Richard Grol

Summary

Affiliation: Radboud University Nijmegen Medical Centre
Country: The Netherlands

Publications

  1. ncbi request reprint What drives change? Barriers to and incentives for achieving evidence-based practice
    Richard Grol
    Centre for Quality of Care Research WOK, PO Box 9101, 6500 HB Nijmegen, The Netherlands
    Med J Aust 180:S57-60. 2004
  2. pmc Clinical practice guidelines: towards better quality guidelines and increased international collaboration
    R Grol
    Br J Cancer 89:S4-8. 2003
  3. ncbi request reprint From best evidence to best practice: effective implementation of change in patients' care
    Richard Grol
    Centre for Quality of Care Research WOK, Universities of Nijmegen and Maastricht, PO Box 9101, WOK 229 6500 HB, Nijmegen, Netherlands
    Lancet 362:1225-30. 2003
  4. doi request reprint Which physician and practice characteristics are associated with adherence to evidence-based guidelines for depressive and anxiety disorders?
    Mirrian Smolders
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre RUNMC, Nijmegen, The Netherlands
    Med Care 48:240-8. 2010
  5. ncbi request reprint Patient evaluations of accessibility and co-ordination in general practice in Europe
    Michel Wensing
    Centre for Quality of Care Research WOK, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Health Expect 11:384-90. 2008
  6. ncbi request reprint Effects of a nationwide programme: interventions to reduce perceived barriers to collaboration and to increase structural one-on-one contact
    Jantien Heideman
    Centre for Quality of Care Research WOK, Radboud University Nijmegen Medical Centre, The Netherlands
    J Eval Clin Pract 13:860-6. 2007
  7. pmc 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
  8. doi request reprint General practitioners' workload associated to practice size rather than chronic care organisation
    Michel Wensing
    Centre for Quality of Care Research WOK, Radboud University Nijmegen Medical Centre, 6500 HB Nijmegen, The Netherlands
    Health Policy 89:124-9. 2009
  9. ncbi request reprint Effects of distance learning on clinical management of LUTS in primary care: a randomised trial
    Rene 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
  10. pmc No identifiable Hb1Ac or lifestyle change after a comprehensive diabetes programme including motivational interviewing: a cluster randomised trial
    Renate Jansink
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Scand J Prim Health Care 31:119-27. 2013

Detail Information

Publications111 found, 100 shown here

  1. ncbi request reprint What drives change? Barriers to and incentives for achieving evidence-based practice
    Richard Grol
    Centre for Quality of Care Research WOK, PO Box 9101, 6500 HB Nijmegen, The Netherlands
    Med J Aust 180:S57-60. 2004
    ..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...
  2. pmc Clinical practice guidelines: towards better quality guidelines and increased international collaboration
    R Grol
    Br J Cancer 89:S4-8. 2003
  3. ncbi request reprint From best evidence to best practice: effective implementation of change in patients' care
    Richard Grol
    Centre for Quality of Care Research WOK, Universities of Nijmegen and Maastricht, PO Box 9101, WOK 229 6500 HB, Nijmegen, Netherlands
    Lancet 362:1225-30. 2003
    ..In general, evidence shows that none of the approaches for transferring evidence to practice is superior to all changes in all situations...
  4. doi request reprint Which physician and practice characteristics are associated with adherence to evidence-based guidelines for depressive and anxiety disorders?
    Mirrian Smolders
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre RUNMC, Nijmegen, The Netherlands
    Med Care 48:240-8. 2010
    ..To improve this care, we need a better understanding of the factors determining guideline adherence...
  5. ncbi request reprint Patient evaluations of accessibility and co-ordination in general practice in Europe
    Michel Wensing
    Centre for Quality of Care Research WOK, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Health Expect 11:384-90. 2008
    ..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...
  6. ncbi request reprint Effects of a nationwide programme: interventions to reduce perceived barriers to collaboration and to increase structural one-on-one contact
    Jantien Heideman
    Centre for Quality of Care Research WOK, Radboud University Nijmegen Medical Centre, The Netherlands
    J Eval Clin Pract 13:860-6. 2007
    ....
