Michel Wensing

..Although patient feedback can help identify areas for improvement, specific barriers must be addressed before such feedback can be put to more widespread use...

..But it remains unclear if these comprehensive evidence based approaches can improve patients' quality of life if they are provided in a primary care setting...

..In addition we investigate the recurrence rate during a one-year-follow-up period...

..An additional objective was to examine the impact of purpose regarding the referral and of the referrer on the experiences of GPs and patients...

..To determine the effectiveness of quality circles on prescribing patterns of primary care physicians in Germany and to explore the influence of specific factors on changes...

..There is a growing evidence base on methods to improve response rates in surveys among patients. This study aimed to determine the additional effect of two intensive follow-up procedures compared to a simple follow-up procedure...

..There is, however, a slow rate of transmission of social science methodology into the health sciences. This paper identifies some of the barriers for adoption and proposes ideas for the future...

..To determine whether patient evaluations of the accessibility to general practice and co-ordination with other care providers were associated with characteristics of general practice organizations...

..The validity and usefulness of incident reporting and other methods for identifying adverse events remains unclear. This study aimed to compare five methods in general practice...

..This study aimed to determine whether older patients' enablement was associated with their evaluation of the level of their involvement in primary care consultations...

..This study aimed to explore the associations between chronic care organisation and physician workload in primary care...

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..To improve this care, we need a better understanding of the factors determining guideline adherence...

..To determine the effect of a distance learning programme on general practice management of men with lower urinary tract symptoms (LUTS)...

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..This study compared the effects of this new model to usual care...

..Our aim was to identify patient and GDP characteristics associated with aspects of oral health assessment (OHA) and clinical management (CM) in patients with various oral conditions...

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..The aim of this observational study was to assess the prevalence of muscles with MTrPs and the association between MTrPs and the severity of pain and functioning in patients with chronic non-traumatic unilateral shoulder pain...

..Variation in the treatment of UTIs between practices is high...

..To provide insight into parents' awareness of and knowledge about urinary tract infections (UTIs) in young children...

..To reduce the related costs for patients and society, it will be useful to know which factors determine CFS patients' amount of health care use. Little is known, however, about these factors...

..Depression often occurs simultaneously with a variety of somatic, psychiatric, and social conditions. Knowledge about differences in the pharmacological treatment of depressed patients with and without co-morbidity is lacking...

..The aim of this paper is to describe the design and methods of a study to evaluate an intervention aimed at involving patients in cardiovascular risk management...

..Future developments in the Netherlands include integration and extensive collaboration with the accident and emergency departments of hospitals, in which PCPs take care of self-referring patients...

..The aim of this study was to describe both views of care receivers and those of professionals in order to identify facilitating factors and barriers for implementation of the DGIP...

..To develop content for an educational system for dental professionals to be used for patient-tailored evidence-based decisions regarding routine oral examinations (ROEs) and to test the model as a tool in dental education...

..To assess professionals' adherence to evidence-based guidelines and to investigate whether or not this is influenced by recording of the diagnosis and symptom severity...

..703; P =.02) CONCLUSIONS The disciplinary law system in the Netherlands differs fundamentally from a legal malpractice system. It can be used to learn from patients' complaints with a view on improving patient safety...

..Our aim was to describe the clinical management of young children's UTIs in Dutch primary care and to compare this to the national guideline recommendations...

..The range of appropriate interventions may be similar in all countries...

..To evaluate the effects of a programme to enhance the involvement of older patients in their consultations in general practice...

..We aimed to evaluate the impact and feasibility of a programme for improving primary care for patients with CHF...

..The outcome measures concerned GPs knowledge and attitudes towards CFS and their actual referrals of CFS patients to this new treatment setting...

..We evaluated a nurse-based intervention on older OA patients' self-management with the aim to assess its effects on mobility and functioning...

..Co-morbidity may influence GPs' treatment decisions for patients with anxiety. However, knowledge about differences in the pharmacological treatment of anxiety disorders in patients with and without co-morbidity is lacking...

..To study which tests general practitioners used to diagnose a urinary tract infection (UTI) in children and which patient characteristics were associated with test choice...

..To assess general practitioners' (GPs) provision of patient education with respect to patients with depression or anxiety...

..Patient safety in primary care is important, but not well studied. The aim of our study was to determine the actual and potential harm caused by adverse events in primary care...

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..To determine if GPs' attitudes towards working with drinkers moderated the impact that training and support had on screening and brief intervention activity in routine practice...

..We aim to describe current pharmacological and non-pharmacological treatment of CHF in primary care...

..This study aimed to explore whether specific characteristics of a general practice organization were associated with aspects of patient safety management...

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..With the Dutch EASYcare Study Geriatric Intervention Programme (DGIP) we developed a model to study effectiveness of problem based community intervention models in frail elderly people...

..In this study, we aimed to identify the most important strategies by consulting an international panel of primary care physicians and researchers...

..Scientific definitions of patient safety may be difficult to apply in routine health care delivery. It is unknown what primary care workers consider patient safety. This study aimed to clarify the concept of patient safety in primary care...

