A5042990999- Patient-Provider Communication in Healthcare
- Palliative Care and End-of-Life Issues
- Clinical practice guidelines implementation
- Patient Satisfaction in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Patient Dignity and Privacy
- Healthcare Systems and Technology
- Dutch Social and Cultural Studies
- Health Literacy and Information Accessibility
- Health Policy Implementation Science
- Mental Health and Patient Involvement
- Interprofessional Education and Collaboration
- Delphi Technique in Research
- Multiple Sclerosis Research Studies
- Heart Failure Treatment and Management
- Clinical Reasoning and Diagnostic Skills
- Mental Health and Psychiatry
- Stroke Rehabilitation and Recovery
- Neurogenetic and Muscular Disorders Research
- Pharmaceutical Practices and Patient Outcomes
- Amyotrophic Lateral Sclerosis Research
- Ethics in medical practice
- Comparative and International Law Studies
- Neurological Disease Mechanisms and Treatments
- Empathy and Medical Education
Catharina Ziekenhuis
2025
Radboud University Nijmegen
2025
Erasmus University Rotterdam
2018-2022
European Public Health Association
2021-2022
Dutch Institute for Healthcare Improvement
2007-2016
Wikimedia Nederland
2015
Zorginstituut Nederland
2004
Transnational University Limburg
1996
Clinical practice guidelines are largely conceived as tools that will inform health professionals' decisions rather than foster patient involvement in decision making. The time now seems right to adapt clinical such a way both the professional's perspective care provider and patients' preferences characteristics being weighed equally decision-making process. We hypothesise can be adapted facilitate integration of individual This research protocol asks two questions: How should elicit support...
Dutch initiatives targeting shared decision-making (SDM) are still growing, supported by the government, Federation of Patients’ Organisations, professional bodies and healthcare insurers. The large majority patients prefers SDM model. working hard to realise improvement in application daily clinical practice, resulting glimpses success with objectified on observed behavior. Nevertheless, culture shift is ongoing. Large-scale uptake behavior a challenge. We haven’t yet fully reached...
Abstract Background The introduction of (m)FOLFIRINOX and gemcitabine-nab-paclitaxel has changed the perspective for patients with locally advanced pancreatic cancer (LAPC). Consequently, in experienced centres 23% LAPC undergo a resection 5-year overall survival (OS) rates up to 25%. In Netherlands, nationwide rate remains low at 8%. PREOPANC-4 program aims implementation international multidisciplinary best-practice improve patient outcome. Methods Nationwide implementing LAPC. training...
Clinical practice guidelines should be based on the best available evidence. However, this evidence is often incomplete, controversial, or lacking. Other considerations beyond are therefore needed to able formulate specific and applicable recommendations for clinical practice.The aim of study obtain consensus among experts about a set domains items covering most relevant 'other considerations' in evidence-based guideline development.An initial list 10 49 systematic considered judgement...
Shared decision making (SDM) for cancer treatment yields positive results. However, it appears that discussing essential topics SDM is not fully integrated into yet. Therefore, we aim to explore what extent discussion of therapy options, consequences, and personal priorities preferred perceived by (former) patients.An online questionnaire was distributed the Dutch Federation Cancer Patient Organisations among patients in 2018.Among 3785 patients, 3254 (86%) had discussed treatments with...
Abstract Background Women with newly diagnosed breast cancer face multiple treatment options. Involving them in a shared decision-making (SDM) process is essential. The aim of this study was to evaluate whether multilevel implementation programme enhanced the level SDM behaviour clinicians observed consultations. Methods This before–after conducted six Dutch hospitals. Patients who were facing decision on surgery or neoadjuvant systemic between April 2016 and September 2017 included,...
Evaluation of a multilevel implementation program on shared decision making (SDM) for breast cancer clinicians.The was based the 'Measurement Instrument Determinants Innovations-model' (MIDI). Key factors effective were included. Eleven teams selected from two geographical areas participated; first six surgery and second five systemic therapy teams. A mixed method evaluation carried out at end each period: Descriptive statistics used surveys thematic content analysis semi-structured...
Background: Enhancing the application of shared decision-making (SDM) is critical for integrating patient preferences in breast cancer treatment choices. We investigated effect an adapted multilevel SDM implementation program care. Methods: Breast patients qualifying (neo)adjuvant systemic were included a multicenter before−after study. Consultations audio recorded between June 2018 and July 2019 analyzed using five-item Observing Patient Involvement Decision-Making (OPTION-5) instrument to...
Because of disease progression and the increasing number treatment options, patients with metastatic breast cancer face multiple decisions over time. Our aim was to identify in order decide which decision aids will be developed. First, we analyzed clinical practice guidelines encountered by healthcare professionals. Furthermore, an online questionnaire for patients, a focus group interview interviews professionals were performed. In addition, performed systematic literature research internet...
Shared decision-making (SDM) is particularly important in oncology as many treatments involve serious side effects, and treatment decisions a trade-off between benefits risks. However, the implementation of SDM care challenging, clinicians state that it difficult to apply their actual workplace. Training known be an effective means improving but considered time consuming.This study aims address effectiveness individual training program using concept deliberate practice.This multicenter,...