Gert P Westert

Summary

Affiliation: National Institute for Public Health and the Environment
Country: The Netherlands

Publications

  1. pmc Implementing quality indicators in intensive care units: exploring barriers to and facilitators of behaviour change
    Maartje 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
  2. pmc Why don't physicians adhere to guideline recommendations in practice? An analysis of barriers among Dutch general practitioners
    Marjolein 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
  3. pmc Health disparities by occupation, modified by education: a cross-sectional population study
    Anita C Volkers
    NIVEL Netherlands Institute for Health Services Research, Utrecht, The Netherlands
    BMC Public Health 7:196. 2007
  4. pmc Health system outcomes and determinants amenable to public health in industrialized countries: a pooled, cross-sectional time series analysis
    Onyebuchi 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
  5. pmc Community wide electronic distribution of summary health care utilization data
    Ronald J Lagoe
    Hospital Executive Council, Syracuse, New York, USA
    BMC Med Inform Decis Mak 6:17. 2006
  6. pmc Correlates of health and healthcare performance: applying the Canadian Health Indicators Framework at the provincial-territorial level
    O 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
  7. pmc Does managed care make a difference? Physicians' length of stay decisions under managed and non-managed care
    Judith 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
  8. pmc 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
  9. pmc Measuring and explaining mortality in Dutch hospitals; the hospital standardized mortality rate between 2003 and 2005
    Richard Heijink
    National Institute for Public Health and the Environment, Bilthoven, The Netherlands
    BMC Health Serv Res 8:73. 2008
  10. pmc 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

Collaborators

Detail Information

Publications45

  1. pmc Implementing quality indicators in intensive care units: exploring barriers to and facilitators of behaviour change
    Maartje 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
    ....
  2. pmc Why don't physicians adhere to guideline recommendations in practice? An analysis of barriers among Dutch general practitioners
    Marjolein 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
    ..Because different recommendations within a guideline can have different barriers, in this study we focus on key recommendations rather than guidelines as a whole, and explore the barriers to implementation perceived by Dutch GPs...
  3. pmc Health disparities by occupation, modified by education: a cross-sectional population study
    Anita 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...
  4. pmc Health system outcomes and determinants amenable to public health in industrialized countries: a pooled, cross-sectional time series analysis
    Onyebuchi 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...
  5. pmc Community wide electronic distribution of summary health care utilization data
    Ronald 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...
  6. pmc Correlates of health and healthcare performance: applying the Canadian Health Indicators Framework at the provincial-territorial level
    O 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
    ....
  7. pmc Does managed care make a difference? Physicians' length of stay decisions under managed and non-managed care
    Judith 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...
  8. pmc 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...
  9. pmc Measuring and explaining mortality in Dutch hospitals; the hospital standardized mortality rate between 2003 and 2005
    Richard 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...
  10. pmc 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
    ....
  11. pmc Benchmarking and reducing length of stay in Dutch hospitals
    Ine 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...
  12. pmc Evaluation of hospital inpatient complications: a planning approach
    Ronald J Lagoe
    National Institute for Public Health and the Environment Bilthoven, Netherlands
    BMC Health Serv Res 10:200. 2010
    ..S. metropolitan area...
  13. pmc Labour intensity of guidelines may have a greater effect on adherence than GPs' workload
    Michael J van den Berg
    NIVEL, Netherlands Institute for Health Services Research, Utrecht, The Netherlands
    BMC Fam Pract 10:74. 2009
    ....
  14. pmc Guidelines on uncomplicated urinary tract infections are difficult to follow: perceived barriers and suggested interventions
    Marjolein 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...
  15. ncbi request reprint Medical practice variations: changing the theoretical approach
    G 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...
  16. pmc Community income and surgical rates in the Netherlands
    G 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...
  17. ncbi request reprint An international study of hospital readmissions and related utilization in Europe and the USA
    Gert 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)...
  18. ncbi request reprint Monitoring health inequalities through general practice: the Second Dutch National Survey of General Practice
    G 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...
  19. ncbi request reprint 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
    ....
  20. ncbi request reprint Medical practice variations in hospital care; time trends of a spatial phenomenon
    G 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...
  21. pmc Comorbidity in patients with diabetes mellitus: impact on medical health care utilization
    Jeroen 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...
  22. doi request reprint Utilization of health resources due to low back pain: survey and registered data compared
    H 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)...
  23. ncbi request reprint 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...
  24. doi request reprint 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...
  25. doi request reprint 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...
  26. pmc Differences in patient outcomes and chronic care management of oral anticoagulant therapy: an explorative study
    Hanneke W Drewes
    Tranzo, Tilburg University, Tilburg, The Netherlands
    BMC Health Serv Res 11:18. 2011
    ....
  27. pmc Socioeconomic status of very small areas and stroke incidence in the Netherlands
    J 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...
  28. pmc 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...
  29. ncbi request reprint Patterns of comorbidity and the use of health services in the Dutch population
    G 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...
  30. ncbi request reprint The health status of the Dutch population as assessed by the EQ-6D
    N 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...
  31. pmc Measuring mental health of the Dutch population: a comparison of the GHQ-12 and the MHI-5
    Nancy 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...
  32. pmc Mortality in Dutch hospitals: trends in time, place and cause of death after admission for myocardial infarction and stroke. An observational study
    Laurentius 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
    ....
  33. ncbi request reprint A widening health gap in general practice? Socio-economic differences in morbidity between 1975 and 2000 in The Netherlands
    G 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
    ..There are also indications for a widening health gap. The present paper aimed to find out whether this widening health gap exists in The Netherlands using morbidity data from a general practice (GP) registry...
  34. doi request reprint 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...
  35. pmc Effects of hospital delivery during off-hours on perinatal outcome in several subgroups: a retrospective cohort study
    Ronald Gijsen
    Centre for Public Health Forecasting, National Institute for Public Health and the Environment, PO Box 1, Bilthoven, BA, 3720, The Netherlands
    BMC Pregnancy Childbirth 12:92. 2012
    ..We aim to determine the relationship between off-hours delivery and adverse perinatal outcomes for subgroups of hospital births...
  36. ncbi request reprint A conceptual framework for the OECD Health Care Quality Indicators Project
    Onyebuchi 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...
  37. pmc Mental health in the Dutch population and in general practice: 1987-2001
    Peter 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...
  38. ncbi request reprint [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...
  39. ncbi request reprint Do homosexual persons use health care services more frequently than heterosexual persons: findings from a Dutch population survey
    Floor 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...
  40. pmc 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
    ..To test the hypothesis that physicians who work in different hospitals adapt their length of stay decisions to what is usual in the hospital under consideration...
  41. ncbi request reprint Mutual influences of general practitioners in partnerships
    Judith 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...
  42. ncbi request reprint 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...
  43. ncbi request reprint Improving outcomes with community-wide distribution of health care data
    Ronald 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...
  44. ncbi request reprint Regional differences in healthy life expectancy in The Netherlands
    Peter 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...
  45. ncbi request reprint Managing hospital length of stay reduction: a multihospital approach
    Ronald 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...