Richard GrolSummaryCountry: The Netherlands Publications
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Publications
Saying 'goodbye' to single-handed practices; what do patients and staff lose or gain?Pieter van den Hombergh
Centre for Quality in Care Research WOK, University Medical Centre Nijmegen, The Netherlands
Fam Pract 22:20-7. 2005..An explorative, cross sectional survey was conducted in 766 general practices in The Netherlands comparing single-handed practices with group practices...- Developing a framework of, and quality indicators for, general practice management in EuropeYvonne Engels
Centre for Quality in Care Research WOK, Nijmegen, The Netherlands
Fam Pract 22:215-22. 2005..To develop a framework for general practice management made up of quality indicators shared by six European countries... - Attitudes and management of alcohol problems in general practice: descriptive analysis based on findings of a World Health Organization international collaborative surveyPeter Anderson
Centre for Quality of Care Research, University Medical Centre Nijmegen, Nijmegen, The Netherlands
Alcohol Alcohol 38:597-601. 2003.... - Inside guidelines: comparative analysis of recommendations and evidence in diabetes guidelines from 13 countriesJako S Burgers
Centre for Quality of Care Research, University Medical Centre Nijmegen, Nijmegen, The Netherlands
Diabetes Care 25:1933-9. 2002..To compare guidelines on diabetes from different countries in order to examine whether differences in recommendations could be explained by use of different research evidence... - Feedback based on patient evaluations: a tool for quality improvement?Michel Wensing
Centre for Quality of Care Research, University Medical Centre St Radboud, P O Box 9101, 6500 HB, Nijmegen, The Netherlands
Patient Educ Couns 51:149-53. 2003..Although patient feedback can help identify areas for improvement, specific barriers must be addressed before such feedback can be put to more widespread use... - Unexplained complaints in general practice: prevalence, patients' expectations, and professionals' test-ordering behaviorTrudy van der Weijden
Centre of Quality of Care Research, Institute for Extramural and Transmural Research, Department of General Practice, Maastricht University, The Netherlands
Med Decis Making 23:226-31. 2003..The Dutch College of General Practitioners (DCGP) recommends a watchful, waiting attitude for test ordering for unexplained complaints... - Familiarity with a GP and patients' evaluations of care. A cross-sectional studyHenk Schers
Centre for Quality of Care Research WOK, University Medical Centre St Radboud Nijmegen and University of Maastricht, The Netherlands
Fam Pract 22:15-9. 2005..Personal continuity is considered a core feature of general practice care. Nowadays, another important concept for general practice may be patients' familiarity with a GP... - Barriers to implementing cardiovascular risk tables in routine general practiceBen van Steenkiste
Center for Quality of Care Research, Department of General Practice Care and Primary Health Research Institute, Maastricht University, Maastricht, The Netherlands
Scand J Prim Health Care 22:32-7. 2004..Qualitative study. GPs were interviewed after analysing two audiotaped cardiovascular consultations... 
Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency?Paul Giesen
Centre for Quality of Care Research, Radboud University Nijmegen, Nijmegen, The Netherlands
Qual Saf Health Care 16:181-4. 2007..The actual safety of decisions made by triage nurses has not yet been assessed...- Clinical guidelines: what can we do to increase their use?Richard Grol
Med J Aust 185:301-2. 2006 - The effects of a team-based continuous quality improvement intervention on the management of primary care: a randomised controlled trialYvonne Engels
Centre for Quality of Care Research, Radboud University Nijmegen Medical Centre, KWAZO 229, 6500 HB Nijmegen, Netherlands
Br J Gen Pract 56:781-7. 2006..To study the effects of a team-based model for continuous quality improvement (CQI) on primary care practice management... - After-hours care in the United Kingdom, Denmark, and the Netherlands: new modelsRichard Grol
Centre for Quality of Care Research WOK, Radboud University Nijmegen Medical Center, The Netherlands
Health Aff (Millwood) 25:1733-7. 2006..Most patients accept these new models but are dissatisfied if they expect to see a physician. Local or regional integration of all emergency services seems to be the most promising model for after-hours care... - Patients evaluate accessibility and nurse telephone consultations in out-of-hours GP care: determinants of a negative evaluationPaul Giesen
