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1,056 results on '"Wensing, M.J.P."'

1. Care networks of home-dwelling older adults in the Netherlands: proof of concept of a network typology.

Author

Kemper-Koebrugge, W., Adriaansen, M., Laurant, M.G.H., Wensing, M.J.P., Kemper-Koebrugge, W., Adriaansen, M., Laurant, M.G.H., and Wensing, M.J.P.

Abstract

Contains fulltext : 299878.pdf (Publisher’s version ) (Open Access), BACKGROUND: Studies on care networks of home-dwelling older adults often focus on network composition. However, looking at network mechanisms (negotiation, navigation and contagion) can be helpful to improve the support generated by the care network. A European study on diabetes patients identified network types based on interaction, which can be beneficial (generative, proxy) or detrimental (struggling, avoidant) to support. This study explored whether these network types are present in care networks of home-dwelling older adults in the Netherlands, and how these types manifest in composition or mechanisms. METHODS: The present study is a cross-sectional qualitative study of care networks supporting 19 home-dwelling older adults. Face-to-face interviews were conducted with the older adult and their informal and formal caregivers between March and September 2016. Network composition and mechanisms were abstracted from content analysis of interview transcripts, then network type was determined for each network. RESULTS: Three of the 19 networks had only one respondent and were excluded, yielding 16 for analysis: eight proxy networks, three generative networks, two avoidant networks, one struggling network, and two possibly hybrid networks. In the proxy networks, all negotiation and navigation were centralised by the proxy. In generative networks, negotiation was possible if the older adult could reciprocate, and the network supported this. In avoidant networks, informal and formal caregivers had to deal with an older adult who refused support. In the struggling network, the underlying problem could not be addressed. Furthermore, two networks could either be hybrid network types or networks in a transition process from generative to proxy network. CONCLUSION: Our results suggest that the network typology developed in the context of diabetes patients is relevant and mostly replicable in networks of multi-morbid older adults. We found that a care network typology based

Published
2023

2. Improving the functioning of care networks of home-dwelling older adults

Author

Wensing, M.J.P., Laurant, M.G.H., Adriaansen, M.J.M., Kemper-Koebrugge, W.M., Wensing, M.J.P., Laurant, M.G.H., Adriaansen, M.J.M., and Kemper-Koebrugge, W.M.

Abstract

Radboud University, 28 april 2022, Promotor : Wensing, M.J.P. Co-promotores : Laurant, M.G.H., Adriaansen, M.J.M., Item does not contain fulltext

Published
2022

4. Assessing Reduction of Antibiotic Prescribing for Acute, Non-Complicated Infections in Primary Care in Germany: Multi-Step Outcome Evaluation in the Cluster-Randomized Trial ARena

Author

Poss-Doering, R., Kronsteiner, D., Kamradt, M., Kaufmann-Kolle, P., Andres, Edith, Wambach, V., Wensing, M.J.P., Szecsenyi, J., Poss-Doering, R., Kronsteiner, D., Kamradt, M., Kaufmann-Kolle, P., Andres, Edith, Wambach, V., Wensing, M.J.P., and Szecsenyi, J.

Abstract

Contains fulltext : 239964.pdf (Publisher’s version ) (Open Access)

Published
2021

5. Pharmaceutical care in obstructive lung diseases: current and future practice

Author

Smet, P.A.G.M. de, Wensing, M.J.P., Teichert, M., Kuipers, E., Smet, P.A.G.M. de, Wensing, M.J.P., Teichert, M., and Kuipers, E.

Abstract

Radboud University, 20 februari 2020, Promotores : Smet, P.A.G.M. de, Wensing, M.J.P. Co-promotor : Teichert, M., Contains fulltext : 216173.pdf (publisher's version ) (Open Access)

Published
2020

6. Exercise as medicine in cardiovascular health. Recommendations for physiotherapeutic cardiac rehabilitation and determinants of physical inactivity

Author

Nijhuis-van der Sanden, M.W.G., Wensing, M.J.P., Staal, J.B., Lieshout, J. van, Achttien, R.J., Nijhuis-van der Sanden, M.W.G., Wensing, M.J.P., Staal, J.B., Lieshout, J. van, and Achttien, R.J.

