Richard Grol

..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...

..In general, evidence shows that none of the approaches for transferring evidence to practice is superior to all changes in all situations...

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

..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...

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..The actual safety of decisions made by triage nurses has not yet been assessed...

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

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

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..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...

..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...

..Further, we investigated if other factors (traffic intensity, home visit intensity, time of day, and degree of urgency) influenced waiting times...

..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...

..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...

..We explored the association between negative patient evaluation of nurse telephone consultations and characteristics of patients and GP cooperatives...

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

..The aim of this study was to examine the relation between comprehensiveness of history taking and appropriateness of urgency estimation...

..Pay-for-performance programs need to account for chronic conditions to avoid penalizing physicians who care for larger shares of such patients...

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

..We developed a P4P program in which the target users were involved in decisions about the P4P methods...

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

..There was no relation whatsoever between the importance that individual GPs attached to continuity after consultations, and their scores on the postal survey...

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

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

..Developments towards less personal doctoring in general practice should, therefore, be considered carefully...

..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)...

..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...

..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...

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

..To study the effects of a team-based model for continuous quality improvement (CQI) on primary care practice management...

..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...

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

..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)...

..In this study we aimed to determine the costs and patient outcomes of an implementation strategy designed to enhance uptake of these guidelines...

..More robust evaluative studies into role revision are needed, particularly with regard to economic impacts, before definitive conclusions can be drawn...

..Based on this information we will develop an implementation strategy to improve lifestyle behavior change in general practice...

..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...

..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...

..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...

..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...

..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...

..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...

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

..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...

..The purpose of the instrument is to provide formative feedback...

..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...

..To assess the quality of after-hours clinical care as delivered by general practitioner (GP) cooperatives in The Netherlands...

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

..To review integrated care interventions and their effects on the quality of care for patients with cancer...

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

..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...

..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...

..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...

..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...

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..This study aims to explore which factors represent incentives, or disincentives, for consultants to implement suggestions for improvement from 360-degree feedback...

..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...

..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...

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..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...

..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...

..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...

..Further investigation should be directed toward calculating the potential efficiency of these support programs by applying net-benefit or cost-effectiveness analysis...

..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...

..We explored trainees' views on continuity for hypothetical scenarios and related these to personal characteristics and trainers' views...

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

..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...

..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...

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

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

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

..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...

..To study the effects of small group continuous quality improvement (CQI) on the clinical practice of midwives in the Netherlands...

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

..To investigate effectiveness, definitions, and components of integrated care programmes for chronically ill patients on the basis of systematic reviews...

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

..Therefore, it is important to review pharmacotherapy concerning older patients in primary care in a reliable way...

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

..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...

..These barriers need to be considered when implementing the passport. The DSN could play an important part in its implementation...

..These outcomes, and particularly PSA test uptake, will be used to develop a mathematical simulation model, specifically to consider the impact on health service resources...

..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...

..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...

..The Dutch College of General Practitioners (DCGP) recommends a watchful, waiting attitude for test ordering for unexplained complaints...

..GPs find it difficult to assimilate multiple risk factors into an accurate assessment of cardiovascular risk. In addition, communicating cardiovascular risk to patients has proved to be difficult...

..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...

..Internationally valid, reliable and feasible indicators and instruments are needed to describe and compare the management of primary care practices in Europe...

..To develop a framework for general practice management made up of quality indicators shared by six European countries...

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

..An explorative, cross sectional survey was conducted in 766 general practices in The Netherlands comparing single-handed practices with group practices...

..Educational patient materials, intended to support both the GP and the patient, should take into account the ideas, fears and expectations of patients...

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

..Improving the quality of care requires evaluation of patient satisfaction...

..A qualitative study based on transcript analysis was adopted...

..Qualitative study. GPs were interviewed after analysing two audiotaped cardiovascular consultations...

..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...