Current use and barriers and facilitators for implementation of standardised measures in physical therapy in the Netherlands

AbstractUptake of decision aids (DAs) in daily routine is low, resulting in limited knowledge about successful DA implementation at a large scale. We assessed implementation rates after multi-regional implementation of three different prostate cancer (PCa) treatment DAs and patient-perceived barriers and facilitators to use a DA. Thirty-three hospitals implemented one out of the three DAs in routine care. Implementation rates for each DA were calculated per hospital. After deciding about PCa treatment, patients (n = 1033) completed a survey on pre-formulated barriers and facilitators to use a DA. Overall DA implementation was 40%. For each DA alike, implementation within hospitals varied from incidental (< 10% of eligible patients receiving a DA) to high rates of implementation (> 80%). All three DAs were evaluated positively by patients, although concise and paper DAs yielded higher satisfaction scores compared with an elaborate online DA. Patients were most satisfied when they received the DA within a week after diagnosis. Pre-formulated barriers to DA usage were experienced by less than 10% of the patients, and most patients confirmed the facilitators. Many patients received a DA during treatment counseling, although a wide variation in uptake across hospitals was observed for each DA. Most patients were satisfied with the DA they received. Sustained implementation of DAs in clinical routine requires further encouragement and attention.

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Barriers and facilitators to implementation of the Liverpool Care Pathway in the Netherlands: a qualitative study

BMJ Supportive & Palliative Care ◽

10.1136/bmjspcare-2014-000684 ◽

2014 ◽

Vol 5 (3) ◽

pp. 259-265 ◽

Cited By ~ 14

Author(s):

Natasja Raijmakers ◽

Anneke Dekkers ◽

Cilia Galesloot ◽

Lia van Zuylen ◽

Agnes van der Heide

Keyword(s):

Qualitative Study ◽

The Netherlands ◽

Care Pathway ◽

Barriers And Facilitators

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Patients and professionals barriers and facilitators to external cephalic version for breech presentation at term, a qualitative analysis in the Netherlands

Journal of Women s Health Care ◽

10.4172/2167-0420.c1.002 ◽

2016 ◽

Vol 05 (04) ◽

Author(s):

A N (Ageeth) Rosman

Keyword(s):

The Netherlands ◽

Qualitative Analysis ◽

Breech Presentation ◽

Barriers And Facilitators ◽

External Cephalic Version

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Refugees’ inclusion at work: a qualitative cross-level analysis

Career Development International ◽

10.1108/cdi-01-2018-0021 ◽

2019 ◽

Vol 25 (1) ◽

pp. 32-48

Author(s):

Lena Knappert ◽

Hans van Dijk ◽

Veerle Ross

Keyword(s):

The Netherlands ◽

Minority Group ◽

Barriers And Facilitators ◽

Organizational Level ◽

Future Research ◽

Content Type ◽

Country Level ◽

Governmental Institutions ◽

The Individual ◽

Level Analysis

Purpose Refugees’ inclusion at work is critical for the individual, for employers and for the receiving societies. Yet, refugees are often disadvantaged in working life or are being excluded from the labor market altogether. The purpose of this paper is to examine barriers and facilitators to refugees’ inclusion at work at the individual, organizational and country level, and pay particular attention to how the three levels relate to each other in shaping inclusion and exclusion of refugees at work. Design/methodology/approach The authors conducted 18 interviews with employed refugees, employers and experts from governmental and non-governmental institutions in the Netherlands. Findings Based on the theoretical structure, 13 themes emerged from the interview material – 5 themes at the individual level, 4 at the organizational level and 4 at the country level. The authors also found indicators for an interplay of barriers and facilitators across levels. Research limitations/implications This is a small study conducted in the Netherlands, providing several starting points for future research. Practical implications The authors provide recommendations for refugees, employers and policy makers aimed at addressing barriers and leveraging facilitators of refugees’ inclusion at work. Originality/value The organizational level, which diversity research has shown to affect minority group members’ inclusion at work, is rarely taken into account in refugee research. Based on the cross-level analysis, the authors identify patterns of interplay between the three levels and provide a relational framework of refugees’ inclusion at work.