Abstract

Radboud University, 23 april 2020, Promotores : Nijhuis-van der Sanden, M.W.G., Wensing, M.J.P. Co-promotores : Staal, J.B., Lieshout, J. van, Contains fulltext : 216170.pdf (publisher's version ) (Open Access)

Published
2020

7. Pragmatic trial on inhaled corticosteroid withdrawal in patients with COPD in general practice

Author

Bemt, E.A.J.M. van den, Nieuwenhof, L. van den, Rutjes, A.W., Meer, Victor van der, Stege, Gerben, Wensing, M.J.P., Teichert, M., Schermer, T.R.J., Bemt, E.A.J.M. van den, Nieuwenhof, L. van den, Rutjes, A.W., Meer, Victor van der, Stege, Gerben, Wensing, M.J.P., Teichert, M., and Schermer, T.R.J.

Abstract

Contains fulltext : 226130.pdf (publisher's version ) (Open Access)

Published
2020

13. Improving insight in the quality of community pharmacy services: adding patient-reported outcome measures to classic dispensing indicators

Author

Smet, P.A.G.M. de, Wensing, M.J.P., Teichert, M., Schoenmakers, T.W.A., Smet, P.A.G.M. de, Wensing, M.J.P., Teichert, M., and Schoenmakers, T.W.A.

Abstract

Radboud University, 17 september 2018, Promotores : Smet, P.A.G.M. de, Wensing, M.J.P. Co-promotor : Teichert, M., Contains fulltext : 194282.pdf (publisher's version ) (Open Access)

Published
2018

14. GP cooperative and emergency department: an exploration of patient flows

Author

Huibers, A.M.J., Thijssen, W.A.M.H., Koetsenruijter, J., Giesen, P.H.J., Grol, R.P.T.M., and Wensing, M.J.P.

Subjects
Implementation Science [NCEBP 3], DCN PAC - Perception action and control
Abstract

Item does not contain fulltext Rationale, aims and objectives In most countries, different health care providers are involved in emergency care. In the Netherlands, out-of-hours care is provided by general practitioner cooperatives (GPCs) and emergency departments (EDs). Our aim was to describe the flow of patients attending emergency care in these settings. Method A retrospective record review was performed, concerning patients who had visited a GPC or ED. Recorded information included urgency, diagnostic tests, and follow-up contacts. Descriptive figures were determined for patient flows in GPC and ED for urgent contacts and non-urgent contacts. Results We included 319 GPC contacts and 356 ED contacts, of which 78% were non-urgent. The majority of GPC contacts were completed at the GPC without follow-up; 37% of non-urgent patients had a follow-up contact, usually with primary care. Only 5% of non-urgent GPC patients received diagnostic tests compared to 63% of non-urgent ED patients (mostly X-rays). The majority of non-urgent ED patients (88%) had a follow-up contact, usually at an outpatient clinic (67%). Most non-urgent ED patients (83%) who received a diagnostic test also had an outpatient clinic follow-up contact. Of urgent ED patients, the majority had a follow-up contact (85%), mostly with an outpatient clinic (74%). Conclusion Although most out-of-hours care patients present non-urgent health problems, at the ED they are more likely to receive diagnostic tests and follow-up contacts. This may reflect differences in patient populations between the ED and GPC or suggest opportunities for improving efficiency of planning follow-up contacts.

Published
2013

15. Improving quality assessment and collaborative care in child and adolescent psychiatry

Author

Buitelaar, J.K., Wensing, M.J.P., Gaag, R.J. van der, Janssen, M.M.M., Buitelaar, J.K., Wensing, M.J.P., Gaag, R.J. van der, and Janssen, M.M.M.

Abstract

Radboud University, 31 maart 2017, Promotores : Buitelaar, J.K., Wensing, M.J.P., Gaag, R.J. van der, Contains fulltext : 167170.pdf (publisher's version ) (Open Access)

Published
2017

16. Collaboration in teams with nurse practitioners and general practitioners during out-of-hours and implications for patient care; a qualitative study

Author

Biezen, M.G. van der, Wensing, M.J.P., Poghosyan, L., Burgt, R. Van Der, Laurant, M.G., Biezen, M.G. van der, Wensing, M.J.P., Poghosyan, L., Burgt, R. Van Der, and Laurant, M.G.

