120 results on '"Brabers, Anne E. M."'
Search Results
2. How is enrollees’ trust in health insurers associated with choosing health insurance?
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van der Hulst, Frank J. P., primary, Brabers, Anne E. M., additional, and de Jong, Judith D., additional
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- 2023
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3. Perceived Importance of the Benefits and Harms of Colorectal Cancer Screening: A Best-Worst Scaling Study
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Pluymen, Linda P. M., Yebyo, Henock G., Stegeman, Inge, Fransen, Mirjam P., Dekker, Evelien, Brabers, Anne E. M., Leeflang, Mariska M. G., Epidemiology and Data Science, Public and occupational health, APH - Health Behaviors & Chronic Diseases, APH - Quality of Care, Gastroenterology and Hepatology, CCA - Cancer Treatment and Quality of Life, CCA - Imaging and biomarkers, Amsterdam Gastroenterology Endocrinology Metabolism, APH - Methodology, and APH - Personalized Medicine
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discrete choice ,Health Policy ,benefit-harm balance ,Public Health, Environmental and Occupational Health ,elucidating preferences ,best-worst scaling ,early detection - Abstract
Objectives: To elicit the relative importance of the benefits and harms of colorectal cancer (CRC) screening among potential screening participants in the Dutch population. Methods: In a consensus meeting with 11 experts, risk reduction of CRC and CRC deaths (benefits) and complications from colonoscopy, stress of receiving positive fecal immunological test (FIT) results, as well as false-positive and false-negative FIT results (harms) were selected as determinant end points to consider during decision making. We conducted an online best-worst scaling survey among adults aged 55 to 75 years from the Dutch Health Care Consumer Panel of The Netherlands Institute for Health Services Research to elicit preference values for these outcomes. The preference values were estimated using conditional logit regression. Results: Of 265 participants, 234 (89%) had ever participated in CRC screening. Compared with the stress of receiving a positive FIT result, the outcome perceived most important was the risk of CRC death (odds ratio [OR] 4.5; 95% confidence interval [CI] 3.9-5.1), followed by risk of CRC (OR 4.1; 95% CI 3.6-4.7), a false-negative FIT result (OR 3.1; 95% CI 2.7-3.5), colonoscopy complications (OR 1.6; 95% CI 1.4-1.8), and a false-positive FIT result (OR 1.4; 95% CI 1.3-1.6). The magnitude of these differences in perceived importance varied according to age, educational level, ethnic background, and whether the individual had previously participated in CRC screening. Conclusion: Dutch men and women eligible for FIT-based CRC screening perceive the benefits of screening to be more important than the harms.
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- 2023
4. Social context matters: The role of social support and social norms in support for solidarity in healthcare financing
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Meijer, Marloes A., primary, Brabers, Anne E. M., additional, and de Jong, Judith D., additional
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- 2023
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5. Features of a Patient Portal for Blood Test Results and Patient Health Engagement: Web-Based Pre-Post Experiment
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Struikman, Bas, Bol, Nadine, Goedhart, Annelijn, van Weert, Julia C M, Talboom-Kamp, Esther, van Delft, Sanne, Brabers, Anne E M, and van Dijk, Liset
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Computer applications to medicine. Medical informatics ,R858-859.7 ,Public aspects of medicine ,RA1-1270 - Abstract
BackgroundThe use of patient portals for presenting health-related patient data, such as blood test results, is becoming increasingly important in health practices. Patient portals have the potential to enhance patient health engagement, but content might be misinterpreted. ObjectiveThis study aimed to discover whether the way of presenting blood test outcomes in an electronic patient portal is associated with patient health engagement and whether this varies across different blood test outcomes. MethodsA 2x3 between-subjects experiment was conducted among members of the Nivel Dutch Health Care Consumer Panel. All participants read a scenario in which they were asked to imagine themselves receiving blood test results. These results differed in terms of the presented blood values (ie, normal vs partially abnormal vs all abnormal) as well as in terms of whether the results were accompanied with explanatory text and visualization. Patient health engagement was measured both before (T0) and after (T1) participants were exposed to their fictive blood test results. ResultsA total 487 of 900 invited members responded (response rate 54%), of whom 50.3% (245/487) were female. The average age of the participants was 52.82 years (SD 15.41 years). Patient health engagement saw either a significant decrease or a nonsignificant difference in the experimental groups after viewing the blood test results. The mean difference was smaller in the groups that received blood test results with additional text and visualization (meanT0 5.33, SE 0.08; meanT1 5.14, SE 0.09; mean difference 0.19, SE 0.08, P=.02) compared with groups that received blood test results without explanatory text and visualization (meanT0 5.19, SE 0.08; meanT1 4.55, SE 0.09; mean difference 0.64, SE 0.08, P
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- 2020
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6. Does the chronically ill population in the Netherlands switch their health insurer as often as the general population? Empirical evidence from a nationwide survey study
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van der Schors, Wouter, Brabers, Anne E. M., and De Jong, Judith D.
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- 2020
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7. Regional practice variation in induction of labor in the Netherlands:Does it matter? A multilevel analysis of the association between induction rates and perinatal and maternal outcomes
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Offerhaus, Pien, van Haaren-ten Haken, Tamar M., Keulen, Judit K. J., de Jong, Judith D., Brabers, Anne E. M., Verhoeven, Corine J. M., Scheepers, Hubertina C. J., and Nieuwenhuijze, Marianne
- Abstract
Background Practice variation in healthcare is a complex issue. We focused on practice variation in induction of labor between maternity care networks in the Netherlands. These collaborations of hospitals and midwifery practices are jointly responsible for providing high-quality maternity care. We explored the association between induction rates and maternal and perinatal outcomes. Methods In a retrospective population-based cohort study, we included records of 184,422 women who had a singleton, vertex birth of their first child after a gestation of at least 37 weeks in the years 2016–2018. We calculated induction rates for each maternity care network. We divided networks in induction rate categories: lowest (Q1), moderate (Q2-3) and highest quartile (Q4). We explored the association of these categories with unplanned caesarean sections, unfavorable maternal outcomes and adverse perinatal outcomes using descriptive statistics and multilevel logistic regression analysis corrected for population characteristics. Findings The induction rate ranged from 14.3% to 41.1% (mean 24.4%, SD 5.3). Women in Q1 had fewer unplanned caesarean sections (Q1: 10.2%, Q2-3: 12.1%; Q4: 12.8%), less unfavorable maternal outcomes (Q1: 33.8%; Q2-3: 35.7%; Q4: 36.3%) and less adverse perinatal outcomes (Q1: 1.0%; Q2-3: 1.1%; Q4: 1.3%). The multilevel analysis showed a lower unplanned caesarean section rate in Q1 in comparison with reference category Q2-3 (OR 0.83; p = .009). The unplanned caesarean section rate in Q4 was similar to the reference category. No significant associations with unfavorable maternal or adverse perinatal outcomes were observed. Conclusion Practice variation in labor induction is high in Dutch maternity care networks, with limited association with maternal outcomes and no association with perinatal outcomes. Networks with low induction rates had lower unplanned caesarean section rates compared to networks with moderate rates. Further in-depth research is necessary to understand the mechanisms that contribute to practice variation and the observed association with unplanned caesarean sections.
