Research Topics
| Gert P WestertSummaryAffiliation: National Institute for Public Health and the Environment Country: The Netherlands Publications
| Collaborators
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Detail Information
Publications
Implementing quality indicators in intensive care units: exploring barriers to and facilitators of behaviour changeMaartje Lg de Vos
Scientific Centre for Transformation in Care and Welfare Tranzo, University of Tilburg, PO Box 90153, Tilburg 5000 LE, The Netherlands
Implement Sci 5:52. 2010....- Why don't physicians adhere to guideline recommendations in practice? An analysis of barriers among Dutch general practitionersMarjolein Lugtenberg
Scientific Centre for Transformation in Care and Welfare Tranzo, Tilburg University, PO Box 90153, 5000 LE Tilburg, The Netherlands
Implement Sci 4:54. 2009..Finally, it might be useful to include focus groups in continuing medical education as an innovative medium for guideline education and implementation... - Health disparities by occupation, modified by education: a cross-sectional population studyAnita C Volkers
NIVEL Netherlands Institute for Health Services Research, Utrecht, The Netherlands
BMC Public Health 7:196. 2007..The aim of this study was to investigate health disparities in the working population based on occupational position and how they were modified by education... - Health system outcomes and determinants amenable to public health in industrialized countries: a pooled, cross-sectional time series analysisOnyebuchi A Arah
Department of Social Medicine, Academic Medical Center, University of Amsterdam, PO Box 22700, 1100 DE Amsterdam, The Netherlands
BMC Public Health 5:81. 2005..These amenable factors included addictive and nutritional lifestyle, air quality, public health spending, healthcare coverage, and immunizations... - Community wide electronic distribution of summary health care utilization dataRonald J Lagoe
Hospital Executive Council, Syracuse, New York, USA
BMC Med Inform Decis Mak 6:17. 2006..This study described the development and implementation of a community wide system for electronic sharing of summary health care utilization data... - Correlates of health and healthcare performance: applying the Canadian Health Indicators Framework at the provincial-territorial levelO A Arah
Department of Social Medicine, Academic Medical Center, University of Amsterdam, PO Box 22700, 1100 DE Amsterdam, The Netherlands
BMC Health Serv Res 5:76. 2005.... - Does managed care make a difference? Physicians' length of stay decisions under managed and non-managed careJudith D de Jong
NIVEL Netherlands Institute for Health Services Research, PO Box 1568, 3500 BN Utrecht, The Netherlands
BMC Health Serv Res 4:3. 2004..In this study we examined the influence of type of insurance and the influence of managed care in particular, on the length of stay decisions physicians make and on variation in medical practice... - Do decision support systems influence variation in prescription?Judith D de Jong
NIVEL Netherlands Institute for Health Services Research, PO Box 1568, 3500 BN Utrecht, The Netherlands
BMC Health Serv Res 9:20. 2009..We examined whether general practitioners (GPs) are prescribing in accordance with the advice given by the DSS and whether there is less variation in prescription when the DSS is used... - Measuring and explaining mortality in Dutch hospitals; the hospital standardized mortality rate between 2003 and 2005Richard Heijink
National Institute for Public Health and the Environment, Bilthoven, The Netherlands
BMC Health Serv Res 8:73. 2008..Indicators of hospital quality, such as hospital standardized mortality ratios (HSMR), have been used increasingly to assess and improve hospital quality. Our aim has been to describe and explain variation in new HSMRs for the Netherlands... - Do list size and remuneration affect GPs' decisions about how they provide consultations?Michael J van den Berg
NIVEL, Netherlands Institute for Health Services Research, Utrecht, The Netherlands
BMC Health Serv Res 9:39. 2009.... - Benchmarking and reducing length of stay in Dutch hospitalsIne Borghans
Tranzo, Tilburg University, PO Box 90153, 5000 LE Tilburg, The Netherlands
