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134 papers found.
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Self-management research of asthma and good drug use (SMARAGD study): a pilot trial

Background Community pharmacists play an important role in supporting patients for optimal drug use. Objective To assess the effectiveness of monitoring in asthma patients with inhaled corticosteroids (ICS) on disease control. Setting Asthma patients using ICS were invited from two intervention (IG) and two control pharmacies (CG). Method Participating patients completed ...

The Tailored Implementation in Chronic Diseases (TICD) project: introduction and main findings

Background The Tailored Implementation in Chronic Diseases (TICD) project aims to contribute knowledge on how to improve healthcare for patients with chronic diseases and, at the same time, knowledge on concepts and methods of tailoring interventions to local conditions. In this contribution, the project is briefly introduced and its main findings are discussed. Discussion The ...

Information exchange networks of health care providers and evidence-based cardiovascular risk management: an observational study

Lieshout 0 Michel Wensing 0 0 Department IQ healthcare, Radboud Institute of Health Sciences, Radboud University Medical Centre , PO 9101 6500 HB, Nijmegen , The Netherlands Background: Although a wide

Cost Effectiveness of Gastroprotection with Proton Pump Inhibitors in Older Low-Dose Acetylsalicylic Acid Users in the Netherlands

post-GI bleeding Utility for persisting dyspepsia post-GI bleeding Conflict of interest Martina Teichert is an employee of KNMP. Sek Hung Chau, Reinier L. Sluiter, Wietske Kievit, Michel Wensing and

Evaluation of Potentially Drug-Related Patient-Reported Common Symptoms Assessed During Clinical Medication Reviews: A Cross-Sectional Observational Study

Ethical Standards Funding This study received an unrestricted research fund by the Royal Dutch Pharmacists Association (KNMP). Conflict of interest Tim W.A. Schoenmakers, Martina Teichert, Michel Wensing

Veiligheid en doelmatigheid van telefonische triage op de Nederlandse huisartsenpost

Op huisartsenposten doen triagisten telefonische triage om de urgentie en benodigde hulpverleningsinzet te bepalen. In de beginjaren waren er twijfels over de veiligheid van triage; sindsdien is de triage verder geprofessionaliseerd. In de afgelopen 15 jaar is het nodige gebeurd om tot verbetering te komen. Dit artikel biedt een overzicht van Nederlands onderzoek naar de veiligheid ...

Evaluation of a program to strengthen general practice care for patients with chronic disease in Germany

Background A program to strengthen general practice care for patients with chronic disease was offered in Germany. Enrollment was a free individual choice for both patients and physicians. This study aimed to examine the long-term impact of this program. Methods Two comparative evaluations were done, at 4 and 5 years (T1 and T2) after start of the program. In each year, patients in ...

Impact of a tailored program on the implementation of evidence-based recommendations for multimorbid patients with polypharmacy in primary care practices—results of a cluster-randomized controlled trial

Background Multimorbid patients receiving polypharmacy represent a growing population at high risk for negative health outcomes. Tailoring is an approach of systematic intervention development taking account of previously identified determinants of practice. The aim of this study was to assess the effect of a tailored program to improve the implementation of three important ...

Tailored implementation of cardiovascular risk management in general practice: a cluster randomized trial

Background Counselling on health-related lifestyles is key to the prevention and management of chronic diseases. After comprehensive study of determinants of its delivery in general practice and strategies to improve, we composed a tailored improvement program, which included communication skills training, online patient information, and a clinical protocol for managing depressive ...

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 ...

Patient experiences with family medicine: a longitudinal study after the Dutch health care reforms in 2006

Background In 2006 The Dutch Health Care system changed to a market oriented system. The GP remuneration changed from ± 2/3 capitation patients and 1/3 private patients before 2006 to a mixed payment scheme. From 2006 onward every patient was insured and the GP received partly capitation, partly fees for consultations and for specific services. This change coincided with many other ...

Local networks of community and healthcare organisations: a mixed methods study

Michel Wensing 2 0 Faculty of Health and Social Studies, HAN University of Applied Sciences , PO Box 6960, 6503 Nijmegen , The Netherlands 1 Faculty of Health Sciences, NIHR CLAHRC Wessex, University of

Drug therapy management in patients with renal impairment: how to use creatinine-based formulas in clinical practice

Purpose The use of estimated glomerular filtration rate (eGFR) in daily clinical practice. Methods eGFR is a key component in drug therapy management (DTM) in patients with renal impairment. eGFR is routinely reported by laboratories whenever a serum creatinine testing is ordered. In this paper, we will discuss how to use eGFR knowing the limitations of serum creatinine-based ...

Efficiency of the implementation of cardiovascular risk management in primary care practices: an observational study

Nouwens 1 Jan van Lieshout 1 Michel Wensing 1 0 Radboud Institute for Health Sciences, Department for Health Evidence (133), Radboud University Medical Centre , P.O. Box 9101, 6500 HB Nijmegen , The

Impact of a well-developed primary care system on the length of stay in emergency departments in the Netherlands: a multicenter study

Background The Netherlands has a well-developed primary care system, which increasingly collaborates with hospital emergency departments (EDs). In this setting, insight into crowding in EDs is limited. This study explored links between patients’ ED Length of Stay (LOS) and their care pathways. Methods Observational multicenter study of 7000 ED patient records from 1 February 2013. ...

Effectiveness of a clinical guideline to improve dental health among orthodontically treated patients: study protocol for a cluster randomized controlled trial

Background White spot lesions (WSLs) occur as a side effect in over 25 % of patients who undergo orthodontic treatment, causing aesthetic problems and a risk of deeper enamel and dentine lesions. Dutch orthodontists show substantial variation in their application of WSL preventive measures, which include little incorporation of evidence from the literature. We recently developed an ...

Determinants of impact of a practice accreditation program in primary care: a qualitative study

Background Practice accreditation is a widely used method to assess and improve the quality of healthcare services. In the Netherlands, a practice accreditation program was implemented in primary medical care. We aimed to identify determinants of impact of a practice accreditation program, building on the experiences of primary care professionals who had participated in this ...

Improving participation rates by providing choice of participation mode: two randomized controlled trials

Wensing 0 0 Equal contributors Radboud University Medical Centre, Nijmegen, Scientific Institute for Quality of Healthcare , PO 9101, 6500, HB, Nijmegen , The Netherlands Background: Low participation