Abstract

Contains fulltext : 177321.pdf (publisher's version ) (Open Access), BACKGROUND: Increasingly, nurse practitioners (NPs) are deployed in teams along with general practitioners (GPs) to help meet the demand for out-of-hours care. The purpose of this study was to explore factors influencing collaboration between GPs and NPs in teams working out-of-hours. METHODS: A descriptive qualitative study was done using a total of 27 semi-structured interviews and two focus group discussions. Data was collected between June, 2014 and October, 2015 at an out-of-hours primary care organisation in the Netherlands. Overall, 38 health professionals (GPs, NPs, and support staff) participated in the study. The interviews were audio-taped and transcribed verbatim. Two researchers conducted an inductive content analysis, involving the identification of relevant items in a first phase and clustering into themes in a second phase. RESULTS: The following four themes emerged from the data: clarity of NP role and regulation, shared caseload and use of skills, communication concerning professional roles, trust and support in NP practice. Main factors influencing collaboration between GPs and NPs included a lack of knowledge regarding the NPs' scope of practice and regulations governing NP role; differences in teams in sharing caseload and using each other's skills effectively; varying support of GPs for the NP role; and limited communication between GPs and NPs regarding professional roles during the shift. Lack of collaboration was perceived to result in an increased risk of delay for patients who needed treatment from a GP, especially in teams with more NPs. Collaboration was not perceived to improve over time as teams varied across shifts. CONCLUSION: In out-of-hours primary care teams constantly change and team members are often unfamiliar with each other or other's competences. In this environment, knowledge and communication about team members' roles is continuously at stake. Especially in teams with more NPs, team members need to use each other's skills

Published
2017

17. Social support networks of diabetes patients

Author

Wensing, M.J.P., Lieshout, J. van, Koetsenruijter, J., Wensing, M.J.P., Lieshout, J. van, and Koetsenruijter, J.

Abstract

Radboud University, 20 april 2017, Promotor : Wensing, M.J.P. Co-promotor : Lieshout, J. van, Contains fulltext : 169061.pdf (publisher's version ) (Open Access)

Published
2017

18. The impact of nurse practitioners in primary care

Author

Wensing, M.J.P., Laurant, M.G.H., Biezen, M.G.M. van der, Wensing, M.J.P., Laurant, M.G.H., and Biezen, M.G.M. van der

Abstract

Radboud University, 12 oktober 2017, Promotor : Wensing, M.J.P. Co-promotor : Laurant, M.G.H., Contains fulltext : 176481.pdf (publisher's version ) (Open Access), There is a strain on primary health care whose challenges are recognised as increasing demands for care due to an ageing population, and reforms that shift care from hospitals to the community. In the face of these developments, tasks have increasingly been delegated to other staff. This thesis shows that task shifts from general practitioners (GPs) to nurse practitioners results in at least equal patient outcomes. In primary care during out-of-hours was almost 80% of the patients suitable to receive care from a nurse practitioner. With the deployment of nurse practitioners are general practitioners able to focus on the most vulnerable and complex patients. Moreover, nurse practitioners can add additional tasks to primary care as a response to changing patient needs. A shared vision from professional associations on the nurse practitioner role in primary care is a requirement for successful implementation.

Published
2017

20. The impact of the involvement of physician assistants in inpatient care

Author

Wensing, M.J.P., Laurant, M.G.H., Vught, A.J.A.H. van, Timmermans, M.J.C., Wensing, M.J.P., Laurant, M.G.H., Vught, A.J.A.H. van, and Timmermans, M.J.C.

Abstract

Radboud University, 2 oktober 2017, Promotor : Wensing, M.J.P. Co-promotores : Laurant, M.G.H., Vught, A.J.A.H. van, Contains fulltext : 176482.pdf (publisher's version ) (Open Access)

Published
2017

21. Personalised self-management support in primary care: one size does not fit all

Author

Wensing, M.J.P., Lieshout, J. van, Smeele, I.J.M., Eikelenboom, N.W.D., Wensing, M.J.P., Lieshout, J. van, Smeele, I.J.M., and Eikelenboom, N.W.D.