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- 2023
8. Measures to improve patient needs assessments and reduce practice variation in Dutch home care organizations
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Schwenke, Marit, primary, van Dorst, José, additional, Zwakhalen, Sandra, additional, de Jong, Judith D., additional, Brabers, Anne E. M., additional, and Bleijenberg, Nienke, additional
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- 2022
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9. Comprehensibility of a personalized medication overview compared to usual-care prescription drug labels
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Schackmann, Laura, van Dijk, Liset, Brabers, Anne E. M., Zwier, Sandra, Koster, Ellen S., Vervloet, Marcia, PharmacoTherapy, -Epidemiology and -Economics, Real World Studies in PharmacoEpidemiology, -Genetics, -Economics and -Therapy (PEGET), and Persuasive Communication (ASCoR, FMG)
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Pharmacology ,Pharmacology (medical) - Abstract
Poor understanding of prescription drug label (PDL) instructions can lead to medication errors, suboptimal treatment (side) effects, and non-adherence. A personalized medication hard-copy overview listing PDL instructions and visual information may support patients in their medication use. This study aimed to investigate the comprehensibility of PDL instructions on a personalized medication overview compared to usual-care PDL instructions presented on a medication box. A hypothetical-online-experiment was set up, comparing groups of respondents exposed vs not exposed to the medication overview and who received PDL instructions for three, five, or eight medications. Participants were divided randomly in six groups. Online questionnaires were sent to a stratified sample of 900 members from the Nivel Dutch Healthcare Consumer Panel. Outcome measures included comprehension of instructions for medication use, e.g. how often, dose timing, usage advice and warnings for a medication with simple use instructions (omeprazol) and more complex use instructions (levodopa/carbidopa (L/C)). To analyze differences between experimental conditions ANOVA testing was used. 604 respondents (net response 67%) completed the questionnaires. Respondents exposed (E) to the overview gave a higher proportion of correct answers compared to non-exposed (NE) respondents for usage advice (L/C: mean 0.83, SD 0.4 E; 0.03, SD 0.2 NE, p < 0.001; omeprazol: mean 0.85, SD 0.4 E; 0.10, SD 0.3 NE, p < 0.001). Both groups gave the same proportion of correct answers (mean 0.80, SD 0.4, p = 1.0) for dose timing of omeprazol. More NE respondents gave correct answers for how often (mean 0.85, SD 0.4 NE; mean 0.76, SD 0.4 E, p = 0.02) and dose timing (mean 0.92, SD 0.3 NE; mean 0.86, SD 0.4 E, p = 0.04) of L/C. No differences were found regarding number of medications nor were interaction effects found between the number of medications and information type. As a medication overview contains additional information, it can be a good addition in supporting patients in their medication use compared to usual-care PDLs. Future research should focus on identifying patient groups who might benefit more from a medication overview, by testing the effect of such overview on this group.
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- 2022
10. Associations between Demographics, Tinnitus Specific-, Audiological-, General- and Mental Health Factors, and the Impact of Tinnitus on Daily Life
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Rademaker, Maaike M., primary, Stegeman, Inge, additional, Brabers, Anne E. M., additional, de Jong, Judith D., additional, Stokroos, Robert J., additional, and Smit, Adriana L., additional
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- 2022
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11. Regional practice variation in induction of labor in the Netherlands: Does it matter? A multilevel analysis of the association between induction rates and perinatal and maternal outcomes.
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Offerhaus, Pien, van Haaren-Ten Haken, Tamar M., Keulen, Judit K. J., de Jong, Judith D., Brabers, Anne E. M., Verhoeven, Corine J. M., Scheepers, Hubertina C. J., and Nieuwenhuijze, Marianne
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INDUCED labor (Obstetrics) ,CESAREAN section ,MATERNAL health services ,CHILDBIRTH ,LOGISTIC regression analysis ,PREGNANCY - Abstract
Background: Practice variation in healthcare is a complex issue. We focused on practice variation in induction of labor between maternity care networks in the Netherlands. These collaborations of hospitals and midwifery practices are jointly responsible for providing high-quality maternity care. We explored the association between induction rates and maternal and perinatal outcomes. Methods: In a retrospective population-based cohort study, we included records of 184,422 women who had a singleton, vertex birth of their first child after a gestation of at least 37 weeks in the years 2016–2018. We calculated induction rates for each maternity care network. We divided networks in induction rate categories: lowest (Q1), moderate (Q2-3) and highest quartile (Q4). We explored the association of these categories with unplanned caesarean sections, unfavorable maternal outcomes and adverse perinatal outcomes using descriptive statistics and multilevel logistic regression analysis corrected for population characteristics. Findings: The induction rate ranged from 14.3% to 41.1% (mean 24.4%, SD 5.3). Women in Q1 had fewer unplanned caesarean sections (Q1: 10.2%, Q2-3: 12.1%; Q4: 12.8%), less unfavorable maternal outcomes (Q1: 33.8%; Q2-3: 35.7%; Q4: 36.3%) and less adverse perinatal outcomes (Q1: 1.0%; Q2-3: 1.1%; Q4: 1.3%). The multilevel analysis showed a lower unplanned caesarean section rate in Q1 in comparison with reference category Q2-3 (OR 0.83; p =.009). The unplanned caesarean section rate in Q4 was similar to the reference category. No significant associations with unfavorable maternal or adverse perinatal outcomes were observed. Conclusion: Practice variation in labor induction is high in Dutch maternity care networks, with limited association with maternal outcomes and no association with perinatal outcomes. Networks with low induction rates had lower unplanned caesarean section rates compared to networks with moderate rates. Further in-depth research is necessary to understand the mechanisms that contribute to practice variation and the observed association with unplanned caesarean sections. [ABSTRACT FROM AUTHOR]
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- 2023
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12. Measures to improve patient needs assessments and reduce practice variation in Dutch home care organizations.
