Assessment of the quality of fall detection and management in primary care in the Netherlands based on the ACOVE quality indicators

BackgroundSuboptimal use of antibiotics may lead to antimicrobial resistance. The aim of this study was to develop and assess two new quality indicators (QIs) of optimal community-based prescribing applied to childhood community antibiotic (AB) prescribing in three European countries.MethodsA cohort study was conducted using electronic primary care medical records of 2,195,312 children up to 14 (Italy, Pedianet database, 2001–2010) or 18 years of age (UK, THIN database, 1995–2010; the Netherlands, IPCI database, 1996–2010) contributing for a total of 12,079,620 person-years (PYs). Prevalence rates of antibiotic prescribing were defined as the number of children with at least one antibiotic prescription per year and were expressed as the number of users per 100 PYs (%). Quality of prescribing was determined using four QIs: the drug utilisation 90% method, the ratio between users of broad and narrow spectrum penicillins, cephalosporins and macrolides (B/N ratio) and two new QMs: (i) the overall proportion of amoxicillin users (amoxicillin index, AI); (ii) the ratio between users of amoxicillin and those of broad spectrum antibiotics (the A/B ratio).ResultsThe overall annual prevalence of antibiotic prescriptions was 18% in the Netherlands, 36.2% in the UK and 52% in Italy. Prevalence was highest in the youngest children. Almost half of all prescriptions included amoxicillin with or without clavulanic acid. Cephalosporins were frequently prescribed in Italy. The AI provided trends for the utilization of a relatively narrow spectrum option targeting acute respiratory infections, and was highest in the Netherlands and in the UK (50–60%) and lower in Italy (30%), with a slight decrease over time in the UK and Italy. The overall B/N ratio varied between countries from 0.3 to 74.7, whereas the overall A/B ratio varied less from 0.5 in Italy to 6 in the UK, indicating a substantial proportion of narrower-spectrum prescribing in the UK.ConclusionsThe prevalence of antibiotic prescribing varied highly with age and country. A combination of total antibiotic prevalence and quality of prescribing based on amoxicillin use provide a clear picture of community childhood antibiotic prescribing. These measures could be used to evaluate the impact of programs aiming at reduction of AB use and appropriate antibiotic prescribing.

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Are midwives in the Netherlands satisfied with their jobs? A systematic examination of satisfaction levels among hospital and primary-care midwives in the Netherlands

BMC Health Services Research ◽

10.1186/s12913-019-4454-x ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 2

Author(s):

Doug Cronie ◽

Hilde Perdok ◽

Corine Verhoeven ◽

Suze Jans ◽

Marieke Hermus ◽

...

Keyword(s):

Primary Care ◽

Job Satisfaction ◽

The Netherlands ◽

Online Survey ◽

Working Hours ◽

Models Of Care ◽

Private Life ◽

Workplace Relations ◽

Support At Work

Abstract Background Job satisfaction is generally considered to be an important element of work quality and workplace relations. Little is known about levels of job satisfaction among hospital and primary-care midwives in the Netherlands. Proposed changes to the maternity care system in the Netherlands should consider how the working conditions of midwives affect their job satisfaction. Aim We aimed to measure and compare job satisfaction among hospital and primary-care midwives in the Netherlands. Methods Online survey of all practising midwives in the Netherlands using a validated measure of job satisfaction (the Leiden Quality of Work Questionnaire) to analyze the attitudes of hospital and primary-care midwives about their work. Descriptive and inferential statistics were used to assess differences between the two groups. Results Approximately one in six of all practising midwives in the Netherlands responded to our survey (hospital midwives n = 103, primary-care midwives n = 405). All midwives in our survey were satisfied with their work (n = 508). However, significant differences emerged between hospital and primary-care midwives in terms of what was most important to them in relation to their job satisfaction. For hospital midwives, the most significant domains were: working hours per week, workplace agreements, and total years of experience. For primary-care midwives, social support at work, work demands, job autonomy, and the influence of work on their private life were most significant. Conclusion Although midwives were generally satisfied, differences emerged in the key predictors of job satisfaction between hospital and primary-care midwives. These differences could be of importance when planning workforce needs and should be taken into consideration by policymakers in the Netherlands and elsewhere when planning new models of care.

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Quality of after-hours primary care in the Netherlands: adherence to national guidelines

BMJ Quality & Safety ◽

10.1136/bmjqs.2010.043091 ◽

2011 ◽

Vol 20 (3) ◽

pp. 223-227 ◽

Cited By ~ 12

Author(s):

M. Willekens ◽

P. Giesen ◽

E. Plat ◽

H. Mokkink ◽

J. Burgers ◽

...

Keyword(s):

Primary Care ◽

The Netherlands ◽

National Guidelines ◽

After Hours

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Development and Operationalization of a Data Framework to Assess Quality of Integrated Diabetes Care in the Fragmented Data Landscape of Belgium

10.21203/rs.3.rs-1173627/v1 ◽

2022 ◽

Author(s):

Veerle Buffel ◽

Katrien Danhieux ◽

Philippe Bos ◽

Roy Remmen ◽

Josefien Van Olmen ◽

...