Abstract

Radboud University, 30 maart 2017, Promotor : Wensing, M.J.P. Co-promotores : Lieshout, J. van, Smeele, I.J.M., Contains fulltext : 166990.pdf (publisher's version ) (Open Access)

Published
2017

22. The impact of demand management strategies on parents’ decision-making for out-of-hours primary care: Findings from a survey in the Netherlands

Author

Giessen, M-J., Keizer, E., Pol, J. van de, Knoben, J., Wensing, M.J.P., Giessen, P., Giessen, M-J., Keizer, E., Pol, J. van de, Knoben, J., Wensing, M.J.P., and Giessen, P.

Abstract

Contains fulltext : 170413pub.pdf (publisher's version ) (Open Access), OBJECTIVE: To explore the potential impact of demand management strategies on patient decision-making in medically non-urgent and urgent scenarios during out-of-hours for children between the ages of 0 and 4 years. DESIGN AND METHODS: We conducted a cross-sectional survey with paper-based case scenarios. A survey was sent to all 797 parents of children aged between 0 and 4 years from four Dutch general practitioner (GP) practices. Four demand management strategies (copayment, online advice, overview medical cost and GP appointment next morning) were incorporated in two medically non-urgent and two urgent case scenarios. Combining the case scenarios with the demand management strategies resulted in 16 cases (four scenarios each with four demand management strategies). Each parent randomly received a questionnaire with three different case scenarios with three different demand strategies and a baseline case scenario without a demand management strategy. RESULTS: The response rate was 47.4%. The strategy online advice led to more medically appropriate decision-making for both non-urgent case scenarios (OR 0.26; CI 0.11 to 0.58) and urgent case scenarios (OR 0.16; CI 0.08 to 0.32). Overview of medical cost (OR 0.59; CI 0.38 to 0.92) and a GP appointment planned the next morning (OR 0.57; CI 0.34 to 0.97) had some influence on patient decisions for urgent cases, but not for non-urgent cases. Copayment had no influence on patient decisions. CONCLUSION: Online advice has the highest potential to reduce medically unnecessary use. Furthermore it enhanced safety of parents’ decisions on seeking help for their young children during out-of-hours primary care. Valid online information on health symptoms for patients should be promoted.

Published
2017

25. Ervaringen met de NHG-Praktijkaccreditering

Author

Doorn, A.L. van, Kirschner, K., Bouma, M., Veld, K. in 't, and Wensing, M.J.P.

Subjects
Implementation Science [NCEBP 3]
Abstract

Contains fulltext : 95866.pdf (Publisher’s version ) (Closed access)

Published
2011

26. Review article: Effectiveness of patient care teams and the role of clinical expertise and coordination: a literature review

Author

Bosch, M.C., Faber, M.J., Cruijsberg, J.K., Voerman, G.E., Leatherman, S., Grol, R.P.T.M., Hulscher, M.E.J.L., and Wensing, M.J.P.

Subjects
education, Implementation Science [NCEBP 3], Quality of hospital and integrated care [NCEBP 4]
Abstract

Contains fulltext : 81675.pdf (Publisher’s version ) (Closed access) Health care is increasingly provided by teams of health professionals rather than by individual doctors. For decision makers, it is imperative to identify the critical elements for effective teams to transform health care workplaces into effective team-based environments. The authors reviewed the research literature published between 1990 and February 2008. The available research indicated that teams with enhanced clinical expertise improved professional performance and had mixed effects on patient outcomes. Teams with improved coordination had some positive effects on patient outcomes and limited effects on costs and resource utilization. The combination of enhanced expertise and coordination only showed some limited effect on patient outcomes. The authors conclude that enhancement of the clinical expertise is a potentially effective component of improving the impact of patient care teams. The added value of coordination functions remained unclear. Overall, current studies provide little insight into the underlying mechanisms of teamwork.

Published
2009

27. Clinical risk management of interactions between natural products and drugs

Author

Smet, P.A.G.M. de, Floor-Schreudering, A., Bouvy, M.L., and Wensing, M.J.P.

Subjects
Quality of Care [EBP 4], Pathogenesis and modulation of inflammation [N4i 1], Poverty-related infectious diseases [N4i 3], Implementation Science [NCEBP 3], Microbial pathogenesis and host defense [UMCN 4.1], Mental health [NCEBP 9]
Abstract

Item does not contain fulltext Clinical risk management offers a systematic approach to minimize healthcare-related risks by paying attention to: (1) risk identification and assessment; (2) develop notment and execution of risk reduction strategies; (3) evaluation of risk reduction strategies. This paper reviews these key areas for the risk of interactions between natural products and drugs (NPDIs) to explore how the impact of these interactions on public health can be minimized. It argues that specific components of clinical risk management need to be evaluated, before adoption, and then actively implemented if proven valuable.