  7. pmc 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...
  8. doi request reprint General practitioners' workload associated to practice size rather than chronic care organisation
    Michel Wensing
    Centre for Quality of Care Research WOK, Radboud University Nijmegen Medical Centre, 6500 HB Nijmegen, The Netherlands
    Health Policy 89:124-9. 2009
    ..This study aimed to explore the associations between chronic care organisation and physician workload in primary care...
  9. ncbi request reprint Effects of distance learning on clinical management of LUTS in primary care: a randomised trial
    Rene 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)...
  10. pmc No identifiable Hb1Ac or lifestyle change after a comprehensive diabetes programme including motivational interviewing: a cluster randomised trial
    Renate Jansink
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Scand J Prim Health Care 31:119-27. 2013
    ..To study the effectiveness of a comprehensive diabetes programme in general practice that integrates patient-centred lifestyle counselling into structured diabetes care. Design and setting. Cluster randomised trial in general practices...
  11. ncbi request reprint Familiarity with a GP and patients' evaluations of care. A cross-sectional study
    Henk 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...
  12. ncbi request reprint Out-of-hours primary care: development of indicators for prescribing and referring
    Paul 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...
  13. pmc Structured chronic primary care and health-related quality of life in chronic heart failure
    Marije Bosch
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    BMC Health Serv Res 9:104. 2009
    ....
  14. pmc 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...
  15. pmc Organizational culture, team climate and diabetes care in small office-based practices
    Marije Bosch
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    BMC Health Serv Res 8:180. 2008
    ....
  16. doi request reprint Quality and coordination of care for patients with multiple conditions: results from an international survey of patient experience
    Jako S Burgers
    Scientific Institute for Quality of Healthcare IQ Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Eval Health Prof 33:343-64. 2010
    ..Pay-for-performance programs need to account for chronic conditions to avoid penalizing physicians who care for larger shares of such patients...
  17. doi request reprint Adherence to evidence-based guidelines for depression and anxiety disorders is associated with recording of the diagnosis
    Mirrian Smolders
    Scientific Institute for Quality of Health Care, Radboud University Nijmegen Medical Centre RUNMC, Nijmegen, The Netherlands
    Gen Hosp Psychiatry 31:460-9. 2009
    ..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...
  18. pmc Systematic care for caregivers of people with dementia in the ambulatory mental health service: designing a multicentre, cluster, randomized, controlled trial
    Anouk Spijker
    Scientific Institute for Quality of Healthcare IQ Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    BMC Geriatr 9:21. 2009
    ..The SCPD consists of an assessment of caregiver's sense of competence and suggestions on how to deal with competence deficiencies. The efficiency of the SCPD will be evaluated in our study...
  19. doi request reprint Depressed and a co-morbid condition: more psychotropics prescribed!
    Mirrian Smolders
    Centre for Quality of Care Research WOK, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Eur J Gen Pract 14:10-8. 2008
    ..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...
  20. ncbi request reprint Patients evaluate accessibility and nurse telephone consultations in out-of-hours GP care: determinants of a negative evaluation
    Paul 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...
  21. doi request reprint Follow-up after telephone consultations at out-of-hours primary care
    Linda Huibers
    the Radboud University Nijmegen Medical Center, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands
    J Am Board Fam Med 26:373-9. 2013
    ..The objective of this study was to examine whether patient experiences with nurse telephone consultations and the cooperative's organizational characteristics were associated with the probability of follow-up contact...
  22. doi request reprint Misperception of patients with type 2 diabetes about diet and physical activity, and its effects on readiness to change
    Renate Jansink
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    J Diabetes 4:417-23. 2012
    ..The aim of the present study was to assess misperceptions about lifestyle among patients with type 2 diabetes and their effects on readiness to change...
  23. doi request reprint Nurse telephone triage in Dutch out-of-hours primary care: the relation between history taking and urgency estimation
    Linda Huibers
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Eur J Emerg Med 19:309-15. 2012
    ..The aim of this study was to examine the relation between comprehensiveness of history taking and appropriateness of urgency estimation...