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Schwenke, Marit, van Dorst, José, Zwakhalen, Sandra, de Jong, Judith D., Brabers, Anne E. M., and Bleijenberg, Nienke
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MEDICAL quality control ,HOME care services ,CROSS-sectional method ,MEDICAL care ,MEDICAL care costs ,SURVEYS ,CONCEPTUAL structures ,QUALITY assurance ,RESEARCH funding ,QUESTIONNAIRES ,DESCRIPTIVE statistics ,NEEDS assessment ,PHYSICIAN practice patterns ,DATA analysis software - Abstract
Aim: Worldwide, long‐term care tends to shift from institutional care towards home care. In order to deliver high‐quality and adequate care, the type, amount and cost of care is determined by a patient needs assessment. However, there are indications that this patient needs assessment varies between comparable patients. In the Netherlands, some home care organizations aim to improve patient needs assessments by implementing improvement measures to reduce this practice variation. The goal of this study was to explore the type and perceived impact of those implemented improvement measures. Design: A cross‐sectional explorative survey study was conducted among Dutch home care organizations between January and April 2021. Methods: An online questionnaire with 26 items was developed by the research team, which was distributed through Dutch nationwide home care sector organizations, the Dutch nurses' association (V&VN) and the Dutch society for home care nursing (NWG). Results: The survey was completed by 184 respondents, including home care nurses, managers and staff who are responsible for training, policy and quality of care. Intervision and peer review for home care nurses were the most common reported improvement measures that were implemented in home care organizations. The experiences of those improvement measures have been perceived as creating greater uniformity in the patient needs assessment, making home care nurses feel more supported and secure performing their patient needs assessment and that the provided care is more in line with patients' demand. Our findings give insights into type and perceived impact of improvement measures that Dutch home care organizations implemented. Further research is needed to find out whether improvement measures actually improve patient needs assessments and reduce practice variation. [ABSTRACT FROM AUTHOR]
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- 2023
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13. The Importance of Choosing a Health Insurance Policy and the Ability to Comprehend That Choice for Citizens in the Netherlands
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Holst, Laurens, primary, Rademakers, Jany J. D. J. M., additional, Brabers, Anne E. M., additional, and de Jong, Judith D., additional
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- 2021
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14. Relationship between trust and patient involvement in medical decision-making: A cross-sectional study
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Pokhilenko, Irina, primary, van Esch, Thamar E. M., additional, Brabers, Anne E. M., additional, and de Jong, Judith D., additional
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- 2021
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15. Using Different Cutoffs to Define Tinnitus and Assess Its Prevalence—A Survey in the Dutch General Population
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Rademaker, Maaike M., primary, Smit, Adriana L., additional, Brabers, Anne E. M., additional, de Jong, Judith D., additional, Stokroos, Robert J., additional, and Stegeman, Inge, additional
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- 2021
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16. Dynamic Public Perceptions of the Coronavirus Disease Crisis, the Netherlands, 2020
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de Vries, Marion, Claassen, Liesbeth, Te Wierik, Margreet J M, van den Hof, Susan, Brabers, Anne E M, de Jong, Judith D, Timmermans, Danielle R M, and Timen, Aura
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knowledge ,SARS-CoV-2 ,communication ,the Netherlands ,COVID-19 ,trust ,perception ,2019 novel coronavirus disease ,zoonoses ,respiratory infections ,coronavirus disease ,health behavior ,attitude ,disease outbreaks ,viruses ,severe acute respiratory syndrome coronavirus 2 - Published
- 2021
17. Using Different Cutoffs to Define Tinnitus and Assess Its Prevalence-A Survey in the Dutch General Population
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MS KNO, Other research (not in main researchprogram), Zorgeenheid KNO Medisch, Brain, Rademaker, Maaike M, Smit, Adriana L, Brabers, Anne E M, de Jong, Judith D, Stokroos, Robert J, Stegeman, Inge, MS KNO, Other research (not in main researchprogram), Zorgeenheid KNO Medisch, Brain, Rademaker, Maaike M, Smit, Adriana L, Brabers, Anne E M, de Jong, Judith D, Stokroos, Robert J, and Stegeman, Inge
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- 2021
18. Additional file 2 of Does the chronically ill population in the Netherlands switch their health insurer as often as the general population? Empirical evidence from a nationwide survey study
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Schors, Wouter Van Der, Brabers, Anne E. M., and Jong, Judith D. De
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Additional file 2. Multivariate logistic regression with switching as the dependent variable for the general population.
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- 2020
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19. Additional file 1 of Does the chronically ill population in the Netherlands switch their health insurer as often as the general population? Empirical evidence from a nationwide survey study
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Schors, Wouter Van Der, Brabers, Anne E. M., and Jong, Judith D. De
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Additional file 1. Original question about switching (translated from Dutch to English).
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- 2020
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20. Why do people not switch insurer in a market-based health insurance market? Empirical evidence from the Netherlands
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van der Schors, Wouter, primary, Brabers, Anne E M, additional, and de Jong, Judith D, additional
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- 2020
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21. SWITCHING HEALTH INSURER IN THE NETHERLANDS:: PRICE COMPETITION BUT LACKING COMPETITION ON QUALITY
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de Jong, Judith, Brabers, Anne E. M., Health Services Research, and RS: CAPHRI - R2 - Creating Value-Based Health Care
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- 2019
22. Features of a Patient Portal for Blood Test Results and Patient Health Engagement: Web-Based Pre-Post Experiment (Preprint)
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Struikman, Bas, primary, Bol, Nadine, additional, Goedhart, Annelijn, additional, van Weert, Julia C M, additional, Talboom-Kamp, Esther, additional, van Delft, Sanne, additional, Brabers, Anne E M, additional, and van Dijk, Liset, additional
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- 2019
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23. What role does health literacy play in patients' involvement in medical decision-making?
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Brabers, Anne E M, Rademakers, Jany J.D.J.M., Groenewegen, Peter P., Van Dijk, Liset, De Jong, Judith D., Social Urban Transitions, SGPL Stadsgeografie, Afd sociologie, Social Networks, Solidarity and Inequality, Social Urban Transitions, SGPL Stadsgeografie, Afd sociologie, Social Networks, Solidarity and Inequality, Family Medicine, RS: CAPHRI - R6 - Promoting Health & Personalised Care, Health Services Research, and RS: CAPHRI - R2 - Creating Value-Based Health Care
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Questionnaires ,Male ,PATIENTS PREFERENCES ,Medical Doctors ,Health Care Providers ,lcsh:Medicine ,Social Sciences ,ENCOUNTER ,Academic Skills ,Biochemistry ,Literacy ,0302 clinical medicine ,Cognition ,Surveys and Questionnaires ,Health care ,Medicine and Health Sciences ,Health belief model ,Medicine ,Psychology ,030212 general & internal medicine ,lcsh:Science ,media_common ,Medicine(all) ,Multidisciplinary ,Agricultural and Biological Sciences(all) ,030503 health policy & services ,Middle Aged ,Health equity ,EXPERIENCES ,Professions ,Health Education and Awareness ,Research Design ,PUBLIC-HEALTH ,Health education ,Female ,0305 other medical science ,INTEGRATION ,QUESTIONNAIRE HLQ ,Research Article ,medicine.medical_specialty ,Patients ,STRATEGIES ,media_common.quotation_subject ,Health Personnel ,Decision Making ,Clinical Decision-Making ,PARTICIPATION ,Health literacy ,Research and Analysis Methods ,03 medical and health sciences ,Nursing ,Physicians ,Humans ,Health policy ,Aged ,Survey Research ,business.industry ,Biochemistry, Genetics and Molecular Biology(all) ,Public health ,lcsh:R ,Cognitive Psychology ,Biology and Life Sciences ,CARE ,Health Literacy ,Health Care ,MODEL ,People and Places ,Cognitive Science ,lcsh:Q ,Population Groupings ,Patient Participation ,business ,Genetics and Molecular Biology(all) ,Neuroscience - Abstract
Patients vary in their preferences towards involvement in medical decision-making. Previous research, however, gives no clear explanation for this observed variation in their involvement. One possible explanation might be health literacy. Health literacy refers to personal characteristics and social resources needed for people to access, understand and use information to make decisions about their health. This study aimed to examine the relationship between health literacy and self-reported patient involvement. With respect to health literacy, we focused on those competences relevant for medical decision-making. We hypothesized that people with higher health literacy report that they are more involved in medical decision-making. A structured questionnaire was sent to members of the Dutch Health Care Consumer Panel in May 2015 (response 46%, N = 974). Health literacy was measured using five scales of the Health Literacy Questionnaire. A regression model was used to estimate the relationship between health literacy and self-reported involvement. In general, our results did not show a relationship between health literacy and self-reported involvement. We did find a positive significant association between the health literacy scale appraisal of health information and self-reported involvement. Our hypothesis was partly confirmed. The results from this study suggest that higher order competences, that is to say critical health literacy, in particular, are important in reporting involvement in medical decision-making. Future research is recommended to unravel further the relationship between health literacy and patient involvement in order to gain insight into whether health literacy might be an asset to enhance patient participation in medical decision making.