BMC Health Serv Res 8:220. 2008..To assess the development of and variation in lengths of stay in Dutch hospitals and to determine the potential reduction in hospital days if all Dutch hospitals would have an average length of stay equal to that of benchmark hospitals... - Evaluation of hospital inpatient complications: a planning approachRonald J Lagoe
National Institute for Public Health and the Environment Bilthoven, Netherlands
BMC Health Serv Res 10:200. 2010..S. metropolitan area... - Labour intensity of guidelines may have a greater effect on adherence than GPs' workloadMichael J van den Berg
NIVEL, Netherlands Institute for Health Services Research, Utrecht, The Netherlands
BMC Fam Pract 10:74. 2009.... - Guidelines on uncomplicated urinary tract infections are difficult to follow: perceived barriers and suggested interventionsMarjolein Lugtenberg
Scientific Centre for Transformation in Care and Welfare Tranzo, Tilburg University, PO Box 90153, 5000 LE Tilburg, The Netherlands
BMC Fam Pract 11:51. 2010..The aim of this study was to identify the barriers to the implementation of a guideline on UTI perceived by Dutch general practitioners (GPs) and to explore interventions to overcome these barriers... - Medical practice variations: changing the theoretical approachG P Westert
National Institute of Public Health and the Environment RIVM, Department for Health Services Research, Bilthoven, The Netherlands
Scand J Public Health 27:173-80. 1999..Some suggestions for future lines of research are outlined... - Regional disparities in health care supply in eleven European countries: does politics matter?G P Westert
Department of Human Geography, Utrecht University, The Netherlands
Health Policy 47:169-82. 1999.... - Monitoring health inequalities through general practice: the Second Dutch National Survey of General PracticeG P Westert
National Institute of Public Health and the Environment RIVM, P O Box 1, 3720 BA, Bilthoven, The Netherlands
Eur J Public Health 15:59-65. 2005..Thirdly, to present differences in prevalence of chronic conditions by educational attainment using both self-assessed health and medical records of GPs. Finally, inequalities in 1987 (DNSGP-1) and 2001 will be compared... - Community income and surgical rates in the NetherlandsG P Westert
Centre for Prevention and Health Services Research and Public Health Forecasting, National Institute for Public Health and the Environment, Bilthoven, Netherlands
J Epidemiol Community Health 57:519-22. 2003..Poisson regression was used to compute relative incidence (odds ratios) for 10 common surgical procedures. The model included age, gender, degree of urbanisation, and province of residence... - An international study of hospital readmissions and related utilization in Europe and the USAGert P Westert
National Institute of Public Health and the Environment, RIVM CZO, PO Box 1, 3720 BA Bilthoven, The Netherlands
Health Policy 61:269-78. 2002..g. managed care penetration, after care by GP's or home care)... - Medical practice variations in hospital care; time trends of a spatial phenomenonG P Westert
National Institute for Public Health and the Environment RIVM, P O Box 1, Bilthoven 3720 BA, Netherlands
Health Place 10:215-20. 2004..Potential parallel changes in regional disparities in need for care, e.g. morbidity or age composition of regional populations or changes in regional differences in care supply are discussed... - Comorbidity in patients with diabetes mellitus: impact on medical health care utilizationJeroen N Struijs
Department for Prevention and Health Services Research, National Institute of Public Health and the Environment, A, van Leeuwenhoekstraat 9, 3720 BA Bilthoven, The Netherlands
BMC Health Serv Res 6:84. 2006..The purpose of this study is to estimate the effects a broad spectrum of of comorbidities on the type and volume of medical health care utilization of patients with diabetes... - Utilization of health resources due to low back pain: survey and registered data comparedH Susan J Picavet
National Institute of Public Health and the Environment, Bilthoven, The Netherlands
Spine (Phila Pa 1976) 33:436-44. 2008..Cross-sectional population-based survey and registration of general practice (GP)... - Do lower socioeconomic groups use more health services, because they suffer from more illnesses?Mariel Droomers
Centre for Prevention and Health Services Research, National Institute for Public Health and the Environment, The Netherlands