  24. ncbi request reprint 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...
  25. doi request reprint Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines: a cluster randomised trial
    Anita Huis
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Int J Nurs Stud 50:464-74. 2013
    ..Improving hand hygiene compliance is still a major challenge for most hospitals. Innovative approaches are needed...
  26. pmc Explaining the effects of two different strategies for promoting hand hygiene in hospital nurses: a process evaluation alongside a cluster randomised controlled trial
    Anita Huis
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre Nijmegen, Nijmegen, The Netherlands
    Implement Sci 8:41. 2013
    ..This study examined which components of two hand hygiene improvement strategies were associated with increased nurses' hand hygiene compliance...
  27. pmc Design choices made by target users for a pay-for-performance program in primary care: an action research approach
    Kirsten Kirschner
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, P O Box 9101, Nijmegen, HB 6500, The Netherlands
    BMC Fam Pract 13:25. 2012
    ..We developed a P4P program in which the target users were involved in decisions about the P4P methods...
  28. pmc Preference for a general practitioner and patients' evaluations of care: a cross-sectional study
    Henk 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...
  29. pmc Improvement of primary care for patients with chronic heart failure: a pilot study
    Jan van Lieshout
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, PO Box 9101, 114 IQ Healthcare, 6500 HB Nijmegen, The Netherlands
    BMC Health Serv Res 10:8. 2010
    ..We aimed to evaluate the impact and feasibility of a programme for improving primary care for patients with CHF...
  30. pmc GPs' attitudes to personal continuity: findings from everyday practice differ from postal surveys
    Henk 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...
  31. doi request reprint How well do GPs fulfill their educator role in consultations for depression and anxiety?
    Mirrian Smolders
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre RUNMC, Nijmegen, The Netherlands
    Patient Educ Couns 73:389-95. 2008
    ..To assess general practitioners' (GPs) provision of patient education with respect to patients with depression or anxiety...
  32. ncbi request reprint Attitudes and managing alcohol problems in general practice: an interaction analysis based on findings from a WHO collaborative study
    Peter Anderson
    Centre for Quality of Care Research, University Medical Centre Nijmegen, 229 WOK, PO Box 9101, 6500 HB, The Netherlands
    Alcohol Alcohol 39:351-6. 2004
    ..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...
  33. doi request reprint Cost-effectiveness of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines: a cluster randomised trial
    Anita Huis
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Int J Nurs Stud 50:518-26. 2013
    ..Many strategies have been designed and evaluated to address poor hand hygiene compliance. Unfortunately, well-designed economic evaluations of hand hygiene improvement strategies are lacking...
  34. doi request reprint Assessment of CanMEDS roles in postgraduate training: the validation of the Compass
    Fred Tromp
    Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Patient Educ Couns 89:199-204. 2012
    ..This study aimed to evaluate an instrument that monitors the development of competencies during postgraduate training in the setting of training of general practice: the Competency Assessment List (Compass)...
  35. doi request reprint Rude or aggressive patient behaviour during out-of-hours GP care: challenges in communication with patients
    Paul Giesen
    Centre for Quality of Care Research, Radboud University Nijmegen Medical Centre, KWAZO 114, PO Box 9101, 6500 HB Nijmegen, The Netherlands
    Patient Educ Couns 73:205-8. 2008
    ..GPs in out-of-hours care report that they feel at risk of rude or aggressive patient behaviour. We tried to get information about the incidence, types and patient characteristics of rude or aggressive behaviour...
  36. doi request reprint Comparison of two methods for performing treatment reviews by pharmacists and general practitioners for home-dwelling elderly people
    Wilma Denneboom
    Centre for Quality of Care Research, UMC St Radboud, Nijmegen, The Netherlands
    J Eval Clin Pract 14:446-52. 2008
    ....
  37. pmc The effects of a team-based continuous quality improvement intervention on the management of primary care: a randomised controlled trial
    Yvonne 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...