Published
2008

28. A randomized study of a multidisciplinary program to intervene on geriatric syndromes in vulnerable older people who live at home (Dutch EASYcare Study)

Author

Melis, R.J.F., Eijken, M.I.J. van, Teerenstra, S., Achterberg, T. van, Parker, S.G., Borm, G.F., Lisdonk, E.H. van de, Wensing, M.J.P., and Olde Rikkert, M.G.M.

Subjects
Quality of Care [EBP 4], Health aging / healthy living [IGMD 5], Cardiovascular diseases [NCEBP 14], Evaluation of complex medical interventions [NCEBP 2], Effective Primary Care and Public Health [EBP 3], Quality of nursing and allied health care [NCEBP 6], Perception and Action [DCN 1], Effective Hospital Care [EBP 2], Alzheimer Centre [NCEBP 11], Quality of hospital and integrated care [NCEBP 4], Mental health [NCEBP 9], Quality of Care [ONCOL 4]
Abstract

Contains fulltext : 69122.pdf (Publisher’s version ) (Closed access) BACKGROUND: The effectiveness of community-based geriatric intervention models for vulnerable older adults is controversial. We evaluated a problem-based multidisciplinary intervention targeting vulnerable older adults at home that promised efficacy through better timing and increased commitment of patients and primary care physicians. This study compared the effects of this new model to usual care. METHODS: Primary care physicians referred older people for problems with cognition, nutrition, behavior, mood, or mobility. One hundred fifty-one participants (mean age 82.2 years, 74.8% women) were included in a pseudocluster randomized trial with 6-month follow-up for the primary outcomes. Eighty-five participants received the new intervention, and 66 usual care. In the intervention arm, geriatric nurses visited patients at home for geriatric assessment and management in cooperation with primary care physicians and geriatricians. Modified intention-to-treat analyses focused on differences between treatment arms in functional abilities (Groningen Activity Restriction Scale-3) and mental well-being (subscale mental health Medical Outcomes Study [MOS]-20), using a mixed linear model. RESULTS: After 3 months, treatment arms showed significant differences in favor of the new intervention. Functional abilities improved 2.2 points (95% confidence interval [CI], 0.3-4.2) and well-being 5.8 points (95% CI, 0.1-11.4). After 6 months, the favorable effect increased for well-being (9.1; 95% CI, 2.4-15.9), but the effect on functional abilities was no longer significant (1.6; 95% CI, -0.7 to 3.9). CONCLUSIONS: This problem-based geriatric intervention improved functional abilities and mental well-being of vulnerable older people. Problem-based interventions can increase the effectiveness of primary care for this population.

Published
2008
Full Text
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30. [Evidence-based clinical oral healthcare guidelines 4. Adherence requires an implementation strategy]

Author

Braspenning, J.C.C., Mettes, T.G.P.H., Sanden, W.J.M. van der, and Wensing, M.J.P.

Subjects
Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10], Other Research Radboud Institute for Health Sciences [Radboudumc 0], Vascular damage Radboud Institute for Health Sciences [Radboudumc 16], Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]
Abstract

Item does not contain fulltext Adherence to clinical guidelines requires support in practice. However, systematic implementation of evidence-based guidelines is not common practice in oral healthcare. The Knowledge Institute Oral Care (KiMo) offers the opportunity to take into account potential barriers and facilitators during the development of evidence-based clinical practice guidelines. These factors which are relevant to the guideline and the oral healthcare practice provide the ingredients for a tailor-made programme of implementation that has a scientific basis. Elements of any implementation programme are the quality indicators derived from the oral healthcare guidelines. These indicators should fit, on the one hand, the specific goals of the guidelines (patient safety, effectiveness, efficiency, patient-centred, timeliness, accessibility) and, onthe other hand, the various perspectives of the different stakeholders, such as patients, caregivers, health insurers and inspectorate. These quality indicators provide information on adherence to the guidelines, the results of a certain treatment and the success of the implementation strategy, all with the aim to improve the quality of oral healthcare. Publisher: Abstract available from the publisher. dut

Published
2015

33. De samenwerking tussen huisartsen en de GGZ is voor verbetering vatbaar

Author

Heideman, J.M.C., Laurant, M.G.H., Lin, N.G.C.B. van, Verhaak, P., Wensing, M.J.P., and Grol, R.P.T.M.