Eur J Public Health 14:311-3. 2004..The more diseases one suffers from, the higher the number of health care services attended. This study aims to examine the role this association plays in socio-economic differences in multiple health care utilization... - Diffusion of innovations in health care: does the structural context determine its direction?Mattijs S Lambooij
Centre for Prevention and Health Services Research, National Institute for Public Health and Environment RIVM, A van Leeuwenhoeklaan 9, 3720 BA, Bilthoven, Netherlands
Int J Technol Assess Health Care 26:415-20. 2010..The aim of this study was to present and illustrate an instrument to measure the level of innovation at country level... - Rendering hospital budgets volume based and open ended to reduce waiting lists: does it work?Aart R van de Vijsel
Tilburg University, Scientific centre for care and welfare TRANZO, LE Tilburg, The Netherlands
Health Policy 100:60-70. 2011..We conclude that abolishing budget caps to solve waiting list problems is not efficient. Instead of a generic measure, a more focused approach is necessary. We suggest ingredients for such an approach... - Differences in patient outcomes and chronic care management of oral anticoagulant therapy: an explorative studyHanneke W Drewes
Tranzo, Tilburg University, Tilburg, The Netherlands
BMC Health Serv Res 11:18. 2011.... - Socioeconomic status of very small areas and stroke incidence in the NetherlandsJ Smits
National Institute of Public Health and the Environment, Department for Health Services Research, Netherlands
J Epidemiol Community Health 56:637-40. 2002..To examine whether characteristics of very small living areas can be used to predict disease incidence and to use these characteristics to assess socioeconomic differences in stroke incidence in the Netherlands... - Socioeconomic variations in the course of stroke: unequal health outcomes, equal care?G A M van den Bos
National Institute of Public Health and the Environment, Department for Health Services Research and Academic Medical Centre, Netherlands
J Epidemiol Community Health 56:943-8. 2002..The aim of this paper is to quantify the socioeconomic gap in long term health outcomes after stroke and related health care utilisation, in order to evaluate whether those in need of care do actually receive appropriate levels of care... - The health status of the Dutch population as assessed by the EQ-6DN Hoeymans
Department of Public Health Status and Forecasts, National Institute for Public Health and the Environment, Bilthoven, The Netherlands
Qual Life Res 14:655-63. 2005..We conclude that the EQ-6D is an efficient tool for establishing the health status in the community, so that different population subgroups can be compared... - Patterns of comorbidity and the use of health services in the Dutch populationG P Westert
National Institute of Public Health and the Environment RIVM, Bilthoven, The Netherlands
Eur J Public Health 11:365-72. 2001..The study objective was to examine the relation between combinations of chronic conditions in the same person and the volume and variety of health care utilization... - Measuring mental health of the Dutch population: a comparison of the GHQ-12 and the MHI-5Nancy Hoeymans
National Institute of Public Health and the Environment, P, O, Box 1, 3720 BA Bilthoven, The Netherlands
Health Qual Life Outcomes 2:23. 2004..Therefore, we studied the relationship of the GHQ-12 and MHI-5 with sociodemographic characteristics, self-reported visits to general practice and mental health care, and with diagnoses made by the general practitioner... - Mortality in Dutch hospitals: trends in time, place and cause of death after admission for myocardial infarction and stroke. An observational studyLaurentius C J Slobbe
Department of Public Health and Healthcare, National Institute for Public Health and Environment, Antonie van Leeuwenhoeklaan 9, PO Box 1, 3721 MA Bilthoven, The Netherlands
BMC Health Serv Res 8:52. 2008.... - A widening health gap in general practice? Socio-economic differences in morbidity between 1975 and 2000 in The NetherlandsG D Mol
Centre for Prevention and Health Services Research, National Institute of Public Health and Environment, P.O. Box 1, 3720 BA, Bilthoven, The Netherlands
Public Health 119:616-25. 2005..CONCLUSIONS: This study provides new evidence for a widening gap in health between higher and lower SES in The Netherlands, using GP-defined disease data and a wide range of morbidity categories... - Do guidelines create uniformity in medical practice?Judith D de Jong