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- 2017
24. Increased cost sharing and changes in noncompliance with specialty referrals in The Netherlands
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van Esch, Thamar E.M., Brabers, Anne E M, van Dijk, Christel E., Gusdorf, Lisette, Groenewegen, Peter P., de Jong, Judith D., Social Networks, Solidarity and Inequality, Social Urban Transitions, SGPL Stadsgeografie, Leerstoel Lippe, Afd sociologie, Health Services Research, RS: CAPHRI - R2 - Creating Value-Based Health Care, Social Networks, Solidarity and Inequality, Social Urban Transitions, SGPL Stadsgeografie, Leerstoel Lippe, and Afd sociologie
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Adult ,Male ,medicine.medical_specialty ,Adolescent ,Specialty ,Patient characteristics ,DECISION-MAKING ,Medical care ,Deductible ,Insurance Claim Review ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,030212 general & internal medicine ,Practice Patterns, Physicians' ,Young adult ,Child ,Health policy ,Aged ,Primary health care ,Netherlands ,Cost sharing ,business.industry ,030503 health policy & services ,Health Policy ,Longitudinal studies ,PRIMARY-CARE ,Referral and consultation ,Patient compliance ,Middle Aged ,Multilevel logistic regression ,Family medicine ,Chronic Disease ,Emergency medicine ,CONSULTATION ,Female ,0305 other medical science ,business ,Specialization - Abstract
Introduction: The compulsory deductible, a form of patient cost-sharing in the Netherlands, has more than doubled during the past years. There are indications that as a result, refraining from medical care has increased. We studied the relation between patient cost-sharing and refraining from medical care by evaluating noncompliance with referrals to medical specialists over several years.Methods: Noncompliance with specialty referrals was assessed in the Netherlands from 2008 until 2013, using routinely recorded referrals from general practitioners to medical specialists and claims from medical specialists to health insurers. Associations with patient characteristics were estimated using multilevel logistic regression analyses.Results: Noncompliance rates were approximately stable from 2008 to 2010 and increased from 18% in 2010 to 27% in 2013. Noncompliance was highest in adults aged 25-39 years. The increase was highest in children and patients with chronic diseases. No significantly higher increase among patients from urban deprived areas was found.Discussion/conclusion: Noncompliance increased during the rise of the compulsory deductible. Our results do not suggest a one-to-one relationship between increased patient cost-sharing and noncompliance with specialty referrals. In order to develop effective policy for reducing noncompliance, it is advisable to focus on the mechanisms for noncompliance in the groups with the highest noncompliance rates (young adults) and with the highest increase in noncompliance (children and patients with chronic diseases). (C) 2016 Elsevier Ireland Ltd. All rights reserved.
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- 2017
25. Does shared decision-making reduce antibiotic prescribing in primary care?
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van Esch, Thamar E M, primary, Brabers, Anne E M, additional, Hek, Karin, additional, van Dijk, Liset, additional, Verheij, Robert A, additional, and de Jong, Judith D, additional
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- 2018
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26. The better the reputation and image of one’s own health insurer, the more loyal?
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Out, Kim E. M., primary, Bes, Romy E., additional, van Erp, Kim J. P. M., additional, Brabers, Anne E. M., additional, and de Jong, Judith D., additional
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- 2018
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27. What role does health literacy play in patients' involvement in medical decision-making?
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Social Urban Transitions, SGPL Stadsgeografie, Afd sociologie, Social Networks, Solidarity and Inequality, Brabers, Anne E M, Rademakers, Jany J.D.J.M., Groenewegen, Peter P., Van Dijk, Liset, De Jong, Judith D., Social Urban Transitions, SGPL Stadsgeografie, Afd sociologie, Social Networks, Solidarity and Inequality, Brabers, Anne E M, Rademakers, Jany J.D.J.M., Groenewegen, Peter P., Van Dijk, Liset, and De Jong, Judith D.
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- 2017
28. Increased cost sharing and changes in noncompliance with specialty referrals in The Netherlands
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Social Networks, Solidarity and Inequality, Social Urban Transitions, SGPL Stadsgeografie, Leerstoel Lippe, Afd sociologie, van Esch, Thamar E.M., Brabers, Anne E M, van Dijk, Christel E., Gusdorf, Lisette, Groenewegen, Peter P., de Jong, Judith D., Social Networks, Solidarity and Inequality, Social Urban Transitions, SGPL Stadsgeografie, Leerstoel Lippe, Afd sociologie, van Esch, Thamar E.M., Brabers, Anne E M, van Dijk, Christel E., Gusdorf, Lisette, Groenewegen, Peter P., and de Jong, Judith D.
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- 2017
29. Social support plays a role in the attitude that people have towards taking an active role in medical decision-making
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Brabers, Anne E M, De Jong, Judith D., Groenewegen, Peter P., Van Dijk, Liset, Social Networks, Solidarity and Inequality, Social Urban Transitions, Leerstoel Lippe, SGPL Stadsgeografie, Social Networks, Solidarity and Inequality, Social Urban Transitions, Leerstoel Lippe, and SGPL Stadsgeografie
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business.industry ,030503 health policy & services ,Nursing research ,Health Policy ,Social environment ,Medical decision-making ,Affect (psychology) ,Health informatics ,Social networks ,Social support ,03 medical and health sciences ,0302 clinical medicine ,Nursing ,Health care ,Medicine ,030212 general & internal medicine ,Patient participation ,0305 other medical science ,business ,Social psychology ,Health policy ,Research Article - Abstract
Background: There is a growing emphasis towards including patients in medical decision-making. However, not all patients are actively involved in such decisions. Research has so far focused mainly on the influence of patient characteristics on preferences for active involvement. However, it can be argued that a patient's social context has to be taken into account as well, because social norms and resources affect behaviour. This study aims to examine the role of social resources, in the form of the availability of informational and emotional support, on the attitude towards taking an active role in medical decision-making. Methods: A questionnaire was sent to members of the Dutch Health Care Consumer Panel (response 70 %; n = 1300) in June 2013. A regression model was then used to estimate the relation between medical and lay informational support and emotional support and the attitude towards taking an active role in medical decision-making. Results: Availability of emotional support is positively related to the attitude towards taking an active role in medical decision-making only in people with a low level of education, not in persons with a middle and high level of education. The latter have a more positive attitude towards taking an active role in medical decision-making, irrespective of the level of emotional support available. People with better access to medical informational support have a more positive attitude towards taking an active role in medical decision-making; but no significant association was found for lay informational support. Conclusions: This study shows that social resources are associated with the attitude towards taking an active role in medical decision-making. Strategies aimed at increasing patient involvement have to address this.