Subjects
Quality of Care [EBP 4], Implementation Science [NCEBP 3], Quality of hospital and integrated care [NCEBP 4], Mental health [NCEBP 9]
Abstract

Item does not contain fulltext

Published
2006

34. Older patients' views on their involvement in general practice consultations: an interview study. (Ouderen over hun rol in het huisartsenconsult: een interviewstudie)

Author

Wetzels, R.V., Wensing, M.J.P., Weel, C. van, and Grol, R.P.T.M.

Subjects
Quality of Care [EBP 4], Cardiovascular diseases [NCEBP 14], Implementation Science [NCEBP 3], Effective primary care and public health [NCEBP 7], Quality of hospital and integrated care [NCEBP 4], Mental health [NCEBP 9], GeneralLiterature_REFERENCE(e.g.,dictionaries,encyclopedias,glossaries)
Abstract

Contains fulltext : 49014.pdf (Publisher’s version ) (Open Access)

Published
2005

35. Personalized drug therapy management in patients with renal impairment

Author

Smet, P.A.G.M. de, Wensing, M.J.P., Derijks, H.J., Eppenga, W.L., Smet, P.A.G.M. de, Wensing, M.J.P., Derijks, H.J., and Eppenga, W.L.

Abstract

12 januari 2016, Promotores : Smet, P.A.G.M. de, Wensing, M.J.P. Co-promotor : Derijks, H.J., Contains fulltext : 150179.pdf (publisher's version ) (Open Access)

Published
2016

36. Patient experiences with family medicine: a longitudinal study after the Dutch health care reforms in 2006

Author

Hombergh, P. van den, Doorn-Klomberg, A. van, Campbell, S., Wensing, M.J.P., Braspenning, J.C.C., Hombergh, P. van den, Doorn-Klomberg, A. van, Campbell, S., Wensing, M.J.P., and Braspenning, J.C.C.

Abstract

Contains fulltext : 171134.pdf (publisher's version ) (Open Access), BACKGROUND: In 2006 The Dutch Health Care system changed to a market oriented system. The GP remuneration changed from +/- 2/3 capitation patients and 1/3 private patients before 2006 to a mixed payment scheme. From 2006 onward every patient was insured and the GP received partly capitation, partly fees for consultations and for specific services. This change coincided with many other organisational changes in General Practice care. Our research question was if during the years after 2006 patient experiences of Dutch family practice had changed. We also wanted to explore the influence of patient and practice characteristics on patient experiences. Data on patient experiences were available from 2007 to 2012. METHOD: In a series of annual cross sectional patient surveys the performance of GPs and practices was measured. Patient sampling took place as a part of the Dutch accreditation program in 1657 practices involving 2966 GPs. Patients' experiences, gender, age, health status, and number of annual consultations were documented as well as the type and location of practices. Linear regression analysis was used to examine time trends in patient experiences and the impact of patient and practice characteristics. RESULTS: 78,985 patients assessed the performance of 2966 GPs, and 45,773 patients assessed the organisation of 1657 practices. The number of patients with positive experiences increased significantly between 2007 and 2012; respectively 4.8 % for GPs (beta 0.20 and p < 0.0001) and 6.6 % for practices (beta 0.10, p < 0.004). Higher age, having no chronic illness, more frequent consultations and attending single-handed practices, predicted better patient experiences. CONCLUSIONS: In our evaluation of patient experiences with general practice care from 2007 to 2012 we found an increase of 4.8 % for GPs and 6.6 % for practices respectively. This improvement is significant. While no direct causation can be made, possible explanations may be found in the various refo

Published
2016

37. Prevention of risky alcohol consumption in primary health care. Do professionals care?

Author

Wensing, M.J.P., Anderson, P., Laurant, M.G.H., Heinen, M.M., Keurhorst, M.N., Wensing, M.J.P., Anderson, P., Laurant, M.G.H., Heinen, M.M., and Keurhorst, M.N.