  38. ncbi request reprint Knowledge transfer and improvement of primary and ambulatory care for patients with anxiety
    Mirrian Smolders
    Centre for Quality of Care Research, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Can J Psychiatry 53:277-93. 2008
    ..To summarize current evidence on the effectiveness of different knowledge transfer and change interventions for improving primary and ambulatory anxiety care to provide guidance to professionals and policy-makers in mental health care...
  39. ncbi request reprint The impact of co-morbidity on GPs' pharmacological treatment decisions for patients with an anxiety disorder
    Mirrian 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...
  40. ncbi request reprint Shared care and the management of lower urinary tract symptoms
    Rene 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)...
  41. pmc Patients' needs for contact with their GP at the time of hospital admission and other life events: a quantitative and qualitative exploration
    Henk 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...
  42. pmc The relationship between organisational characteristics and the effects of clinical guidelines on medical performance in hospitals, a meta-analysis
    Rob 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
  43. ncbi request reprint Health education on self-management and seeking health care in older adults: a randomised trial
    Monique 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...
  44. doi request reprint Assessment of a pay-for-performance program in primary care designed by target users
    Kirsten Kirschner
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, PO Box 9101, Nijmegen 6500 HB, The Netherlands
    Fam Pract 30:161-71. 2013
    ..The effectiveness of P4P is inconclusive, though some reviews reported significant effects...
  45. pmc Development of indicators for patient-centred cancer care
    Marielle Ouwens
    Scientific Institute for Quality of Healthcare IQ Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Support Care Cancer 18:121-30. 2010
    ..For improvement purposes, we developed indicators of patient-centred cancer care and tested them on a population of patients with non-small cell lung cancer (NSCLC)...
  46. doi request reprint The impact of nonphysician clinicians: do they improve the quality and cost-effectiveness of health care services?
    Miranda Laurant
    Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Med Care Res Rev 66:36S-89S. 2009
    ..More robust evaluative studies into role revision are needed, particularly with regard to economic impacts, before definitive conclusions can be drawn...
  47. ncbi request reprint Improving initial management of lower urinary tract symptoms in primary care: costs and patient outcomes
    Rene Wolters
    Centre for Quality of Care Research WOK, Department of General Practice, Radboud University Nijmegen Medical Centre, The Netherlands
    Scand J Urol Nephrol 40:300-6. 2006
    ..In this study we aimed to determine the costs and patient outcomes of an implementation strategy designed to enhance uptake of these guidelines...
  48. pmc Primary care nurses struggle with lifestyle counseling in diabetes care: a qualitative analysis
    Renate Jansink
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, P O Box 9101, 6500 HB Nijmegen, The Netherlands
    BMC Fam Pract 11:41. 2010
    ..Based on this information we will develop an implementation strategy to improve lifestyle behavior change in general practice...
  49. pmc Treatment reviews of older people on polypharmacy in primary care: cluster controlled trial comparing two approaches
    Wilma 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...
  50. pmc Nurse-led motivational interviewing to change the lifestyle of patients with type 2 diabetes (MILD-project): protocol for a cluster, randomized, controlled trial on implementing lifestyle recommendations
    Renate Jansink
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, P, O, Box 9101, 6500 HB Nijmegen, The Netherlands
    BMC Health Serv Res 9:19. 2009
    ..The aim of this paper is to describe the design and methods of a study evaluating the effects of the nurses' training on patient outcomes...
  51. ncbi request reprint Implementing diabetes passports to focus practice reorganization on improving diabetes care
    Rob 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...
  52. doi request reprint 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...
  53. doi request reprint Public reporting in health care: how do consumers use quality-of-care information? A systematic review
    Marjan Faber
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Med Care 47:1-8. 2009
    ..One of the underlying goals of public reporting is to encourage the consumer to select health care providers or health plans that offer comparatively better quality-of-care...
  54. ncbi request reprint After-hours care in the United Kingdom, Denmark, and the Netherlands: new models
    Richard 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...
  55. pmc Family practice nurses supporting self-management in older patients with mild osteoarthritis: a randomized trial
    Raymond 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...