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- 2016
30. Do social norms play a role in explaining involvement in medical decision-making?
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Brabers, Anne E M, van Dijk, Liset, Groenewegen, Peter P, de Jong, Judith D, Sub Gen. Pharmacoepi and Clinical Pharm, Social Urban Transitions, Leerstoel Lippe, SGPL Stadsgeografie, Afd sociologie, Social Networks, Solidarity and Inequality, Sub Gen. Pharmacoepi and Clinical Pharm, Social Urban Transitions, Leerstoel Lippe, SGPL Stadsgeografie, Afd sociologie, and Social Networks, Solidarity and Inequality
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Adult ,Male ,Decision Making ,MEDLINE ,Patient characteristics ,03 medical and health sciences ,Social norms approach ,Young Adult ,0302 clinical medicine ,Health care ,Social Norms ,Humans ,030212 general & internal medicine ,Patient participation ,Aged ,Netherlands ,Aged, 80 and over ,Transients and Migrants ,business.industry ,030503 health policy & services ,Public Health, Environmental and Occupational Health ,Social environment ,Medical decision making ,Middle Aged ,Socioeconomic Factors ,Linear Models ,Female ,Norm (social) ,Family Relations ,Self Report ,Patient Participation ,0305 other medical science ,business ,Psychology ,Social psychology - Abstract
BACKGROUND: Patients' involvement in medical decision-making is crucial to provide good quality of care that is respectful of, and responsive to, patients' preferences, needs and values. Whether people want to be involved in medical decision-making is associated with individual patient characteristics, and health status. However, the observation of differences in whether people want to be involved does not in itself provide an explanation. Insight is necessary into mechanisms that explain people's involvement. This study aims to examine one mechanism, namely social norms. We make a distinction between subjective norms, that is doing what others think one ought to do, and descriptive norms, doing what others do. We focus on self-reported involvement in medical decision-making.\n\nMETHODS: A questionnaire was sent to members of the Dutch Health Care Consumer Panel in May 2015 (response 46%; N = 974). A regression model was used to estimate the relationship between socio-demographics, social norms and involvement in medical decision-making.\n\nRESULTS: In line with our hypotheses, we observed that the more conservative social norms are, the less people are involved in medical decision-making. The effects for both types of norms were comparable.\n\nCONCLUSION: This study indicates that social norms play a role as a mechanism to explain involvement in medical decision-making. Our study offers a first insight into the possibility that the decision to be involved in medical decision-making is not as individual as it at first seems; someone's social context also plays a role. Strategies aimed at emphasizing patient involvement have to address this social context.
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- 2016
31. Does a strategy to promote shared decision-making reduce medical practice variation in the choice of either single or double embryo transfer after in vitro fertilisation?: A secondary analysis of a randomised controlled trial
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Brabers, Anne E M, van Dijk, Liset, Groenewegen, Peter P, van Peperstraten, Arno M, de Jong, Judith D, Social Networks, Solidarity and Inequality, Social Urban Transitions, Leerstoel Lippe, SGPL Stadsgeografie, Social Networks, Solidarity and Inequality, Social Urban Transitions, Leerstoel Lippe, and SGPL Stadsgeografie
- Subjects
Adult ,Pediatrics ,medicine.medical_specialty ,Decision Making ,Single Embryo Transfer ,Fertilization in Vitro ,in vitro fertilisation ,Choice Behavior ,Preconception Care ,Decision Support Techniques ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,Pregnancy ,law ,medicine ,Humans ,030212 general & internal medicine ,Practice Patterns, Physicians' ,Set (psychology) ,Reimbursement ,Health policy ,Netherlands ,patient involvement ,patients’ preferences ,030219 obstetrics & reproductive medicine ,business.industry ,Research ,shared decision-making ,Health services research ,Patient Preference ,General Medicine ,Embryo Transfer ,Variation (linguistics) ,Family medicine ,Costs and Cost Analysis ,Female ,Health Services Research ,business ,medical practice variation - Abstract
OBJECTIVES: The hypothesis that shared decision-making (SDM) reduces medical practice variations is increasingly common, but no evidence is available. We aimed to elaborate further on this, and to perform a first exploratory analysis to examine this hypothesis. This analysis, based on a limited data set, examined how SDM is associated with variation in the choice of single embryo transfer (SET) or double embryo transfer (DET) after in vitro fertilisation (IVF). We examined variation between and within hospitals. DESIGN: A secondary analysis of a randomised controlled trial. SETTING: 5 hospitals in the Netherlands. PARTICIPANTS: 222 couples (woman aged
- Published
- 2016
32. Health literacy and primary health care use of ethnic minorities in the Netherlands
- Author
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van der Gaag, Marieke, primary, van der Heide, Iris, additional, Spreeuwenberg, Peter M. M., additional, Brabers, Anne E. M., additional, and Rademakers, Jany J. D. J. M., additional
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- 2017
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33. Does shared decision-making reduce antibiotic prescribing in primary care?
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Esch, Thamar E M van, Brabers, Anne E M, Hek, Karin, Dijk, Liset van, Verheij, Robert A, Jong, Judith D de, van Esch, Thamar E M, van Dijk, Liset, and de Jong, Judith D
- Subjects
- *
DECISION making , *ANTIBIOTICS , *DRUGS , *PRIMARY care , *GUIDELINES - Abstract
Background: Increasing antibiotic resistance is recognized as a major threat to global health and is related to antibiotic prescription rates in primary care. Shared decision-making (SDM), the process in which patients and doctors participate together in making decisions, is argued to possibly promote more appropriate use of antibiotics and reduce prescribing. However, it is unknown whether in practice fewer antibiotics are prescribed where more SDM takes place.Objectives: To investigate whether more SDM is related to less antibiotic prescribing and whether this relationship differs between subgroups of patients (male/female and age groups).Patients and methods: A questionnaire survey was conducted among 2670 members of the Dutch Health Care Consumer Panel to measure SDM (response rate 45%). Average practice-level SDM scores were calculated for 15 general practices. Data from routine electronic health records of 8192 adult patients of these general practices participating in the Nivel Primary Care Database were used to assess relevant illness episodes (acute cough, acute rhinosinusitis and urinary tract infection), the indication for antibiotics and antibiotic prescriptions. Logistic multilevel regression analyses were performed to investigate the relationship between practice-level SDM and patient-level antibiotic prescriptions.Results: In practices where more SDM takes place, general practitioners prescribed fewer antibiotics for adult patients under the age of 40 years in preference-sensitive situations (i.e. situations in which antibiotics could be considered according to clinical guidelines).Conclusions: SDM can be a framework to reduce the prescribing of antibiotics and thus to control antibiotic resistance. [ABSTRACT FROM AUTHOR]- Published
- 2018
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34. Do social norms play a role in explaining involvement in medical decision-making?
- Author
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Sub Gen. Pharmacoepi and Clinical Pharm, Social Urban Transitions, Leerstoel Lippe, SGPL Stadsgeografie, Afd sociologie, Social Networks, Solidarity and Inequality, Brabers, Anne E M, van Dijk, Liset, Groenewegen, Peter P, de Jong, Judith D, Sub Gen. Pharmacoepi and Clinical Pharm, Social Urban Transitions, Leerstoel Lippe, SGPL Stadsgeografie, Afd sociologie, Social Networks, Solidarity and Inequality, Brabers, Anne E M, van Dijk, Liset, Groenewegen, Peter P, and de Jong, Judith D
- Published
- 2016
35. Does a strategy to promote shared decision-making reduce medical practice variation in the choice of either single or double embryo transfer after in vitro fertilisation?: A secondary analysis of a randomised controlled trial
- Author
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Social Networks, Solidarity and Inequality, Social Urban Transitions, Leerstoel Lippe, SGPL Stadsgeografie, Brabers, Anne E M, van Dijk, Liset, Groenewegen, Peter P, van Peperstraten, Arno M, de Jong, Judith D, Social Networks, Solidarity and Inequality, Social Urban Transitions, Leerstoel Lippe, SGPL Stadsgeografie, Brabers, Anne E M, van Dijk, Liset, Groenewegen, Peter P, van Peperstraten, Arno M, and de Jong, Judith D
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- 2016
36. Social support plays a role in the attitude that people have towards taking an active role in medical decision-making
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Social Networks, Solidarity and Inequality, Social Urban Transitions, Leerstoel Lippe, SGPL Stadsgeografie, Brabers, Anne E M, De Jong, Judith D., Groenewegen, Peter P., Van Dijk, Liset, Social Networks, Solidarity and Inequality, Social Urban Transitions, Leerstoel Lippe, SGPL Stadsgeografie, Brabers, Anne E M, De Jong, Judith D., Groenewegen, Peter P., and Van Dijk, Liset
- Published
- 2016
37. Hoe beter de reputatie en het imago van de eigen zorgverzekeraar, des te loyaler de verzekerde?
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Out, Kim E. M., Bes, Romy E., van Erp, Kim J. P. M., Brabers, Anne E. M., and de Jong, Judith D.
