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

2011 ◽  
Vol 20 (3) ◽  
pp. 223-227 ◽  
Author(s):  
M. Willekens ◽  
P. Giesen ◽  
E. Plat ◽  
H. Mokkink ◽  
J. Burgers ◽  
...  
Keyword(s):  
Primary Care ◽  
The Netherlands ◽  
National Guidelines ◽  
After Hours

Quality of After-Hours Primary Care in the Netherlands: A Narrative Review

2011 ◽  
Vol 155 (2) ◽  
pp. 108 ◽  
Author(s):  
Paul Giesen ◽  
Marleen Smits ◽  
Linda Huibers ◽  
Richard Grol ◽  
Michel Wensing
Keyword(s):  
Primary Care ◽  
The Netherlands ◽  
Narrative Review ◽  
After Hours

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

2019 ◽  
Vol 19 (1) ◽  
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.

Lean maturity and quality in primary care

2019 ◽  
Vol 33 (2) ◽  
pp. 141-154 ◽  
Author(s):  
Monica Kaltenbrunner ◽  
Svend Erik Mathiassen ◽  
Lars Bengtsson ◽  
Maria Engström
Keyword(s):  
Primary Care ◽  
Quality Of Care ◽  
Satisfaction With Care ◽  
National Guidelines ◽  
Content Type ◽  
Lean Principles ◽  
Quality Of Primary Care ◽  
Further Development ◽  
Practical Implications

Purpose The purpose of this paper is twofold: first, to describe Lean maturity in primary care using a questionnaire based on Liker’s description of Lean, complemented with observations; and second, to determine the extent to which Lean maturity is associated with quality of care measured as staff-rated satisfaction with care and adherence to national guidelines (NG). High Lean maturity indicates adoption of all Lean principles throughout the organization and by all staff. Design/methodology/approach Data were collected using a survey based on Liker’s four principles, divided into 16 items (n=298 staff in 45 units). Complementary observations (n=28 staff) were carried out at four units. Findings Lean maturity varied both between and within units. The highest Lean maturity was found for “adhering to routines” and the lowest for “having a change agent at the unit.” Lean maturity was positively associated with satisfaction with care and with adherence to NG to improve healthcare quality. Practical implications Quality of primary care may benefit from increasing Lean maturity. When implementing Lean, managers could benefit from measuring and adopting Lean maturity repeatedly, addressing all Liker’s principles and using the results as guidance for further development. Originality/value This is one of the first studies to evaluate Lean maturity in primary care, addressing all Liker’s principles from the perspective of quality of care. The results suggest that repeated actions based on evaluations of Lean maturity may help to improve quality of care.

scholarly journals Food Consumption, Nutrient Intake and Status during the First 1000 days of Life in the Netherlands: a Systematic Review

Nutrients ◽  
2019 ◽  
Vol 11 (4) ◽  
pp. 860
Author(s):  
ter Borg ◽  
Koopman ◽  
Verkaik-Kloosterman
Keyword(s):  
Systematic Review ◽  
The Netherlands ◽  
Food Consumption ◽  
Early Life ◽  
Nutrient Intake ◽  
National Guidelines ◽  
Nutritional Guidelines ◽  
Nutritional Needs ◽  
Nutritional Data

Adequate nutrition is essential for growth and development in early life. Nutritional data serves as a basis for national nutritional guidelines and policies. Currently, there is no insight into the availability of such data during the first 1000 days of life. Therefore, a systematic review was performed, following the PRISMA reporting guideline, to identify studies on food consumption, nutrient intake or status in the Netherlands. Potential gaps were identified, and the quality of the studies is discussed. The databases Embase and Medline were used, as well as databases from national institutes. Articles published in 2008–2018 were screened by two independent reviewers. In total 601 articles were identified, of which 173 were included. For pregnant women, 32 studies were available with nutritional data, for young children 40 studies were identified. No studies were available for breastfeeding women. A large variety of foods and nutrients were assessed, however certain nutrients were lacking (e.g., vitamin K). Overall, the studies had methodological limitations, making the data unsuitable to assess nutrient inadequacies. There is a need for recent, high quality nutritional research to strengthen the understanding of the nutritional needs and deficiencies during early life, and is fundamental for national guidelines and policies.

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

2015 ◽  
Vol 27 (2) ◽  
pp. 569-576 ◽  
Author(s):  
M. Askari ◽  
S. Eslami ◽  
M. van Rijn ◽  
S. Medlock ◽  
E. P. Moll van Charante ◽  
...  
Keyword(s):  
Primary Care ◽  
The Netherlands ◽  
Quality Indicators ◽  
Fall Detection

The Development and Performance of After-Hours Primary Care in the Netherlands

2017 ◽  
Vol 166 (10) ◽  
pp. 737 ◽  
Author(s):  
Marleen Smits ◽  
Martijn Rutten ◽  
Ellen Keizer ◽  
Michel Wensing ◽  
Gert Westert ◽  
...  
Keyword(s):  
Primary Care ◽  
The Netherlands ◽  
After Hours ◽  
And Performance

scholarly journals Erratum to: Assessment of the quality of fall detection and management in primary care in the Netherlands based on the ACOVE quality indicators

2016 ◽  
Vol 27 (2) ◽  
pp. 577-577 ◽  
Author(s):  
M. Askari ◽  
S. Eslami ◽  
M. van Rijn ◽  
S. Medlock ◽  
E. P. Moll van Charante ◽  
...  
Keyword(s):  
Primary Care ◽  
The Netherlands ◽  
Quality Indicators ◽  
Fall Detection

scholarly journals NEW QUALITY INDICATORS FOR PAEDIATRIC ANTIBIOTIC PRESCRIBING IN PRIMARY CARE: A POPULATION BASED COHORT STUDY IN THE UNITED KINGDOM, ITALY AND THE NETHERLANDS FROM 1995–2010

2015 ◽  
Vol 101 (1) ◽  
pp. e1.73-e1 ◽  
Author(s):  
Florentia Kaguelidou ◽  
Sandra de Bie ◽  
Katia Verhamme ◽  
Maria de Ridder ◽  
Gino Picelli ◽  
...  
Keyword(s):  
Primary Care ◽  
Cohort Study ◽  
The Netherlands ◽  
Quality Indicators ◽  
Antibiotic Prescribing ◽  
Narrow Spectrum ◽  
Quality Of Prescribing ◽  
The Uk ◽  
The Impact

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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