  56. doi request reprint Behavioural elements of professionalism: assessment of a fundamental concept in medical care
    Fred Tromp
    Radboud University Nijmegen Medical Centre, 6500 HB Nijmegen, The Netherlands
    Med Teach 32:e161-9. 2010
    ..The purpose of the instrument is to provide formative feedback...
  57. doi request reprint Organizational culture, team climate, and quality management in an important patient safety issue: nosocomial pressure ulcers
    Marije Bosch
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Worldviews Evid Based Nurs 8:4-14. 2011
    ..Yet, the evidence for these suggested determinants of high-quality care is inconsistent...
  58. doi request reprint Implementation of integrated care for patients with cancer: a systematic review of interventions and effects
    Marielle Ouwens
    Department of IQ Healthcare 114 IQ, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Int J Qual Health Care 21:137-44. 2009
    ..To review integrated care interventions and their effects on the quality of care for patients with cancer...
  59. pmc Out-of-hours care in western countries: assessment of different organizational models
    Linda Huibers
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, 6500 HB Nijmegen, The Netherlands
    BMC Health Serv Res 9:105. 2009
    ..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...
  60. doi request reprint Meta-analysis of tight control strategies in rheumatoid arthritis: protocolized treatment has additional value with respect to the clinical outcome
    Lydia G Schipper
    Department of Rheumatology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Rheumatology (Oxford) 49:2154-64. 2010
    ..The aim of this study was to compare the effects of tight control with usual care and to compare the effects of tight control studies with and without protocolized treatment adjustments...
  61. doi request reprint Quality of after-hours primary care in The Netherlands: adherence to national guidelines
    Maartje Willekens
    IQ Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, PO Box 9101, IQ healthcare 114, 6500 HB Nijmegen, The Netherlands
    BMJ Qual Saf 20:223-7. 2011
    ..To assess the quality of after-hours clinical care as delivered by general practitioner (GP) cooperatives in The Netherlands...
  62. ncbi request reprint GPs' views on involvement of older patients: an European qualitative study
    Raymond Wetzels
    Centre for Quality of Care Research, UMC St Radboud, P O Box 9101, 229 KWAZO, 6500 HB, Nijmegen, The Netherlands
    Patient Educ Couns 53:183-8. 2004
    ..The range of appropriate interventions may be similar in all countries...
  63. pmc A systematic review of hand hygiene improvement strategies: a behavioural approach
    Anita Huis
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Implement Sci 7:92. 2012
    ..Here we describe frequently used improvement strategies and related determinants of behaviour change that prompt good HH behaviour to provide a better overview of the choice and content of such strategies...
  64. pmc Minimal improvement of nurses' motivational interviewing skills in routine diabetes care one year after training: a cluster randomized trial
    Renate Jansink
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, P O Box 9101, Nijmegen 6500 HB, The Netherlands
    BMC Fam Pract 14:44. 2013
    ..The nurses participated in a cluster randomized trial in which a comprehensive program (including MI training) was tested on improving clinical parameters, lifestyle, patients' readiness to change lifestyle, and quality of life...
  65. doi request reprint Monitoring of patients with COPD: a review of current guidelines' recommendations
    Lisette van den Bemt
    Radboud University Nijmegen Medical Centre, Department of General Practice route 117, P O Box 9101, 6500 HB, Nijmegen, The Netherlands
    Respir Med 102:633-41. 2008
    ..However, the recommendations on monitoring procedures may differ between guidelines and may not be based on scientific evidence. The aim of this article is to review the current guideline recommendations on monitoring routines for COPD...
  66. pmc On the trail of quality and safety in health care
    Richard Grol
    Centre for Quality of Care Research WOK, PO Box 9101, 114, 6500 HB Nijmegen, Netherlands
    BMJ 336:74-6. 2008
  67. pmc 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...