- Abstract
Copyright of TSG: Tijdschrift Voor Gezondheidswetenschappen is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2018
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38. Determinants of the intention to use e-Health by community dwelling older people.
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de Veer, Anke J. E., Peeters, José M., Brabers, Anne E. M., Schellevis, Francois G., Rademakers, Jany J. D. J. M., and Francke, Anneke L.
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ELECTRONIC health records ,SOCIAL influence ,QUESTIONNAIRES ,REGRESSION analysis ,EXPECTANCY theories - Abstract
Background: In the future, an increasing number of elderly people will be asked to accept care delivered through the Internet. For example, health-care professionals can provide treatment or support via telecare. But do elderly people intend to use such so-called e-Health applications? The objective of this study is to gain insight into the intention of older people, i.e. the elderly of the future, to use e-Health applications. Using elements of the Unified Theory of Acceptance and Use of Technology (UTAUT), we hypothesized that their intention is related to the belief that e-Health will help (performance expectancy), the perceived ease of use (effort expectancy), the beliefs of important others (social influence), and the self-efficacy concerning Internet usage. Methods: A pre-structured questionnaire was completed by 1014 people aged between 57 and 77 (response 67%). The hypothesized relationships were tested using nested linear regression analyses. Results: If offered an e-Health application in the future, 63.1% of the respondents would definitely or probably use it. In general, people with a lower level of education had less intention of using e-Health. The majority of respondents perceived e-Health as easy to use (60.8%) and easy to learn (68.4%), items that constitute the scale for effort expectancy. Items in the performance expectancy scale generally scored lower: 45.8% perceived e-Health as useful and 38.2% perceived it as a pleasant way to interact. The tested model showed that expected performance and effort were highly related to intention to use e-Health. In addition, self-efficacy was related to intention to use while social influence was not. Conclusions: Acceptance of e-Health can be increased by informing people about the potential benefits of e-Health and letting them practice with the application. Special attention should be paid to people with less education and people who have not used the Internet before. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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39. Does market exclusivity hinder the development of Follow-on Orphan Medicinal Products in Europe?
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Brabers, Anne E M, Moors, Ellen H M, van Weely, Sonja, and de Vrueh, Remco L A
- Abstract
Background: We determined whether the market exclusivity incentive of the European Orphan Drug Regulation results in a market monopoly or that absence of another Orphan Medicinal Product (OMP) for the same rare disorder, a so-called follow-on OMP, is a matter of time or market size. In the interest of rare disorder patients better understanding of the effect of the market exclusivity incentive on follow-on OMP development is warranted.Methods: First, the impact of various market-, product- and disease-related characteristics on follow-on OMP development in the EU was determined by comparing rare disorders with an approved OMP and at least one follow-on OMP (N = 26), with rare disorders with an approved OMP and no follow-on OMP (N = 18). Next, we determined whether manufacturers continued development of a follow-on OMP upon approval of the first OMP for the intended rare disorder. Since in the EU significant benefit of an OMP has to be established, we determined for each follow-on OMP for which development was continued on what grounds significant benefit was assumed by the sponsor. Data were collected from the public domain only.Results: The likelihood of a rare disorder with an approved OMP to obtain at least one follow-on OMP development was strongly associated with disease prevalence, turnover of the first OMP, disease class, disease-specific scientific output and age of onset. Out of a total of 120 follow-on OMPs only one follow-on OMP could be identified for which development was discontinued upon approval of the first OMP for the same rare disorder. Only a substantial level of discontinuation of follow-on OMP development would have indicated the existence of a market monopoly. Moreover, sponsors that continued development of a follow-on OMP predominantly assumed that their product had an improved efficacy compared to the first approved OMP.Conclusions: This study provides evidence that absence of follow-on OMP development is a matter of time or market size, rather than that the market exclusivity incentive of the European Orphan Drug Regulation creates a market monopoly. [ABSTRACT FROM AUTHOR]- Published
- 2011
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40. Should Commercial Diagnostic Testing Be Stimulated or Discouraged? Analyzing Willingness-to-Pay and Market Externalities of Three Commercial Diagnostic Tests in The Netherlands.
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Stadhouders N, van Vliet E, Brabers AEM, van Dijk W, and Onstwedder S
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- Humans, Netherlands, Surveys and Questionnaires, Consumer Behavior, Diagnostic Tests, Routine
- Abstract
Introduction: Consumers may purchase commercial diagnostic tests (CDT) without prior doctor consultation. This paper analyzes three CDT markets-commercial cholesterol tests (CCT), direct-to-consumer genetic health tests (DGT) and total body scans (TBS)-in the context of the universal, collectively financed health care system of the Netherlands., Methods: An online willingness-to-pay (WTP) questionnaire was sent to a representative sample of 1500 Dutch consumers. Using contingent valuation (CV) methodology, an array of bids for three self-tests were presented to the respondents. The results were extrapolated to the Dutch population and compared to current prices and follow-up medical utilization, allowing analysis from a societal perspective., Results: Overall, 880 of 1500 respondents completed the questionnaire (response rate 59%). Of the respondents, 26-44% were willing to pay a positive amount for the CDT. Willingness-to-pay was correlated to age and household income, but not to health status or prior experience with these tests. At mean current prices of €29 for CCT, €229 for DGT and €1,650 for TBS, 3.3%, 2.5%, and 1.1%, were willing to purchase a CCT, DGT, and TBS, respectively. All three CDT resulted in net costs to the health system, estimated at €5, €16, and €44 per test, respectively. Reducing volumes by 90,000 CCTs (19%), 19,000 DGTs (5%) and 4,000 TBSs (2.5%) in 2019 would optimize welfare., Conclusion: Most respondents were unwilling to consume CDT at any price or only if the CDT were provided for free. However, for a small group of consumers, societal costs exceed private benefits. Therefore, CDT regulation could provide small welfare gains., (© 2023. The Author(s).)
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- 2024
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41. The impact of trust in healthcare and medication, and beliefs about medication on medication adherence in a Dutch medication-using population.
