little is known about

The effects of Hartcoach, a life style intervention provided by telephone on the reduction of coronary risk factors: a randomised trial

Background Cardiovascular disease (CVD) is the leading cause of death worldwide. Secondary prevention is essential, but participation rates for cardiac rehabilitation are low. Furthermore, current programmes do not accomplish that patients with CVD change their lifestyle in a way that their individual risk factors for recurrent events decrease, therefore more effective...

Time Trends of Period Prevalence Rates of Patients with Inhaled Long-Acting Beta-2-Agonists-Containing Prescriptions: A European Comparative Database Study

Background Inhaled, long-acting beta-2-adrenoceptor agonists (LABA) have well-established roles in asthma and/or COPD treatment. Drug utilisation patterns for LABA have been described, but few studies have directly compared LABA use in different countries. We aimed to compare the prevalence of LABA-containing prescriptions in five European countries using a standardised...

Nurse prescribing of medicines in Western European and Anglo-Saxon countries: a systematic review of the literature

Background A growing number of countries are introducing some form of nurse prescribing. However, international reviews concerning nurse prescribing are scarce and lack a systematic and theoretical approach. The aim of this review was twofold: firstly, to gain insight into the scientific and professional literature describing the extent to and the ways in which nurse prescribing...

Predictors for patient knowledge and reported behaviour regarding driving under the influence of medicines: a multi-country survey

Background Reports on the state of knowledge about medicines and driving showed an increased concern about the role that the use of medicines might play in car crashes. Much of patient knowledge regarding medicines comes from communications with healthcare professionals. This study, part of the DRUID (Driving Under the Influence of Drugs, alcohol and medicines) project, was...

Improving medication adherence in diabetes type 2 patients through Real Time Medication Monitoring: a Randomised Controlled Trial to evaluate the effect of monitoring patients' medication use combined with short message service (SMS) reminders

Background Innovative approaches are needed to support patients' adherence to drug therapy. The Real Time Medication Monitoring (RTMM) system offers real time monitoring of patients' medication use combined with short message service (SMS) reminders if patients forget to take their medication. This combination of monitoring and tailored reminders provides opportunities to improve...

e-Monitoring of Asthma Therapy to Improve Compliance in children using a real-time medication monitoring system (RTMM): the e-MATIC study protocol

Background Many children with asthma do not have sufficient asthma control, which leads to increased healthcare costs and productivity loss of parents. One of the causative factors are adherence problems. Effective interventions improving medication adherence may therefore improve asthma control and reduce costs. A promising solution is sending real time text-messages via the...

Depression during pregnancy: views on antidepressant use and information sources of general practitioners and pharmacists

Background The use of antidepressants during pregnancy has increased in recent years. In the Netherlands, almost 2% of all pregnant women are exposed to antidepressants. Although guidelines have been developed on considerations that should be taken into account, prescribing antidepressants during pregnancy is still a subject of debate. Physicians and pharmacists may have opposing...

Moderately overweight and obese patients in general practice: a population based survey

Background Obesity is a main threat to public health in the Western world and is associated with diseases such as diabetes mellitus and coronary heart diseases. Up to now a minority of research studied the relation between obesity and the use of primary health care. In the Netherlands the general practitioner (GP) is the main primary health care provider. The objective of this...

Furthering patient adherence: A position paper of the international expert forum on patient adherence based on an internet forum discussion

Background As the problem of patient non-adherence persists and a solution appears hard to be found, it continues to be important to look for new ways to further the issue. We recently conducted a meta-review of adherence intervention studies which yielded a preliminary agenda for future research, practice and theory development in patient adherence. The objective of the present...

Determinants of the range of drugs prescribed in general practice: a cross-sectional analysis

Background Current health policies assume that prescribing is more efficient and rational when general practitioners (GPs) work with a formulary or restricted drugs lists and thus with a limited range of drugs. Therefore we studied determinants of the range of drugs prescribed by general practitioners, distinguishing general GP-characteristics, characteristics of the practice...