  68. doi request reprint Doctors' perceptions of why 360-degree feedback does (not) work: a qualitative study
    Karlijn Overeem
    IQ Healthcare, University Medical Centre St Radboud, University of Nijmegen, 6500 HB Nijmegen, The Netherlands
    Med Educ 43:874-82. 2009
    ..This study aims to explore which factors represent incentives, or disincentives, for consultants to implement suggestions for improvement from 360-degree feedback...
  69. ncbi request reprint Physician workload in primary care: what is the optimal size of practices? A cross-sectional study
    Michel 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
    ....
  70. ncbi request reprint Engaging general practitioners in the management of hazardous and harmful alcohol consumption: results of a meta-analysis
    Peter Anderson
    Centre for Quality of Care Research, University Medical Centre Nijmegen, 229 WOK, PO Box 9101, 6500 HB Nijmegen, The Netherlands
    J Stud Alcohol 65:191-9. 2004
    ..A systematic review was undertaken of studies that test the effectiveness of different strategies used to increase general practitioners' rates of screening for and giving advice about hazardous and harmful alcohol consumption...
  71. ncbi request reprint Willingness of patients to perform self-management of asthma and the role of inhaled steroids
    Bart P A Thoonen
    Department of General Practice, University Medical Centre St Radboud, Nijmegen, The Netherlands
    Scand J Prim Health Care 20:60-4. 2002
    ..Acceptance by patients may be a barrier for successful implementation. In this study, the role of inhaled steroids in starting asthma self-management is described...
  72. ncbi request reprint Low body mass index, airflow obstruction, and dyspnoea in a primary care COPD patient population
    Lisette van den Bemt
    Radboud University Nijmegen Medical Centre, Department of Primary and Community Care, Centre for Family Medicine, Geriatric Care and Public Health, Nijmegen, The Netherlands
    Prim Care Respir J 19:118-23. 2010
    ..The objective of our study was to explore the existence/co-existence of factors - as per American Thoracic Society (ATS)/European Respiratory Society (ERS) standards - for staging patients in a primary care COPD population...
  73. ncbi request reprint Effectiveness of nonpharmacological interventions in delaying the institutionalization of patients with dementia: a meta-analysis
    Anouk Spijker
    Centre for Quality of Care Research, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    J Am Geriatr Soc 56:1116-28. 2008
    ..Further investigation should be directed toward calculating the potential efficiency of these support programs by applying net-benefit or cost-effectiveness analysis...
  74. ncbi request reprint Primary care strength linked to prevention programs for cardiovascular disease
    Jan van Lieshout
    Centre for Quality of Care Research, Radboud University Nijmegen Medical Centre, PO Box 9101, 114 IQ Healthcare, 6500 HB Nijmegen, The Netherlands
    Am J Manag Care 15:255-62. 2009
    ..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...
  75. ncbi request reprint Family medicine trainees still value continuity of care
    Henk 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...
  76. ncbi request reprint Attitudes and management of alcohol problems in general practice: descriptive analysis based on findings of a World Health Organization international collaborative survey
    Peter Anderson
    Centre for Quality of Care Research, University Medical Centre Nijmegen, Nijmegen, The Netherlands
    Alcohol Alcohol 38:597-601. 2003
    ....
  77. doi request reprint Quality circles to improve prescribing of primary care physicians. Three comparative studies
    Michel Wensing
    Centre for Quality of Care Research WOK, Radboud University Nijmegen Medical Centre, 6500 HB, The Netherlands
    Pharmacoepidemiol Drug Saf 18:763-9. 2009
    ..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...
  78. doi request reprint Safety and risk management interventions in hospitals: a systematic review of the literature
    Michel Dückers
    Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Med Care Res Rev 66:90S-119S. 2009
    ..This made it difficult to draw generic lessons from this body of research. More rigorous evaluations are needed, in particular, of continuous learning and safety analysis techniques...
  79. doi request reprint How to improve DAS28 use in daily clinical practice?--a pilot study of a nurse-led intervention
    Laura T C van Hulst
    Department of Rheumatology, Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Rheumatology (Oxford) 49:741-8. 2010
    ..2...
  80. ncbi request reprint Professionalism in general practice: development of an instrument to assess professional behaviour in general practitioner trainees
    Kalinka 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...