..We can conclude that the health education strategy did not change the GP attendance of older adults. The results suggest that the health education was being appreciated as being useful and informative...

..To investigate associations between the level of shared care and the clinical management of patients with uncomplicated lower urinary tract symptoms (LUTS)...

..Several factors affect, positively or negatively, management of anxiety and its improvement. A literature review and thematic analysis was executed to obtain an overview of the types of determinants of anxiety care and its improvement...

..Our aim was to develop and test a Dutch version of the PACIC questionnaire, a measure for patient reported structured chronic care...

..The added value of coordination functions remained unclear. Overall, current studies provide little insight into the underlying mechanisms of teamwork...

..Further research is needed to identify factors responsible for the variation in GDP performance, just as research on clinical practice guideline implementation methods is warranted...

..We expected that countries with strong primary care systems would have programs to improve management of disease, but wondered how they dealt with lifestyle interventions delivered in primary care...

..A shift towards a more individual assessment was found between 2000 and 2005 in the way that Dutch GDPs are dealing with the assignment of recall interval frequency...

..CBT is an evidence-based treatment for CFS that was scarcely available until now. To investigate the possibilities for wider implementation, a pilot implementation project was set up...

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..Yet, the evidence for these suggested determinants of high-quality care is inconsistent...

..DESIGN AND SUBJECT:: A retrospective study of 1000 patient records in a representative sample of 20 allied healthcare practices was combined with a prospective incident-reporting study...

..Previous research on safety in primary care has focused on medication safety and incident reporting. In this study, the views of general practitioners (GPs) on patient safety were examined...

..To determine the impact of a nationwide programme on primary mental health care practices...

..However, few studies have focused on MTrP therapy. The aim of this study was to assess the effectiveness of multimodal treatment of MTrPs in patients with chronic shoulder pain...

..The objective of our project was to develop a lifestyle program for leg ulcer patients at outpatient clinics for dermatology...

..We aimed to examine the consistency of indicator selection across different procedures and across different panels...

..Comparative studies evaluating the effectiveness of diverse interventions are needed to identify the interventions most likely to succeed in the initiation and maintenance of physical activity...

..Patient centred communication (PCC) has been described as a method for doctor-patient communication. The principles of shared decision making (SDM) have been proposed more recently...

..This study aimed to assess patient safety in general practice, and to show areas where potential improvements could be implemented...

..Internationally, different organizational models are used for providing out-of-hours care. The aim of this study was to assess prevailing models in order to identify their potential strengths and weaknesses...

..Planning needs to take into account the nature of the innovation; characteristics of the professionals and patients involved; and the social, organisational, economic and political context...

..To identify associations between various cultural and demographic factors and patients' primary health care preferences...

..Additional measures include practice characteristics and exposure to programs to improve cardiovascular care...

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..To examine associations between patient evaluations of general practice and characteristics of national health care systems...

..Instruments that reflect these challenges are needed to identify the strengths and weaknesses of clinical teachers...

..The concept of involving patients is relatively new, and new approaches are required to overcome obstacles for its implementation in healthcare...

..The aim of the study was to compare the effectiveness of intensive support for implementation of this tool in community pharmacies with minimal implementation support...

..To explore patient factors related to the use of prescribed and non-prescribed drugs for dyspepsia in The Netherlands...

..In the present study, the results of previous studies on the development of educational and organizational interventions to improve the quality of health care are examined...

..IMPLICATIONS FOR PRACTICE: The study provides evidence for the national organisation of midwives to continue with the development and implementation of clinical guidelines...

..Our team asked thirty-three agencies from Australia, Canada, France, the Netherlands, Scandinavia, the United Kingdom, and the United States about their role in promoting the results of the research they fund...

..To assess factors associated with visits to GPs, orthopaedists, and non-physician practitioners of complementary medicine (alternative practitioners) by primary care patients with osteoarthritis (OA)...

..To implement a programme for involvement of older patients aged 70+ in general practice, and to detect quality changes after its implementation...

..The aim of this study was to identify health care needs of patients with OA and to reveal possible obstacles for improvements in primary care management of OA patients...

..Anxiety disorders are common in general practice and are associated with several problems regarding recognition and management...

..To determine whether a distance-learning programme on LUTS provided to the general practitioner affected patient self-management...

..The aim of the study is to assess the effectiveness of DMP by example of type 2 diabetes in the primary care setting of two German federal states (Rheinland-Pfalz and Sachsen-Anhalt)...

..The aim of this study was to assess the appropriateness of the recorded diagnoses and to determine what diagnostic information is used to guide medical treatment...

..The OPTION instrument assesses to what degree clinicians involve patients in decision making...

..The reason why many patients seem to tolerate suffering from sub-optimal treated asthma remains unclear. The aim was to evaluate the guideline adherence combined with quality of life of patients with moderate to severe asthma...

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..The aim of this study was to evaluate the physicians' perceived usefulness of high-cost diagnostic imaging in patients with different clinical conditions...

..To investigate the interrelations between medication adherence, self-management, preference for involvement in treatment decisions and preference for information in asthma patients in primary care...