Centre for Quality of Care Research WOK, Radboud University, Nijmegen Medical Centre, WOK 117, P O Box 9101, 6500 HB Nijmegen, The Netherlands
Patient Educ Couns 65:131-6. 2007..We explored the association between negative patient evaluation of nurse telephone consultations and characteristics of patients and GP cooperatives... - Effective improvement of doctor-patient communication: a randomised controlled trialSjoerd Hobma
Department of General Practice, Centre for Quality of Care Research, University of Maastricht, Maastricht, The Netherlands
Br J Gen Pract 56:580-6. 2006..Available studies have so far failed to provide conclusive evidence of the effectiveness of educational interventions to improve doctor-patient communication... - GPs' attitudes to personal continuity: findings from everyday practice differ from postal surveysHenk Schers
Department of General Practice, UMC St Radboud, Geert Grooteplein Noord 21, 6500 HB Nijmegen, The Netherlands
Br J Gen Pract 56:536-8. 2006..There was no relation whatsoever between the importance that individual GPs attached to continuity after consultations, and their scores on the postal survey... - Analysis of polypharmacy in older patients in primary care using a multidisciplinary expert panelWilma Denneboom
Centre for Quality of Care Research, UMC St Radboud, 117 KWAZO, 6500 HB Nijmegen, The Netherlands
Br J Gen Pract 56:504-10. 2006..Therefore, it is important to review pharmacotherapy concerning older patients in primary care in a reliable way... 
Developing a facilitation model to promote organisational development in primary care practicesMelody Rhydderch
Centre for Health Sciences Research, Neuadd Meirionydd, Heath Park, CF14 4YS, Cardiff, UK
BMC Fam Pract 7:38. 2006..A qualitative study based on transcript analysis was adopted...- The relationship between organisational characteristics and the effects of clinical guidelines on medical performance in hospitals, a meta-analysisRob Dijkstra
Centre for Quality of Care Research-117, Radboud University, PO Box 9101, 6500 HB Nijmegen, The Netherlands
BMC Health Serv Res 6:53. 2006 - Patient satisfaction with large-scale out-of-hours primary health care in The Netherlands: development of a postal questionnaireEric Moll van Charante
Department of General Practice, Academic Medical Centre University of Amsterdam, Meibergdreef 15, 1105 AZ Amsterdam, The Netherlands
Fam Pract 23:437-43. 2006..Improving the quality of care requires evaluation of patient satisfaction... - General practice cooperatives: long waiting times for home visits due to long distances?Paul Giesen
Centre for Quality of Care Research WOK, Radboud University Nijmegen Medical Centre, KWAZO 114, Nijmegen, The Netherlands
BMC Health Serv Res 7:19. 2007..Further, we investigated if other factors (traffic intensity, home visit intensity, time of day, and degree of urgency) influenced waiting times... - Tailoring quality improvement interventions to identified barriers: a multiple case analysisMarije Bosch
Centre for Quality of Care Research, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
J Eval Clin Pract 13:161-8. 2007..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... 
Comparison of two methods for performing treatment reviews by pharmacists and general practitioners for home-dwelling elderly peopleWilma Denneboom
Centre for Quality of Care Research, UMC St Radboud, Nijmegen, The Netherlands
J Eval Clin Pract 14:446-52. 2008....- What determines the management of anxiety disorders and its improvement?Mirrian Smolders
Centre for Quality of Care Research WOK, Radboud University Nijmegen Medical Centre RUNMC, Nijmegen, The Netherlands
J Eval Clin Pract 14:259-65. 2008..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... - Family practice nurses supporting self-management in older patients with mild osteoarthritis: a randomized trialRaymond Wetzels
Centre for Quality of Care Research WOK, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
BMC Fam Pract 9:7. 2008..We evaluated a nurse-based intervention on older OA patients' self-management with the aim to assess its effects on mobility and functioning... - Improving patient adherence to lifestyle advice (IMPALA): a cluster-randomised controlled trial on the implementation of a nurse-led intervention for cardiovascular risk management in primary care (protocol)Marije S Koelewijn-van Loon
Maastricht University, School for Public Health and Primary Care, Department of General Practice, P, O, Box 616, 6200 MD Maastricht, The Netherlands
BMC Health Serv Res 8:9. 2008..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... - Effects of a nationwide programme: interventions to reduce perceived barriers to collaboration and to increase structural one-on-one contactJantien Heideman