  81. pmc Assessing the quality of clinical teachers: a systematic review of content and quality of questionnaires for assessing clinical teachers
    Cornelia R M G Fluit
    Department for Evaluation, Quality and Development of Medical Education, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    J Gen Intern Med 25:1337-45. 2010
    ..Instruments that reflect these challenges are needed to identify the strengths and weaknesses of clinical teachers...
  82. pmc European Practice Assessment of Cardiovascular risk management (EPA Cardio): protocol of an international observational study in primary care
    Michel Wensing
    Radboud University Nijmegen Medical Centre, Scientific Institute for Quality of Healthcare, Germany
    Implement Sci 4:3. 2009
    ..Additional measures include practice characteristics and exposure to programs to improve cardiovascular care...
  83. ncbi request reprint Asthma education tailored to individual patient needs can optimise partnerships in asthma self-management
    Bart 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...
  84. ncbi request reprint Inside guidelines: comparative analysis of recommendations and evidence in diabetes guidelines from 13 countries
    Jako 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...
  85. ncbi request reprint Patient characteristics as predictors of primary health care preferences: a systematic literature analysis
    Hans 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...
  86. ncbi request reprint The effect of small peer group continuous quality improvement on the clinical practice of midwives in The Netherlands
    Yvonne 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...
  87. ncbi request reprint Impact of national health care systems on patient evaluations of general practice in Europe
    Michel 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...
  88. ncbi request reprint Use of prescribed and non-prescribed medication for dyspepsia
    Nicole 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...
  89. ncbi request reprint Integrated care programmes for chronically ill patients: a review of systematic reviews
    Marielle 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...
  90. ncbi request reprint A consultation leaflet to improve an older patient's involvement in general practice care: a randomized trial
    Raymond 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...
  91. ncbi request reprint Continuity of care through medical records--an explorative study on GPs' management considerations
    Henk 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...
  92. ncbi request reprint Tailoring quality improvement interventions to identified barriers: a multiple case analysis
    Marije 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...
  93. pmc Deconstructing patient centred communication and uncovering shared decision making: an observational study
    Michel Wensing
    Centre for Quality of Care Research, University Medical Centre Nijmegen, P, O, Box 9101, 6500 HB, Nijmegen, The Netherlands
    BMC Med Inform Decis Mak 2:2. 2002
    ..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...
  94. pmc Analysis of polypharmacy in older patients in primary care using a multidisciplinary expert panel
    Wilma 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...
  95. pmc A randomised controlled trial of the effects of a web-based PSA decision aid, Prosdex. Protocol
    Rhodri Evans
    Department of Primary Care and Public Health, Cardiff University, Wales, UK
    BMC Fam Pract 8:58. 2007
    ..In addition, a mathematical simulation model of the effects of Prosdex will be developed...
  96. ncbi request reprint Patient characteristics determine differences in the influenza vaccination rate more so than practice features
    Margot 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...
  97. ncbi request reprint Empowering patients: how to implement a diabetes passport in hospital care
    Rob Dijkstra
    Centre for Quality of Care Research 229, University Medical Centre St Radboud, P O Box 9101, HB Nijmegen, The Netherlands
    Patient Educ Couns 47:173-7. 2002
    ..These barriers need to be considered when implementing the passport. The DSN could play an important part in its implementation...
  98. pmc Developing a facilitation model to promote organisational development in primary care practices
    Melody 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...
  99. ncbi request reprint Unexplained complaints in general practice: prevalence, patients' expectations, and professionals' test-ordering behavior
    Trudy 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...
  100. pmc "It's a maybe test": men's experiences of prostate specific antigen testing in primary care
    Rhodri 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...
  101. pmc Interventions to improve management of anxiety disorders in general practice: a systematic review
    Jantien Heideman
    Centre for Quality of Care Research WOK University Medical Centre Nijmegen, The Netherlands
    Br J Gen Pract 55:867-74. 2005
    ..Anxiety disorders are common in general practice and are associated with several problems regarding recognition and management...