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Te Paske R, Vervloet M, Linn AJ, Brabers AEM, van Boven JFM, and van Dijk L
- Abstract
Introduction: Trust in healthcare and medication, defined as feelings of reassurance and confidence in the healthcare system or medication, may be a key prerequisite before engaging in the use of medication. However, earlier studies have focussed on beliefs about medication rather than trust as predictors of medication adherence. This study therefore aims to simultaneously explore the relationship of trust in healthcare, medication and beliefs about medication, with medication adherence., Methods: In a cross-sectional study, an online questionnaire was sent out to 1500 members of the Dutch Health Care Consumer Panel of Nivel in November 2018. Respondents were asked to grade their level of trust in healthcare and medication (scale 1-10). The Beliefs About Medicines Questionnaire (BMQ) for general and specific medication beliefs was used to address beliefs, the Medication Adherence Report Scale (MARS-5) to measure medication adherence. Data were analysed using structural equation modelling (SEM) with a backward stepwise approach. Out of 753 people that completed the questionnaire, 407 people used prescription medication and were included in the analyses., Results: A positive association between trust in medication and medication adherence was found (0.044, p < 0.05). BMQ subscales Overuse (-0.083, p < 0.05), Necessity (0.075, p < 0.05) and Concerns (-0.134, p < 0.01) related with medication adherence. BMQ subscale Harm did not relate to medication adherence., Conclusion: Trust in medication and beliefs about medication were both individually associated with medication adherence. Healthcare providers should therefore not only focus on patients' medication beliefs, but also on strengthening patients' trust in medication to improve medication adherence., Competing Interests: Declaration of Competing Interest RtP and AL declare to have no conflict of interest. MV received funding for research unrelated to this study from Teva, Biogen and AstraZeneca. AB received funding for research unrelated to this study from Teva. JFMvB received grants and/or consultancy fees from Aardex, AstraZeneca, Chiesi, Lung Alliance Netherlands, European Commission COST (COST Action 19,132), GSK, Novartis, Pfizer, Pill Connect, Teva, Trudell Medical and Vertex, outside the submitted work and all paid to his institution. LvD received funding for research unrelated to this study from Teva and Biogen., (Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved.)
- Published
- 2023
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42. Has public support for solidarity in healthcare financing in the Netherlands changed over time? A repeated cross-sectional study.
- Author
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Meijer MA, Brabers AEM, and de Jong JD
- Subjects
- Humans, Cross-Sectional Studies, Netherlands, Surveys and Questionnaires, Healthcare Financing, Delivery of Health Care
- Abstract
It is argued that solidarity-based healthcare systems are under pressure and that public support is decreasing. It can, therefore, be expected that support for solidarity in healthcare financing has diminished over time. However, little research has been conducted into this. To fill this gap, we used survey data from 2013, 2015, 2017, 2019, and 2021 to examine changes in public support for solidarity in healthcare financing in the Netherlands over time. This was operationalised as the own willingness and the expected willingness of others to contribute to other people's healthcare costs. Using logistic regression analysis, we found that the own willingness to contribute has slightly increased among the general population over time, although this was not observed in all subgroups. No change in the expected willingness of others to contribute was observed. Our results suggest that the willingness to contribute to other people's healthcare costs has, at least, not decreased over time. A majority of the Dutch population remains willing to share the burden of healthcare costs, indicating support for the principles of the solidarity-based healthcare system. However, not all people are willing to contribute to the healthcare costs of others. In addition, we do not know how much people want to pay. Further research into these topics is necessary., Competing Interests: Declaration of Competing Interest The authors declare that they have no competing interests., (Copyright © 2023 Elsevier B.V. All rights reserved.)
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- 2023
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43. Measuring health insurance literacy in the Netherlands - First results of the HILM-NL questionnaire.
- Author
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Holst L, Rademakers JJDJM, Brabers AEM, and de Jong JD
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- Health Policy, Humans, Netherlands, Surveys and Questionnaires, Health Literacy, Insurance, Health
- Abstract
Background: There are several indications that citizens in the Netherlands struggle to make critical, well-considered decisions about which insurance policy best fits their needs and preferences. This can lead to citizens being sub-optimally insured, facing unexpected costs or suffering inadequate coverage. This study aims to examine how health insurance literacy (HIL) is distributed among citizens in the Netherlands; and to find out whether there are certain groups who have more difficulty choosing and using a health insurance policy., Methods: We measured health insurance literacy using the HILM-NL questionnaire, the validated Dutch version of the original health insurance literacy measure (HILM). In February 2020, the HILM-NL was sent to 1,500 members of the Nivel Dutch Health Care Consumer Panel. The response rate was 54% (806)., Results: There is a wide variation in HIL among citizens in the Netherlands. The average total HILM-NL score is 55.14 (on a range of 21-84). The level of education and the household net income are significantly related to HIL., Conclusions: Citizens who completed less education or earn a lower income are relatively more likely to have difficulty choosing a health insurance policy or using policy benefits to pay for health services once enrolled. It is important to support these vulnerable groups properly in their choice and use of a health insurance policy., Competing Interests: Declaration of Competing Interest None, (Copyright © 2022. Published by Elsevier B.V.)
- Published
- 2022
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44. To what degree are health insurance enrollees in the Netherlands aware of the restrictive conditions attached to their policies?
- Author
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van der Hulst FJP, Holst L, Brabers AEM, and de Jong JD
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- Health Policy, Humans, Male, Managed Competition, Netherlands, Insurance Carriers, Insurance, Health
- Abstract
Background: Within the Dutch healthcare system of managed competition, health insurers can contract healthcare providers selectively. Enrollees who choose a health insurance policy with restrictive conditions will have to make a co-payment if they consult a non-contracted provider. This study aims to gain insight into enrollees' awareness of the conditions of such health insurance policies., Methods: In August 2020, an online questionnaire was sent out via health insurers to their enrollees with restrictive health plans. In total 13,588 enrollees responded., Results: One fifth of the respondents appeared to be totally unfamiliar with the policy conditions. Men, younger people, people with a low level of education, a lower income, a poorer health status and non-care users were found to be less familiar with the conditions. Of those who have been in the situation that they wanted to visit a healthcare provider whose care was not fully reimbursed, 62% went to that provider. Of those who had to pay extra because hospital care was not fully reimbursed, 62% did not know this in advance and 30% indicated that paying extra was a serious problem., Conclusions: Not all enrollees who choose a policy with restrictive conditions are aware of the consequences of receiving care from non-contracted providers. Increased awareness among enrollees will benefit the functioning of the healthcare system based on managed competition., (Copyright © 2022. Published by Elsevier B.V.)
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- 2022
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45. The Importance of Choosing a Health Insurance Policy and the Ability to Comprehend That Choice for Citizens in the Netherlands.
- Author
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Holst L, Rademakers JJDJM, Brabers AEM, and de Jong JD
- Subjects
- Delivery of Health Care, Managed Competition, Netherlands, Health Policy, Insurance, Health
- Abstract
Background: In a health insurance system based on managed competition, such as in the Netherlands, it is important that all citizens can make well-informed decisions on which policy fits their needs and preferences best. However, partly due to the large variety of health insurance policies, there are indications that a significant group of citizens do not make rational decisions when choosing a policy., Objective: This study aimed to provide more insight into (1) how important it is for citizens in the Netherlands to choose a health insurance policy and (2) how easy it is for them to comprehend the information they receive., Methods: Data were collected by sending a survey to members of the Nivel Dutch Health Care Consumer Panel in February 2017. The response rate was 44% ( N = 659)., Key Results: Our results indicate that citizens in the Netherlands acknowledge the importance of choosing a health insurance policy, but they also point out that it is difficult to comprehend health insurance information., Conclusion: Our findings suggest that a section of the citizens do not have the appropriate skills to decide which insurance policy best fits their needs and preferences. Having better insight into their level of health insurance literacy is an important step in the process of evaluating the extent to which citizens can fulfill their role in the health insurance system. Our results suggest that it is important to better tailor information on health insurances to the specific needs and skills of the individual. By doing this, citizens will be better supported in making well-informed decisions regarding health insurance policies, which should have a positive effect on the functioning of the Dutch health insurance system. [ HLRP: Health Literacy Research and Practice . 2021;5(4):e287-e294.] Plain Language Summary: The number of health insurance policy options to choose from is extensive in the Netherlands. This study explored to what extent citizens in the Netherlands find it important to choose a health insurance policy, and to what extent they comprehend the information they receive. The data were collected in 2017 using the Nivel Dutch Health Care Consumer Panel.