Centre for Quality of Care Research WOK, Radboud University Nijmegen Medical Centre, The Netherlands
J Eval Clin Pract 13:860-6. 2007.... - Implementing diabetes passports to focus practice reorganization on improving diabetes careRob Dijkstra
Centre for Quality of Care Research 114, UMC St Radboud, Nijmegen, The Netherlands
Int J Qual Health Care 20:72-7. 2008..The aim of the study was to measure the effects of introducing a diabetes passport to patients after embedding the passport in the organization of care... - The impact of co-morbidity on GPs' pharmacological treatment decisions for patients with an anxiety disorderMirrian Smolders
Centre for Quality of Care Research WOK, Nijmegen, The Netherlands
Fam Pract 24:538-46. 2007..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... - Treatment reviews of older people on polypharmacy in primary care: cluster controlled trial comparing two approachesWilma Denneboom
Centre for Quality of Care Research, UMC St Radboud, Nijmegen, The Netherlands
Br J Gen Pract 57:723-31. 2007..Older people are prone to problems related to use of medicines. As they tend to use many different medicines, monitoring pharmacotherapy for older people in primary care is important... - Measuring performance quality in general practice: is international harmonization desirable?Richard Grol
Br J Gen Pract 57:691-2. 2007 - Toward a model for field-testing patient decision-support technologies: a qualitative field-testing studyRhodri Evans
Department of Primary Care and Public Health, Cardiff University, Cardiff, Wales, UK
J Med Internet Res 9:e21. 2007..We incorporated field-testing into the development of a Web-based, prostate-specific antigen PDST called Prosdex, which was commissioned as part of the UK Prostate Cancer Risk Management Programme... - Out-of-hours primary care: development of indicators for prescribing and referringPaul Giesen
Centre for Quality of Care Research WOK, KWAZO 114 Radboud University Nijmegen Medical Centre, PO Box 9101, 6500 HB Nijmegen, The Netherlands
Int J Qual Health Care 19:289-95. 2007..Good insight into the quality of delivered medical care is important to make the accountability of health practitioners and managers transparent to society and to identify and minimize medical errors... - Organizational culture, team climate and diabetes care in small office-based practicesMarije Bosch
Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
BMC Health Serv Res 8:180. 2008.... - "It's a maybe test": men's experiences of prostate specific antigen testing in primary careRhodri Evans
Department of Primary Care and Public Health, Cardiff University, Neuadd Meirionydd, Heath Park, Cardiff
Br J Gen Pract 57:303-10. 2007..It is not known whether this policy is actually adhered to in primary care. Furthermore, little is known of the experiences of men who face this decision... - Continuity of care through medical records--an explorative study on GPs' management considerationsHenk Schers
Department of General Practice, University Medical Centre St Radboud Nijmegen, The Netherlands
Fam Pract 23:349-52. 2006..Excellent exchange of information between professionals may be a way to maintain continuity of care. Relevant information to be passed over includes thoughts about future management for individual patients... - Professionalism in general practice: development of an instrument to assess professional behaviour in general practitioner traineesKalinka Van De Camp
Department of Postgraduate Training for General Practice, University Medical Centre St Radboud, PO Box 9120, 6500 HB Nijmegen, The Netherlands
Med Educ 40:43-50. 2006..The aim of this study is to develop a new tool to assess professional behaviour in general practitioner (GP) trainees: the evaluation of professional behaviour in general practice (EPRO-GP) instrument... - A consultation leaflet to improve an older patient's involvement in general practice care: a randomized trialRaymond Wetzels
Centre for Quality of Care Research, Radboud University Nijmegen Medical Centre, The Netherlands
Health Expect 8:286-94. 2005..To evaluate the effects of a programme to enhance the involvement of older patients in their consultations in general practice... - The effect of a distance-learning programme on patient self-management of Lower Urinary Tract Symptoms (LUTS) in general practice: a randomised controlled trialRene Wolters
Centre for Quality of Care Research WOK 229, University Medical Centre St Radboud, P O Box 9101, 6500 HB Nijmegen, The Netherlands
Eur Urol 46:95-101. 2004..To determine whether a distance-learning programme on LUTS provided to the general practitioner affected patient self-management... - Impact of national health care systems on patient evaluations of general practice in EuropeMichel Wensing
