A5074571402- Patient-Provider Communication in Healthcare
- Clinical practice guidelines implementation
- Health Systems, Economic Evaluations, Quality of Life
- Palliative Care and End-of-Life Issues
- Patient Satisfaction in Healthcare
- Health Policy Implementation Science
- Clinical Reasoning and Diagnostic Skills
- Primary Care and Health Outcomes
- Health Promotion and Cardiovascular Prevention
- Chronic Disease Management Strategies
- Healthcare Systems and Technology
- Mobile Health and mHealth Applications
- Interprofessional Education and Collaboration
- Healthcare cost, quality, practices
- Diabetes Management and Education
- Empathy and Medical Education
- Meta-analysis and systematic reviews
- Mental Health and Psychiatry
- Health Literacy and Information Accessibility
- Behavioral Health and Interventions
- Mental Health and Patient Involvement
- Innovations in Medical Education
- Patient Dignity and Privacy
- Delphi Technique in Research
- Physical Activity and Health
Maastricht University
2015-2024
Huisarts en Wetenschap
2010-2024
Maastricht University Medical Centre
2012-2023
Radboud University Nijmegen
2003-2023
Radboud University Medical Center
2010-2023
University Medical Center
2023
Dutch College of General Practitioners
2022
Amsterdam University Medical Centers
2021
's Heeren Loo
2020
Institute of Highway Engineers
2020
Although many clinicians feel they already use shared decision making, research shows a perception-reality gap. A M Stiggelbout and colleagues discuss why it is important highlight some best practices.
Objectives To revise an existing three-talk model for learning how to achieve shared decision making, and consult with relevant stakeholders update obtain wider engagement.Design Multistage consultation process.Setting Key informant group, communities of interest, survey clinical specialties.Participants 19 key informants, 153 member responses from multiple 316 online medically qualified clinicians six specialties.Results After extended over three iterations, we revised the by making changes...
Objectives To describe the development, validation and inter-rater reliability of an instrument to measure quality patient decision support technologies (decision aids). Design Scale development study, involving construct, item scale testing. Setting There has been increasing use – adjuncts discussions clinicians have with patients about difficult decisions. A global interest in developing these interventions exists among both for-profit not-for-profit organisations. It is therefore...
Decision aids can help shared decision making, but most have been hard to produce, onerous update, and are not being used widely. <b>Thomas Agoritsas colleagues</b> explore why describe a new electronic model that holds promise of more useful for clinicians patients use together at the point care
<h3>Background</h3> Clinical practice guidelines (CPG) are important tools for improving patient care. Patient and public involvement is recognised as an essential component of CPG development implementation. The Guideline International Network Public Involvement Working Group (G-I-N PUBLIC) aims to support the development, implementation evaluation guideline-oriented programmes (PPIPs). <h3>Objective</h3> To develop international research agenda on in CPG. <h3>Method</h3> 56 developers,...
Family physicians perceive that gut feelings, i.e. a 'sense of reassurance' or alarm', play substantial role in diagnostic reasoning. A measuring instrument is desirable for further research. Our objective to validate questionnaire the presence feelings reasoning.We constructed 16 case vignettes from real practice situations and used accompanying alarm' as reference labels. Based on results an initial study (26 family physicians), we divided into group involving clear sense reassurance alarm...
Patient outcomes are poorly affected by lifestyle advice in general practice. Promoting behavior change require that nurses shift from simple giving to a more counseling-based approach. The current study examines which barriers encounter counseling patients with type 2 diabetes. Based on this information we will develop an implementation strategy improve In qualitative semi-structured study, twelve in-depth interviews took place Dutch practices involved diabetes care. Specific about diet,...
Decision support technologies (DSTs, also known as decision aids) help patients and professionals take part in collaborative decision-making processes. Trials have shown favorable impacts on patient knowledge, satisfaction, decisional conflict confidence. However, they not become routinely embedded health care settings. Few studies approached this issue using a theoretical framework. We explained problems of implementing DSTs the Normalization Process Model, conceptual model that focuses...
Background. The role of patient and public involvement programs (PPIPs) in developing implementing clinical practice guidelines (CPGs) has generated great interest. Purpose. authors sought to identify key components PPIPs used CPGs. Data sources. searched bibliographic databases contacted relevant organizations. Study selection. In total, 2161 articles reports were retrieved on the development implementation Of these, 71 qualified for inclusion review. extraction. Reviewers independently...
Background: Physical activity is an important aspect in the treatment of patients with chronic obstructive pulmonary disease or type-2 diabetes. A monitoring and feedback tool combined guidance by a primary care provider might be successful method to enhance level physical these patients. As prerequisite for useful technology, it involve end-users design process from early stage. Objective: The aim this study was investigate user requirements stimulate activity, embedded practice. leading...
Purpose The SDM-Q-9 and SDM-Q-Doc measure patient physician perception of the extent shared decision making (SDM) during a physician-patient consultation. So far, no self-report instrument for SDM was available in Dutch, validation scales other languages has been limited. aim this study to translate both into Dutch assess their psychometric characteristics. Methods Participants were patients treating physicians (general practitioners medical specialists). Patients (N = 182) rated...
Background: Physical inactivity is a major public health problem. The It's LiFe! monitoring and feedback tool embedded in the Self-Management Support Program (SSP) an attempt to stimulate physical activity people with chronic obstructive pulmonary disease or type 2 diabetes treated primary care. Objective: Our aim was evaluate whether SSP combined use of leads more compared usual care additional effect using this on top SSP. Methods: This three-armed cluster randomised controlled trial....
Decades of effectiveness research has established the benefits using patient decision aids (PtDAs), yet broad clinical implementation not occurred. Evidence to date is mainly derived from highly controlled settings; if clinicians and health care organizations are expected embed PtDAs as a means support person-centered care, we need better understand what this might look like outside setting. This review was conducted in response IPDAS Collaboration's evidence update process, which informs...