Abstract

4 juli 2016, Promotores : Wensing, M.J.P., Anderson, P. Co-promotores : Laurant, M.G.H., Heinen, M.M., Contains fulltext : 157663.pdf (publisher's version ) (Open Access)

Published
2016

38. Improving diagnosis of skin cancer in primary care

Author

Wensing, M.J.P., Rosemann, T.J., Senn, O., Badertscher, N.S., Wensing, M.J.P., Rosemann, T.J., Senn, O., and Badertscher, N.S.

Abstract

RU Radboud Universiteit, 26 april 2016, Promotores : Wensing, M.J.P., Rosemann, T.J. Co-promotor : Senn, O., Contains fulltext : 156485.pdf (publisher's version ) (Open Access)

Published
2016

39. Making the connection. Implementing lifestyle interventions in healthcare

Author

Achterberg, T. van, Wensing, M.J.P., Heinen, M.M., Glind, I.M. van de, Achterberg, T. van, Wensing, M.J.P., Heinen, M.M., and Glind, I.M. van de

Abstract

14 april 2016, Promotores : Achterberg, T. van, Wensing, M.J.P. Co-promotor : Heinen, M.M., Contains fulltext : 156489.pdf (publisher's version ) (Open Access)

Published
2016

40. What drives change? Barriers to and incentives for achieving evidence-based practice

Author

Grol, R.P.T.M. and Wensing, M.J.P.

Subjects
Quality of Care [EBP 4]
Abstract

Contains fulltext : 59046.pdf (Publisher’s version ) (Closed access) To bridge the gap between scientific evidence and patient care we need an in-depth understanding of the barriers and incentives to achieving change in practice. Various theories and models for change point to a multitude of factors that may affect the successful implementation of evidence. However, the evidence for their value in the field is still limited. When planning complex changes in practice, potential barriers at various levels need to be addressed. 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.

Published
2004

41. Patient involvement in general practice care: a pragmatic framework

Author

Wensing, M.J.P. and Baker, R.

Subjects
Quality of Care [EBP 4]
Abstract

Item does not contain fulltext This paper presents a pragmatic framework to guide decisions on involving people in general practice care. Patient involvement may be defined as: enabling patients to take an active role in deciding about and planning their healthcare. It can be located at different levels of care, including the patient-clinician contact or episode of care, and the patient population served by a care provider, or the regional or national population. The involvement of patients depends on considerations that include the aim of patient involvement, the type of health decision, and the type of patient. With respect to the aims, the fundamental question is whether involvement is seen as desirable in itself, or whether it is expected to result in favourable consequences. We suggest that patients' ability and willingness to be involved should determine the level of involvement. The concept of involving patients is relatively new, and new approaches are required to overcome obstacles for its implementation in healthcare.

Published
2003

42. Lower urinary tract symptoms: social influence is more important than symptoms in seeking medical care

Author

Wolters, R.J., Wensing, M.J.P., Weel, C. van, Wilt, G.J. van der, and Grol, R.P.T.M.

Subjects
Medical Technology Assessment, General Practice, Centre for Quality of Care Research
Abstract

Item does not contain fulltext OBJECTIVE: To determine associations among lower urinary tract symptoms (LUTS), symptom severity, subjective beliefs and social influences when seeking primary medical care in men aged > or = 50 years. SUBJECTS AND METHODS: A population-based survey was conducted among 5052 men aged > or = 50 years, using patient registers of 22 general practitioners (GPs) in the Netherlands from November 1999 to May 2000. The questionnaire contained items concerning age, educational level, International Prostate Symptom Score (IPSS), bothersome score (BS), and questions from the Health Belief Model on attitude and social influences. The study population comprised men with an IPSS openface> 7. The odds ratios (ORs) corrected for the IPSS were calculated. RESULTS: In all, 3544 questionnaires (70.2%) were returned. Two groups of men with an IPSS openface> 7 were compared: those who consulted their GP in the previous 2 years because of voiding problems (268 cases) and the controls (272) who did not visit a GP for these symptoms. Cases more often thought a physician could improve their condition (OR 2.85), appeared to be more often advised by others to seek medical care (OR 6.36) and thought more often that this advice influenced their decision (OR 13.95). They also had more frequently received information from the media (OR 2.66) which affected their attendance (OR 12.52). In a multiple regression analysis, advice from others or information from the media were stronger predictors of seeking care than the influence of symptoms on daily life, the IPSS or the BS. CONCLUSION: Social influences, i.e. advice from others or the media, were more important factors in the decision to seek medical care than symptom severity.