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Direct Access to Physical Therapy for Patients With Low Back Pain in the Netherlands: Prevalence and Predictors

Physical Therapy ◽

10.2522/ptj.20120330 ◽

2014 ◽

Vol 94 (3) ◽

pp. 363-370 ◽

Cited By ~ 12

Author(s):

Jantine Scheele ◽

Frank Vijfvinkel ◽

Marijn Rigter ◽

Ilse C.S. Swinkels ◽

Sita M.A. Bierman-Zeinstra ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Physical Therapy ◽

The Netherlands ◽

Clinical Characteristics ◽

Physical Therapists ◽

Education Level ◽

Direct Access ◽

Low Back ◽

Episodes Of Care

Background In the Netherlands, direct access to physical therapy was introduced in 2006. Although many patients with back pain visit physical therapists through direct access, the frequency and characteristics of episodes of care are unknown. Objective The purposes of this study were: (1) to investigate the prevalence of direct access to physical therapy for patients with low back pain in the Netherlands from 2006 to 2009, (2) to examine associations between mode of access (direct versus referral) and patient characteristics, and (3) to describe the severity of the back complaints at the beginning and end of treatment for direct access and referral-based physical therapy. Design A cross-sectional study was conducted using registration data of physical therapists obtained from a longitudinal study. Method Data were used from the National Information Service for Allied Health Care, a registration network of Dutch physical therapists. Mode of access (direct or referral) was registered for each episode of physical therapy care due to back pain from 2006 to 2009. Logistic regression analysis was used to explore associations between mode of access and patient/clinical characteristics. Results The percentage of episodes of care for which patients with back pain directly accessed a physical therapist increased from 28.9% in 2006 to 52.1% in 2009. Characteristics associated with direct access were: middle or higher education level (odds ratio [OR]=1.3 and 2.0, respectively), previous physical therapy care (OR=1.7), recurrent back pain (OR=1.7), duration of back pain <7 days (OR=4.2), and age >55 years (OR=0.6). Limitations The study could not compare outcomes of physical therapy care by mode of access because this information was not registered from the beginning of data collection and, therefore, was missing for too many cases. Conclusions Direct access was used for an increasing percentage of episodes of physical therapy care in the years 2006 to 2009. Patient/clinical characteristics associated with the mode of access were education level, recurrent back pain, previous physical therapy sessions, and age.

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How to… deliver integrated care to frail elderly? A SELFIE research on the barriers and facilitators in the Netherlands

International Journal of Integrated Care ◽

10.5334/ijic.3383 ◽

2017 ◽

Vol 17 (5) ◽

pp. 78

Author(s):

Maaike Hoedemakers ◽

Fenna Leijten ◽

Melinde Boland ◽

Maureen Rutten-van Molken

Keyword(s):

The Netherlands ◽

Integrated Care ◽

Frail Elderly ◽

Barriers And Facilitators

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General and Paediatric Dentists’ Knowledge, Attitude and Practices Regarding the use of Silver Diammine Fluoride for the Management of Dental Caries: A National Survey in the Netherlands

10.21203/rs.3.rs-1189069/v1 ◽

2022 ◽

Author(s):

Sofie C.H. Schroë ◽

Clarissa C. Bonifacio ◽

Josef J. Bruers ◽

Nicola P. T. Innes ◽

Daniela Hesse

Keyword(s):

Dental Caries ◽

The Netherlands ◽

Barriers And Facilitators ◽

Attitude Score ◽

Multiple Choice Questions ◽

Cross Sectional Survey ◽

Attitudes And Practices ◽

Information Leaflets ◽

Accessible Information ◽

Dental Practitioners

Abstract Background: Silver Diammine Fluoride (SDF) is a topical medication used to arrest cavitated carious lesions non-invasively. The primary aim of this research was to investigate, and analyse the relationships between; knowledge, attitudes and practices (including barriers and facilitators) as they relate to SDF use for the management of dental caries by general dental practitioners (GDPs) and paediatric dentists (PDs) in the Netherlands. A secondary aim was to explore any differences between these groups.Methods: A sample of 600 Dutch GDPs (random selection from 9,777 registered) and all 57 registered PDs were invited to participate in this cross-sectional survey, consisting of four sections: 1) participant characteristics, 2) knowledge (through responses to summative questions), 3) attitudes (through agreements using 5-point Likert scale), and 4) practices, use, barriers and facilitators (through multiple choice questions). Results: Response rates were: GDPs 23% (n=140) and PDs 47% (n=27). Knowledge: out of 15 questions testing understanding of SDF, the mean correct answers were GDPs 6.7; SD 2.6 and PDs 7.4, SD 2.2 (no statistically significant differences). Mean overall attitude score showed positivity towards SDF use in both groups. Compared to GDPs, PDs were more likely to use SDF (p<0.001) and expected this to increase (p=0.03). The main barrier for users was parental acceptance (47%) and for non-users it was lack of knowledge (60%). The main facilitator for both users and non-users was gaining knowledge through courses and workshops, followed by written information leaflets about SDF for parents.Conclusions: Less than half knowledge questions about SDF were answered correctly. Despite low knowledge, attitude towards its use was positive. Practitioners believed that its use would be facilitated by professionals having more accessible information and training and by the availability of parent information leaflets. SDF was used more frequently by PDs than GDPs.

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