Keyword(s):

Primary Care ◽

Quality Of Care ◽

Quality Indicators ◽

Diabetes Care ◽

Care Practice ◽

Data Framework ◽

Related Quality ◽

Quality Of Diabetes Care ◽

Sampling Procedures

Abstract Background. To assess the quality of integrated diabetes care, we should be able to follow the patient throughout the care path, monitor his/her care process and link them to his/her health outcomes, while simultaneously link this information to the primary care system and its performance on the structure and organization related quality indicators. However the development process of such a data framework is challenging, even in period of increasing and improving health data storage and management. This study aims to develop an integrated multi-level data framework for quality of diabetes care and to operationalize this framework in the fragmented Belgium health care and data landscape.Methods. Based on document reviews and iterative expert consultations, theoretical approaches and quality indicators were identified and assessed. After mapping and assessing the validity of existing health information systems and available data sources through expert consultations, the theoretical framework was translated in a data framework with measurable quality indicators. The construction of the data base included sampling procedures, data-collection, and several technical and privacy-related aspects of linking and accessing Belgian datasets.Results. To address three dimensions of quality of care, we integrated the chronic care model and cascade of care approach, addressing respectively the structure related quality indicators and the process and outcome related indicators. The corresponding data framework is based on self-collected data at the primary care practice level (using the Assessment of quality of integrated care tool), and linked health insurance data with lab data at the patient level. Conclusion. In this study, we have described the transition of a theoretical quality of care framework to a unique multilevel database, which allows assessing the quality of diabetes care, by considering the complete care continuum (process and outcomes) as well as organizational characteristics of primary care practices.

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AHRQ prevention quality indicators to assess the quality of primary care of local providers: a pilot study from Italy

European Journal of Public Health ◽

10.1093/eurpub/ckt203 ◽

2013 ◽

Vol 24 (5) ◽

pp. 745-750 ◽

Cited By ~ 16

Author(s):

Lamberto Manzoli ◽

Maria Elena Flacco ◽

Corrado De Vito ◽

Silvia Arcà ◽

Flavia Carle ◽

...

Keyword(s):

Primary Care ◽

Pilot Study ◽

Quality Indicators ◽

Quality Of Primary Care ◽

Prevention Quality Indicators

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Quality of antibiotic prescription during office hours and out-of-hours in Flemish primary care, using European quality indicators

European Journal of General Practice ◽

10.3109/13814788.2013.828200 ◽

2013 ◽

Vol 20 (2) ◽

pp. 114-120 ◽

Cited By ~ 23

Author(s):

Niels Adriaenssens ◽

Stefaan Bartholomeeusen ◽

Philippe Ryckebosch ◽

Samuel Coenen

Keyword(s):

Primary Care ◽

Quality Indicators ◽

Antibiotic Prescription ◽

Out Of Hours

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Quality indicators for the prevention and management of cardiovascular disease in primary care in nine European countries

European Journal of Cardiovascular Prevention & Rehabilitation ◽

10.1097/hjr.0b013e328302f44d ◽

2008 ◽

Vol 15 (5) ◽

pp. 509-515 ◽

Cited By ~ 52

Author(s):

Stephen M. Campbell ◽

Sabine Ludt ◽

Jan Van Lieshout ◽

Nicole Boffin ◽

Michel Wensing ◽

...

Keyword(s):

Cardiovascular Disease ◽

Primary Care ◽

Quality Indicators ◽

Preventive Care ◽

Cardiovascular Prevention ◽

European Countries ◽

The European Union ◽

Wide Range ◽

Cardiovascular Care

Background With free movement of labour in Europe, European guidelines on cardiovascular care and the enlargement of the European Union to include countries with disparate health care systems, it is important to develop common quality standards for cardiovascular prevention and risk management across Europe. Methods Panels from nine European countries (Austria, Belgium, Finland, France, Germany, Netherlands, Slovenia, United Kingdom and Switzerland) developed quality indicators for the prevention and management of cardiovascular disease in primary care. A two-stage modified Delphi process was used to identify indicators that were judged valid for necessary care. Results Forty-four out of 202 indicators (22%) were rated as valid. These focused predominantly on secondary prevention and management of established cardiovascular disease and diabetes. Less agreement on indicators of preventive care or on indicators for the management of hypertension and hypercholesterolemia in patients without established disease was observed. Although 85% of the 202 potential indicators assessed were rated valid by at least one panel, lack of consensus among panels meant that the set that could be agreed upon among all panels was much smaller. Conclusion Indicators for the management of established cardiovascular disease have been developed, which can be used to measure the quality of cardiovascular care across a wide range of countries. Less agreement on how the quality of preventive care should be assessed was observed, probably caused by differences in health systems, culture and attitudes to prevention.

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