Published
2002
Full Text
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43. [Developing a tailored intervention: implementing recommendations for polypharmacy in multimorbid patients (PomP)]

Author

Jager, C., Szecsenyi, J., Freund, T., Reichel, J.K., Kuhlmey, C., Wensing, M.J.P., and Steinhauser, J.

Subjects
Vascular damage Radboud Institute for Health Sciences [Radboudumc 16]
Abstract

Item does not contain fulltext INTRODUCTION: Implementation research deals with the question of how to ensure that evidence-based knowledge is put into practice. One approach is the development of "tailored interventions (TI)". These are designed to address previously identified barriers and enablers. A common definition or methodological concept for TI has not yet been established. In this paper, a concept for TI is introduced. We describe the stepwise development of an implementation intervention for GP settings where recommendations based on current evidence are provided for the treatment of multimorbid patients receiving polypharmacy. Each step will be explained and illustrated by original data. METHODS/RESULTS: A stepwise approach was used to develop a TI: problem analysis, identification and prioritisation of determinants, identification and prioritisation of strategies and the design of a complex intervention and its underlying logic model. DISCUSSION: The stepwise exemplary description of this tailoring strategy may support other researchers in this field when designing a TI.

Published
2014

45. Spoedeisende geneeskunde: het patiëntenperspectief

Author

Wensing, M.J.P. and Giesen, P.H.J.

Subjects
Patiëntenoordelen over de kwaliteit van zorg, Patient judgements about the quality of care
Abstract

Item does not contain fulltext 4 p.

Published
2000

46. On the trail of quality and safety in health care

Author

Grol, R.P.T.M., Berwick, D.M., and Wensing, M.J.P.

Subjects
Quality of Care [EBP 4], Implementation Science [NCEBP 3], Quality of hospital and integrated care [NCEBP 4], Mental health [NCEBP 9]
Abstract

Contains fulltext : 71323.pdf (Publisher’s version ) (Closed access)

Published
2008

47. Annual acknowledgement of manuscript reviewers

Author

Sales, A., Wensing, M.J.P., Sales, A., and Wensing, M.J.P.

Abstract

Contains fulltext : 154255.pdf (publisher's version ) (Open Access), CONTRIBUTING REVIEWERS: The editors of Implementation Science would like to thank all our reviewers and editors who have contributed to the journal in Volume 9 (2014).

Published
2015

48. Learning from medication errors through a nationwide reporting programme

Author

Smet, P.A.G.M. de, Wensing, M.J.P., Bouvy, M.L., Bemt, P.M.L.A. van den, Cheung, K.C., Smet, P.A.G.M. de, Wensing, M.J.P., Bouvy, M.L., Bemt, P.M.L.A. van den, and Cheung, K.C.

Abstract

Radboud Universiteit Nijmegen, 17 april 2015, Promotores : Smet, P.A.G.M. de, Wensing, M.J.P., Bouvy, M.L. Co-promotor : Bemt, P.M.L.A. van den, Contains fulltext : 139519.pdf (publisher's version ) (Open Access), One of the strategies to enhance patient safety is the spontaneous reporting and analysis of medication errors. Sharing this information with other healthcare providers will help to prevent the reoccurrence of similar medication errors. In The Netherlands medication errors can be reported to a nationwide reporting programme named Central Medication incidents Registration (CMR). The research in this thesis focuses on the usefulness of the CMR as a patient safety-enhancing tool for healthcare providers. Three domains in this programme are highlighted: (1) furthering the input of data to the CMR; (2) basics of the CMR database and exploration of different analytic methods; and (3) the creation and uptake of relevant output.

Published
2015

50. Practice accreditation to improve cardiovascular risk management in general practice

Author

Wensing, M.J.P., Lieshout, J. van, Braspenning, J.C.C., Nouwens, E.S., Wensing, M.J.P., Lieshout, J. van, Braspenning, J.C.C., and Nouwens, E.S.

Abstract

Radboud Universiteit Nijmegen, 26 februari 2015, Promotor : Wensing, M.J.P. Co-promotores : Lieshout, J. van, Braspenning, J.C.C., Contains fulltext : 135626.pdf (publisher's version ) (Open Access)

Published
2015

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