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- 2021
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46. Dynamic Public Perceptions of the Coronavirus Disease Crisis, the Netherlands, 2020.
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de Vries M, Claassen L, Te Wierik MJM, van den Hof S, Brabers AEM, de Jong JD, Timmermans DRM, and Timen A
- Subjects
- Access to Information psychology, Adult, Age Factors, Attitude to Health, Female, Health Status, Humans, Male, Netherlands epidemiology, Public Health methods, Public Health standards, Public Opinion, SARS-CoV-2, Surveys and Questionnaires, Trust, COVID-19 epidemiology, COVID-19 prevention & control, COVID-19 psychology, Communicable Disease Control methods, Communicable Disease Control statistics & numerical data, Risk Assessment, Risk Reduction Behavior, Social Perception
- Abstract
A key component of outbreak control is monitoring public perceptions and public response. To determine public perceptions and public responses during the first 3 months of the coronavirus disease (COVID-19) outbreak in the Netherlands, we conducted 6 repeated surveys of ≈3,000 persons. Generalized estimating equations analyses revealed changes over time as well as differences between groups at low and high risk. Overall, respondents perceived the risks associated with COVID-19 to be considerable, were positive about the mitigation measures, trusted the information and the measures from authorities, and adopted protective measures. Substantial increases were observed in risk perceptions and self-reported protective behavior in the first weeks of the outbreak. Individual differences were based mainly on participants' age and health condition. We recommend that authorities constantly adjust their COVID-19 communication and mitigation strategies to fit public perceptions and public responses and that they tailor the information for different groups.
- Published
- 2021
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47. Practice variation among home care nurses.
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Brabers AEM, de Groot K, and Groenewegen PP
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- Humans, Home Care Services statistics & numerical data, Nursing Care statistics & numerical data, Practice Patterns, Nurses' statistics & numerical data
- Published
- 2019
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48. Increased cost sharing and changes in noncompliance with specialty referrals in The Netherlands.
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van Esch TE, Brabers AE, van Dijk CE, Gusdorf L, Groenewegen PP, and de Jong JD
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- Adolescent, Adult, Aged, Child, Chronic Disease, Female, Humans, Insurance Claim Review, Longitudinal Studies, Male, Middle Aged, Netherlands, Practice Patterns, Physicians', Primary Health Care, Cost Sharing economics, Patient Compliance statistics & numerical data, Referral and Consultation statistics & numerical data, Specialization
- Abstract
Introduction: The compulsory deductible, a form of patient cost-sharing in the Netherlands, has more than doubled during the past years. There are indications that as a result, refraining from medical care has increased. We studied the relation between patient cost-sharing and refraining from medical care by evaluating noncompliance with referrals to medical specialists over several years., Methods: Noncompliance with specialty referrals was assessed in the Netherlands from 2008 until 2013, using routinely recorded referrals from general practitioners to medical specialists and claims from medical specialists to health insurers. Associations with patient characteristics were estimated using multilevel logistic regression analyses., Results: Noncompliance rates were approximately stable from 2008 to 2010 and increased from 18% in 2010 to 27% in 2013. Noncompliance was highest in adults aged 25-39 years. The increase was highest in children and patients with chronic diseases. No significantly higher increase among patients from urban deprived areas was found., Discussion/conclusion: Noncompliance increased during the rise of the compulsory deductible. Our results do not suggest a one-to-one relationship between increased patient cost-sharing and noncompliance with specialty referrals. In order to develop effective policy for reducing noncompliance, it is advisable to focus on the mechanisms for noncompliance in the groups with the highest noncompliance rates (young adults) and with the highest increase in noncompliance (children and patients with chronic diseases)., (Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.)
- Published
- 2017
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49. Social support plays a role in the attitude that people have towards taking an active role in medical decision-making.
- Author
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Brabers AE, de Jong JD, Groenewegen PP, and van Dijk L
- Abstract
Background: There is a growing emphasis towards including patients in medical decision-making. However, not all patients are actively involved in such decisions. Research has so far focused mainly on the influence of patient characteristics on preferences for active involvement. However, it can be argued that a patient's social context has to be taken into account as well, because social norms and resources affect behaviour. This study aims to examine the role of social resources, in the form of the availability of informational and emotional support, on the attitude towards taking an active role in medical decision-making., Methods: A questionnaire was sent to members of the Dutch Health Care Consumer Panel (response 70 %; n = 1300) in June 2013. A regression model was then used to estimate the relation between medical and lay informational support and emotional support and the attitude towards taking an active role in medical decision-making., Results: Availability of emotional support is positively related to the attitude towards taking an active role in medical decision-making only in people with a low level of education, not in persons with a middle and high level of education. The latter have a more positive attitude towards taking an active role in medical decision-making, irrespective of the level of emotional support available. People with better access to medical informational support have a more positive attitude towards taking an active role in medical decision-making; but no significant association was found for lay informational support., Conclusions: This study shows that social resources are associated with the attitude towards taking an active role in medical decision-making. Strategies aimed at increasing patient involvement have to address this.
- Published
- 2016
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50. Does a strategy to promote shared decision-making reduce medical practice variation in the choice of either single or double embryo transfer after in vitro fertilisation? A secondary analysis of a randomised controlled trial.
- Author
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Brabers AE, van Dijk L, Groenewegen PP, van Peperstraten AM, and de Jong JD
- Subjects
- Adult, Choice Behavior, Costs and Cost Analysis, Decision Making, Female, Humans, Netherlands epidemiology, Patient Preference psychology, Practice Patterns, Physicians', Preconception Care economics, Pregnancy, Decision Support Techniques, Embryo Transfer economics, Embryo Transfer psychology, Embryo Transfer statistics & numerical data, Fertilization in Vitro economics, Fertilization in Vitro psychology, Fertilization in Vitro statistics & numerical data, Patient Preference statistics & numerical data, Preconception Care methods
- Abstract
Objectives: The hypothesis that shared decision-making (SDM) reduces medical practice variations is increasingly common, but no evidence is available. We aimed to elaborate further on this, and to perform a first exploratory analysis to examine this hypothesis. This analysis, based on a limited data set, examined how SDM is associated with variation in the choice of single embryo transfer (SET) or double embryo transfer (DET) after in vitro fertilisation (IVF). We examined variation between and within hospitals., Design: A secondary analysis of a randomised controlled trial., Setting: 5 hospitals in the Netherlands., Participants: 222 couples (woman aged <40 years) on a waiting list for a first IVF cycle, who could choose between SET and DET (ie, ≥2 embryos available)., Intervention: SDM via a multifaceted strategy aimed to empower couples in deciding how many embryos should be transferred. The strategy consisted of decision aid, support of IVF nurse and the offer of reimbursement for an extra treatment cycle. Control group received standard IVF care., Outcome Measure: Difference in variation due to SDM in the choice of SET or DET, both between and within hospitals., Results: There was large variation in the choice of SET or DET between hospitals in the control group. Lower variation between hospitals was observed in the group with SDM. Within most hospitals, variation in the choice of SET or DET appeared to increase due to SDM. Variation particularly increased in hospitals where mainly DET was chosen in the control group., Conclusions: Although based on a limited data set, our study gives a first insight that including patients' preferences through SDM results in less variation between hospitals, and indicates another pattern of variation within hospitals. Variation that results from patient preferences could be potentially named the informed patient rate. Our results provide the starting point for further research., Trial Registration Number: NCT00315029; Post-results., (Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/)
- Published
- 2016
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