scholarly journals Quality of care for anxiety and depression in different ethnic groups by family practitioners in urban areas in the Netherlands

2010 ◽  
Vol 32 (4) ◽  
pp. 368-376 ◽  
Author(s):  
Thijs Fassaert ◽  
Mark Nielen ◽  
Robert Verheij ◽  
Arnoud Verhoeff ◽  
Jack Dekker ◽  
...  
Keyword(s):  
Quality Of Care ◽  
The Netherlands ◽  
Ethnic Groups ◽  
Urban Areas ◽  
Anxiety And Depression ◽  
Family Practitioners

Gender differences across racial and ethnic groups in the quality of care for diabetes

2006 ◽  
Vol 16 (2) ◽  
pp. 56-65 ◽  
Author(s):  
Rosaly Correa-de-Araujo ◽  
Kelly McDermott ◽  
Ernest Moy
Keyword(s):  
Gender Differences ◽  
Quality Of Care ◽  
Ethnic Groups

A Multimodal Strategy Based on Pay-Per-Performance to Improve Quality of Care of Family Practitioners in Argentina

2009 ◽  
Vol 32 (2) ◽  
pp. 103-114 ◽  
Author(s):  
Adolfo Rubinstein ◽  
Fernando Rubinstein ◽  
Marcela Botargues ◽  
Mariela Barani ◽  
Karin Kopitowski
Keyword(s):  
Quality Of Care ◽  
Improve Quality ◽  
Multimodal Strategy ◽  
Family Practitioners

Volume- or outcome-based referral to improve quality of care for esophageal cancer surgery in The Netherlands

2009 ◽  
Vol 99 (8) ◽  
pp. 481-487 ◽  
Author(s):  
M.W.J.M. Wouters ◽  
P. Krijnen ◽  
S. Le Cessie ◽  
G.A. Gooiker ◽  
O.R. Guicherit ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Quality Of Care ◽  
The Netherlands ◽  
Cancer Surgery ◽  
Improve Quality ◽  
Esophageal Cancer Surgery

scholarly journals Mobile App for Monitoring 3-Month Postoperative Functional Outcome After Hip Fracture: Usability Study

10.2196/16989 ◽  
2020 ◽  
Vol 7 (3) ◽  
pp. e16989
Author(s):  
Merle A J Geerds ◽  
Wieke S Nijmeijer ◽  
J H Hegeman ◽  
Miriam M R Vollenbroek-Hutten
Keyword(s):  
Quality Of Care ◽  
Hip Fracture ◽  
The Netherlands ◽  
Hip Fractures ◽  
Cognitive Disorders ◽  
Mobile App ◽  
Technical Problems ◽  
Facilitating Conditions

Background As a result of an aging population, there has been an increasing incidence of hip fractures worldwide. In the Netherlands, in order to improve the quality of care for elderly patients with hip fractures, the multidisciplinary Centre for Geriatric Traumatology was established in 2008 at the Department of Trauma Surgery at Ziekenhuisgroep Twente hospital (located in Almelo and Hengelo in the Netherlands). Objective Though the Dutch Hip Fracture audit is used to monitor the quality of care for patients with fractures of the hip, only 30.7% of patients complete registration in the 3-month follow-up period. Mobile apps offer an opportunity for improvement in this area. The aim of this study was to investigate the usability and acceptance of a mobile app for gathering indicators of quality of care in a 3-month follow-up period after postoperative treatment of hip fracture. Methods From July 2017 to December 2017, patients who underwent surgical treatment for hip fracture were recruited. Patients and caregivers, who were collectively considered the participant cohort, were asked to download the app and answer a questionnaire. Participants were divided into two groups—those who downloaded the app and those who did not download the app. A telephone interview that was based upon the Unified Theory of Acceptance and Use of Technology was conducted with a subset of participants from each group (1:1 ratio). This study was designated as not being subject to the Dutch Medical Research Involving Human Subjects Act according to the appropriate medical research ethics committees. Results Of the patients and caregivers who participated, 26.4% (29/110) downloaded the app, whereas 73.6% (81/110) did not. Telephone interviews with the subset of participants (n=24 per group) revealed that 54.0% (13/24) of the group of participants who did not download the app had forgotten the study. Among the group who downloaded the app, 95.8% (23/24) had the intention of completing the questionnaire, but only 4.2% (1/24) did so. The reasons for not completing the questionnaire included technical problems, cognitive disorders, or patient dependency on caregivers. Most participants in the group who downloaded the app self-reported a high level of expertise in using a smartphone (22/24, 91.7%), and sufficient facilitating conditions for using a smartphone were self-reported in both groups (downloaded the app: 23/24, 95.8%; did not download the app: 21/24, 87.5%), suggesting that these factors were not barriers to completion. Conclusions Despite self-reported intention to use the app, smartphone expertise, and sufficient facilitating conditions for smartphone use, implementation of the mobile app was infeasible for daily practice. This was due to a combination of technical problems, factors related to the implementation process, and the population of interest having cognitive disorders or a dependency on caregivers for mobile technology.