Department of General Practice and Primary Health Care, Leicester General Hospital, University Leicester, Leicester, UK
Health Policy 68:353-7. 2004..To examine associations between patient evaluations of general practice and characteristics of national health care systems... - Family medicine trainees still value continuity of careHenk Schers
Department of General Practice, University Medical Centre St Radboud, Nijmegen, The Netherlands
Fam Med 36:51-4. 2004..We explored trainees' views on continuity for hypothetical scenarios and related these to personal characteristics and trainers' views... - Communication at the interface: do better referral letters produce better consultant replies?Richard Grol
Centre for Quality of Care Research WOK, Nijmegen University, PO Box 9101, 6500 HB Nijmegen, The Netherlands
Br J Gen Pract 53:217-9. 2003..A letter is considered to be of higher quality when a specialist commences a letter with a reference to the specific request by the GP. In conclusion, opportunities for optimal communication should be better used... - The effect of small peer group continuous quality improvement on the clinical practice of midwives in The NetherlandsYvonne Engels
Centre for Quality of Care Research, Nijmegen University, 229 WOK, P O Box 9101, 6500 HB Nijmegen, The Netherlands
Midwifery 19:250-8. 2003..To study the effects of small group continuous quality improvement (CQI) on the clinical practice of midwives in the Netherlands... - Patient characteristics as predictors of primary health care preferences: a systematic literature analysisHans Peter Jung
Centre for Quality of Care Research, Universities of Nijmegen and Maastricht, Nijmegen and Maastricht, The Netherlands
Health Expect 6:160-81. 2003..To identify associations between various cultural and demographic factors and patients' primary health care preferences... - Continuity of information in general practice. Patient views on confidentialityHenk Schers
Department of General Practice, University Medical Centre St Radboud Nijmegen, The Netherlands
Scand J Prim Health Care 21:21-6. 2003..To relate patient views to patient and practice characteristics... - Patient characteristics determine differences in the influenza vaccination rate more so than practice featuresMargot Tacken
Centre for Quality of Care Research, University of Nijmegen University of Maastricht, The Netherlands
Prev Med 35:401-6. 2002..Determinants of successful vaccination programs are not clear. This study was aimed at identifying practice- and patient-related factors that determine differences in vaccination rates... - Improving quality in British primary care: seeking the right balanceRichard Grol
Centre for Quality of Care Research (WOK, University of Nijmegen, The Netherlands
Br J Gen Pract 52:S3-4. 2002 - Asthma education tailored to individual patient needs can optimise partnerships in asthma self-managementBart P A Thoonen
Department of General Practice/Family Medicine, University Medical Centre St Radboud Nijmegen, Nijmegen, The Netherlands
Patient Educ Couns 47:355-60. 2002..000). Use of this tailored education program improved the GP-patient interaction within the context of a clinically effective asthma self-management program. Findings from this study may be applicable to other chronic conditions as well... - Continuity of care in general practice: a survey of patients' viewsHenk Schers
Department of General Practice, University Medical Centre, St Radboud Nijmegen, The Netherlands
Br J Gen Pract 52:459-62. 2002..More extensive exploration of patients' views and expectations on personal continuity is important as this may help to organise general practice better in the future... - A multidisciplinary guideline for the acute phase of stroke: barriers perceived by Dutch neurologistsTrudy van der Weijden
Department of General Practice, Maastricht University, Maastricht, The Netherlands
J Eval Clin Pract 10:241-6. 2004..Dissemination of guidelines, however, does not guarantee guideline adherence. The aim of this paper is to investigate barriers for guideline adherence to bring about suggestions for possible implementation strategies... - Preference for a general practitioner and patients' evaluations of care: a cross-sectional studyHenk Schers
Department of General Practice, University Medical Centre St Radboud, Nijmegen, The Netherlands
Br J Gen Pract 54:693-4. 2004..Developments towards less personal doctoring in general practice should, therefore, be considered carefully... - Use of prescribed and non-prescribed medication for dyspepsiaNicole Krol
Centre for Quality of Care Research, University Medical Centre St Radboud, Nijmegen 6500HB, The Netherlands