NIVEL, Utrecht University, Utrecht, Netherlands
Soc Sci Med 70:209-16. 2010..Guidelines, primarily, had an effect on variations in single-handed practices. The overall conclusion is that the introduction of guidelines, although it probably tempered the increase in variation, did not reduce variation... - Mental health in the Dutch population and in general practice: 1987-2001Peter F M Verhaak
Netherlands Institute of Health Services Research NIVEL, Utrecht, The Netherlands
Br J Gen Pract 55:770-5. 2005..Specialised health care in the Netherlands is accessible only through referral by a GP, and so it is important to consider the role of primary care in the diagnosis of mental health problems... - [The actual role of general practice in the dutch health-care system. Results of the second dutch national survey of general practice]Francois G Schellevis
NIVEL Nederlands Instituut voor Onderzoek van de Gezondheidszorg, Utrecht, Niederlande
Med Klin (Munich) 100:656-61. 2005..Communication in general practice had become less social and more medically oriented compared to 1987. General practice still acts in a gatekeeper role; this is illustrated by 96% of contacts handled solely by the general practitioner... - A conceptual framework for the OECD Health Care Quality Indicators ProjectOnyebuchi A Arah
Department of Social Medicine, University of Amsterdam, Amsterdam, The Netherlands
Int J Qual Health Care 18:5-13. 2006..This article proposes an HCQI framework that focuses on the quality of health care, maintains a broader perspective on health and its other determinants, and recognizes the key aims of health policy... - Do homosexual persons use health care services more frequently than heterosexual persons: findings from a Dutch population surveyFloor C Bakker
Research Department, Rutgers Nisso Groep, Oudenoord 176 178, 3506 GA Utrecht, The Netherlands
Soc Sci Med 63:2022-30. 2006..To gain a better understanding of our findings, data on the predisposition to use health services among homosexual and bisexual men and women is needed... - Variation in hospital length of stay: do physicians adapt their length of stay decisions to what is usual in the hospital where they work?Judith D de Jong
NIVEL-Netherlands Institute for Health Services Research, 3500 BN Utrecht, The Netherlands
Health Serv Res 41:374-94. 2006..The hospital and broader work environment should be taken into account when developing effective interventions to reduce variation in medical practice... - Mutual influences of general practitioners in partnershipsJudith D de Jong
NIVEL Netherlands Institute of Health Services Research, PO Box 1568, 3500 BN, Utrecht, Netherlands
Soc Sci Med 57:1515-24. 2003..The implication of this study is that medical practice variations are not merely individual differences in preferred practice style, but are patterned by social processes in partnerships and local circumstances... - Regional differences in healthy life expectancy in The NetherlandsPeter P Groenewegen
NIVEL Netherlands Institute for Health Services Research, PO Box 1568, 3500 BN Utrecht, The Netherlands
Public Health 117:424-9. 2003..In this article, healthy life expectancy at birth and at 65 years of age for men and women in the Netherlands has been described, and factors related to these regional variations have been explored... - Improving outcomes with community-wide distribution of health care dataRonald J Lagoe
Hospital Executive Council, Syracuse, NY, USA
Health Care Manage Rev 29:67-76. 2004..These efforts produced increased accessibility of hospital emergency departments and greater efficiency of acute and long-term care... - Socioeconomic position and the risk of gastric and oesophageal cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC-EURGAST)Gabriele Nagel
Division of Clinical Epidemiology, Deutsches Krebsforschungszentrum, Heidelberg, Germany
Int J Epidemiol 36:66-76. 2007..To evaluate the association of socioeconomic position with adenocarcinoma of the oesophagus and stomach... - Managing hospital length of stay reduction: a multihospital approachRonald J Lagoe
Hospital Executive Council, PO Box 35089, Syracuse, NY, USA
Health Care Manage Rev 30:82-92. 2005..These initiatives saved over 28,000 patient days and an average daily census of 96.0 over a 3.5-year period...