scholarly journals What is the impact on the readmission ratio of taking into account readmissions to other hospitals? A cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e025740 ◽  
Author(s):  
Karin Hekkert ◽  
Ine Borghans ◽  
Sezgin Cihangir ◽  
Gert P Westert ◽  
Rudolf B Kool
Keyword(s):  
Quality Of Care ◽  
The Netherlands ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Discriminative Ability ◽  
Cross Sectional ◽  
Medical Specialties ◽  
C Statistic ◽  
The Impact

ObjectivesReadmissions are used widespread as an indicator of the quality of care within hospitals. Including readmissions to other hospitals might have consequences for hospitals. The aim of our study is to determine the impact of taking into account readmissions to other hospitals on the readmission ratio.Design and settingWe performed a cross-sectional study and used administrative data from 77 Dutch hospitals (2 333 173 admissions) in 2015 and 2016 (97% of all hospitals). We performed logistic regression analyses to calculate 30-day readmission ratios for each hospital (the number of observed admissions divided by the number of expected readmissions based on the case mix of the hospital, multiplied by 100). We then compared two models: one with readmissions only to the same hospital, and another with readmissions to any hospital in the Netherlands. The models were calculated on the hospital level for all in-patients and, in more detail, on the level of medical specialties.Main outcome measuresPercentage of readmissions to another hospital, readmission ratios same hospital and any hospital and C-statistic of each model in order to determine the discriminative ability.ResultsThe overall percentage of readmissions was 10.3%, of which 91.1% were to the same hospital and 8.9% to another hospital. Patients who went to another hospital were younger, more often men and had fewer comorbidities. The readmission ratios for any hospital versus the same hospital were strongly correlated (r=0.91). There were differences between the medical specialties in percentage of readmissions to another hospital and C-statistic.ConclusionsThe overall impact of taking into account readmissions to other hospitals seems to be limited in the Netherlands. However, it does have consequences for some hospitals. It would be interesting to explore what causes this difference for some hospitals and if it is related to the quality of care.

scholarly journals Prospective cohort study of patients with advanced cancer and their relatives on the experienced quality of care and life (eQuiPe study): a study protocol

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Janneke van Roij ◽  
◽  
Myrte Zijlstra ◽  
Laurien Ham ◽  
Linda Brom ◽  
...  
Keyword(s):  
Palliative Care ◽  
Cohort Study ◽  
Quality Of Care ◽  
The Netherlands ◽  
Advanced Cancer ◽  
Number Of Patients ◽  
Changes Over Time ◽  
Prospective Longitudinal ◽  
Over Time

Abstract Background Palliative care is becoming increasingly important because the number of patients with an incurable disease is growing and their survival is improving. Previous research tells us that early palliative care has the potential to improve quality of life (QoL) in patients with advanced cancer and their relatives. According to limited research on palliative care in the Netherlands, patients with advanced cancer and their relatives find current palliative care suboptimal. The aim of the eQuiPe study is to understand the experienced quality of care (QoC) and QoL of patients with advanced cancer and their relatives to further improve palliative care. Methods A prospective longitudinal observational cohort study is conducted among patients with advanced cancer and their relatives. Patients and relatives receive a questionnaire every 3 months regarding experienced QoC and QoL during the palliative trajectory. Bereaved relatives receive a final questionnaire 3 to 6 months after the patients’ death. Data from questionnaires are linked with detailed clinical data from the Netherlands Cancer Registry (NCR). By means of descriptive statistics we will examine the experienced QoC and QoL in our study population. Differences between subgroups and changes over time will be assessed while adjusting for confounding factors. Discussion This study will be the first to prospectively and longitudinally explore experienced QoC and QoL in patients with advanced cancer and their relatives simultaneously. This study will provide us with population-based information in patients with advanced cancer and their relatives including changes over time. Results from the study will inform us on how to further improve palliative care. Trial registration Trial NL6408 (NTR6584). Registered in Netherlands Trial Register on June 30, 2017.

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