Scand J Prim Health Care 22:163-7. 2004..To explore patient factors related to the use of prescribed and non-prescribed drugs for dyspepsia in The Netherlands... - Effects of distance learning on clinical management of LUTS in primary care: a randomised trialRene Wolters
Centre for Quality of Care Research WOK, 229, P O Box 9101, 6500 HB Nijmegen, The Netherlands
Patient Educ Couns 59:212-8. 2005..To determine the effect of a distance learning programme on general practice management of men with lower urinary tract symptoms (LUTS)... - Testing a European set of indicators for the evaluation of the management of primary care practicesYvonne Engels
National Primary Care Research and Development Centre, University of Manchester, UK
Fam Pract 23:137-47. 2006..Internationally valid, reliable and feasible indicators and instruments are needed to describe and compare the management of primary care practices in Europe... - Physician workload in primary care: what is the optimal size of practices? A cross-sectional studyMichel Wensing
Centre for Quality of Care Research WOK, Radboud University Nijmegen Medical Centre, P O Box 9101, 6500 HB Nijmegen, The Netherlands
Health Policy 77:260-7. 2006.... - Organizational assessment in general practice: a systematic review and implications for quality improvementMelody Rhydderch
Organisational Psychologist, Primary Care Group, University of Wales Swansea, Swansea SA2 8PP, UK
J Eval Clin Pract 11:366-78. 2005..The aim of this article is to inform the debate by reviewing the international-peer-reviewed literature on organizational assessments used in general practice settings... - Implementation of the Dutch low back pain guideline for general practitioners: a cluster randomized controlled trialArno J Engers
Center for Quality of Care Research, University Medical Center Nijmegen, The Netherlands
Spine (Phila Pa 1976) 30:559-600. 2005..Cluster randomized controlled trial for a multifaceted implementation strategy... - Variation in requests for imaging investigations by general practitioners: a multilevel analysisWim Verstappen
Department of General Practice, Maastricht University, 6500 MD Maastricht, The Netherlands
J Health Serv Res Policy 10:25-30. 2005..No further explanations were found for the inter-regional differences. Future studies on the ordering of imaging investigations by GPs should attempt to delineate contextual from regional factors... - Integrated care programmes for chronically ill patients: a review of systematic reviewsMarielle Ouwens
Centre for Quality of Care Research WOK, Radbound University Nijmegen Medical Centre, Nijmegen, The Netherlands
Int J Qual Health Care 17:141-6. 2005..To investigate effectiveness, definitions, and components of integrated care programmes for chronically ill patients on the basis of systematic reviews... - Shared care and the management of lower urinary tract symptomsRene Wolters
Centre for Quality of Care Research WOK 229, University Medical Centre St Radboud, Nijmegen, The Netherlands
BJU Int 94:1287-90. 2004..To investigate associations between the level of shared care and the clinical management of patients with uncomplicated lower urinary tract symptoms (LUTS)... - Patients' ideas, fears and expectations of their coronary risk: barriers for primary preventionBen van Steenkiste
Department of General Practice, Centre for Quality of Care Research, Care and Public Health Research Institute, Maastricht University, P O Box 616, 6200 MD Maastricht, The Netherlands
Patient Educ Couns 55:301-7. 2004..Educational patient materials, intended to support both the GP and the patient, should take into account the ideas, fears and expectations of patients... - Patients' needs for contact with their GP at the time of hospital admission and other life events: a quantitative and qualitative explorationHenk Schers
Department of General Practice, University Medical Centre, Nijmegen, The Netherlands
Ann Fam Med 2:462-8. 2004..Our goal was to explore patients' anticipated needs for contact with their general practitioner (GP) at the time of hospital admissions and other life events... - Health education on self-management and seeking health care in older adults: a randomised trialMonique van Eijken
Centre for Quality of Care Research, University Medical Centre Nijmegen 229, P O Box 9101, 6500 HB Nijmegen, The Netherlands
Patient Educ Couns 55:48-54. 2004..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... - Patient satisfaction with availability of general practice: an international comparisonMichel Wensing
Centre for Quality of Care Research, University Medical Centre, Nijmegen, The Netherlands
Int J Qual Health Care 14:111-8. 2002..To identify associations between the characteristics of general practitioners and practices, and patients' evaluations of the availability of general practice...