A5048052784- Chronic Disease Management Strategies
- Health Systems, Economic Evaluations, Quality of Life
- Interprofessional Education and Collaboration
- Primary Care and Health Outcomes
- Patient-Provider Communication in Healthcare
- Palliative Care and End-of-Life Issues
- Diabetes Management and Education
- Mental Health and Patient Involvement
- Healthcare Policy and Management
- Health, psychology, and well-being
- Health Policy Implementation Science
- Frailty in Older Adults
- Mental Health and Psychiatry
- Healthcare Systems and Technology
- Clinical practice guidelines implementation
- Geriatric Care and Nursing Homes
- Health disparities and outcomes
- Ethics in medical practice
- Dutch Social and Cultural Studies
- Healthcare cost, quality, practices
- Patient Satisfaction in Healthcare
- Pharmaceutical Practices and Patient Outcomes
- Global Health Care Issues
- Health and Medical Studies
- Health, Nursing, Elderly Care
Ghent University
2016-2025
Ghent University Hospital
2012-2023
Artevelde University College Ghent
2023
Vrije Universiteit Brussel
2023
Centre for Family Medicine
2020
Université de Sherbrooke
2020
Toronto East General Hospital
2020
Health Net
2020
Western University
2020
Primary HealthCare
2019
Abstract Background Little is known about how patients with low socioeconomic status (SES) experience their chronic disease, and it impacts health-related quality of life (HRQoL). Compared to more affluent counterparts, worse outcomes have been reported. A better understanding the domains HRQoL that are relevant these specific populations therefore needed. We explored experiences living a disease in SES persons. Methods qualitative interview study was performed Flanders, Belgium....
![][1]</img> Today we face an important demographic and epidemiological transition, confronting us with the challenge of non-communicable diseases (NCDs), which occur more in context multimorbidity. In next decade, multimorbidity will become rule, no longer exception: 50% those aged ≥65 years have at least three chronic conditions, whereas 20% ≥65-year group five conditions.1 case COPD, for example, than half patients one comorbid disease.2 recent years, not only Western countries, but also...
Ageing people show increasing morbidity, dependence and vulnerability.To compare the relationships of different measures multimorbidity with (operationalized as disability) vulnerability frailty).A cross-sectional analysis within BELFRAIL cohort (567 subjects aged ≥ 80). Multimorbidity was measured using a disease count (DC), Charlson comorbidity index (CCI) cumulative illness rating scale (CIRS), respectively. Associations disability (based on activities daily living) frailty (defined by...
Abstract Background Inspired by American examples, several European countries are now developing disease management programmes (DMPs) to improve the quality of care for patients with chronic diseases. Recently, questions have been raised whether approach is appropriate respond patient‐defined needs. Objective In this article we consider responsiveness current DMPs patients’ needs defined in terms multimorbidity, functional and participation problems, self‐management. Method Information about...
Person-centred integrated care is often at odds with how current health systems are structured, resulting in slower than expected uptake of the model worldwide. Adopting goal-oriented care, an approach which uses patient priorities, or goals, to drive what kinds appropriate and delivered, may offer a way improve implementation.This case report presents three international cases community-based primary models Ottawa (Canada), Vermont (USA) Flanders (Belgium) that adopted stimulate clinical,...
The Chronic Care Model has guided quality improvement in health care for almost 20 years, using a patient-centered, disease management approach to systems and teams. To further advance efforts person-centered care, we propose strengthening the with goal-oriented approach. Goal-oriented is that it places focus on what matters most each person over course of their life. person's goals inform decisions, which are arrived at collaboratively between clinicians person. In this paper, build...
Abstract Background Although the importance of context in implementation science is not disputed, knowledge about actual impact external variables on processes remains rather fragmented. Current frameworks, models, and studies merely describe macro-level barriers facilitators, without acknowledging their dynamic character how they steer implementation. Including organizational theories frameworks could be a way tackling this problem. In study, we therefore investigate can contribute to our...
<h3>PURPOSE</h3> We set out to assess whether a high sense of coherence (SOC) protects from adverse health outcomes in patients aged 80 years and older who have multiple chronic diseases. <h3>METHODS</h3> A population-based prospective cohort study 29 primary care practices throughout Belgium included 567 individuals older. plotted the highest tertile SOC scores Kaplan-Meier curves representing 3-year mortality time first hospitalization. Using Cox proportional hazard regression analyses...
Chronic diseases and multimorbidity are a major cause of disease burden-for patients, caregivers, society. Little is known however about potential interaction effects between specific combinations. Besides an additive effect, the presence multiple conditions could also act synergistically or antagonistically regarding impact on patients' health-related quality life (HRQoL). The aim was to estimate coexisting chronic HRQoL adult general Belgian population.The Health Interview Survey 2018...
Most evidence on chronic diseases has been collected for single whereas in reality, patients often suffer from more than one condition. There is a growing need evidence-based answers to multimorbidity, especially primary care settings where family doctors (FD's) provide comprehensive high variety of conditions. This study aimed define which disease and problem combinations would be most relevant useful the development guidelines manage multimorbidity care. A practice-based cross sectional...
Little is known about the prevalence and clinical importance of potentially inappropriate prescribing instances (PIPs) in very old (>80 years). The main objective was to describe PIPs according START (Screening Tool Alert doctors Right Treatment; omissions) and,STOPP Older Person's Prescriptions; over/misuse) Beers list (over/misuse). Secondary objectives were identify determinants if assess modify treatment case PIPs. Cross-sectional analysis baseline data BELFRAIL cohort, which included...
Background: Goal-oriented care is prominent in primary settings due to the rising number of people living with (multiple) chronic conditions. Before goal-oriented can be fully implemented, a better understanding about concept goals needs gained. This study aimed elicit in-depth knowledge through narratives conditions regarding their view on goal setting. Method: In qualitative research design within phenomenological–hermeneutical paradigm, 15 interviews were performed (mean age 65; 38–81)...
Introduction: Goal oriented care (GOC) and its readiness for implementation has been described in scientific literature, but research on GOC primary organisations is limited. This study aims to capture the experiences of implementing their context. Method: A qualitative study, with data triangulation, was conducted. Primary that experimented context were followed. Data analysed using inductive thematic analysis. Results: Seven themes supporting identified. Project leaders from experienced...
Abstract Background and aim The development of person centred care is based on the principle that each human a unique autonomous individual, in illness as much health. In pursuing health directed at people interdependence beings, other living beings their broader environment comes forward. This paper proposes theoretical framework which identifies major elements centered care. From this “indicator-fields” are deducted first exercise to define specific indicators could be used assess...
Coping with a chronic disease can be really challenging. Self-management represents promising strategy to improve daily life experiences. The role of primary healthcare professionals cannot underestimated in supporting self-management. Due shortage theory, implementation self-management support is hindered care practice. aim this study create conceptual model for by analysing patients' experiences towards support.An explorative-descriptive qualitative was conducted Flanders, Belgium....
Patient’s attitudes and illness beliefs have shown to be of great importance in chronic obstructive pulmonary disease (COPD). As former qualitative research has mainly focused on patients with end-stage COPD, who are recruited within hospital or rehabilitation settings, excluding disabling comorbidities, this study specifically aims explore the perspectives COPD comorbidities primary care. This was designed as a qualitative, explorative using open patient interviews. The conducted at three...
Introduction Non-communicable diseases (NCDs) are associated with lower health-related quality of life (HRQoL). However, knowledge about those and predictors a greater impact on patients’ HRQoL as well the complex relationship between comorbidities is lacking. The aim this study to assess NCDs HRQoL, focus multimorbidity socioeconomic status. Methods analysis A primary care-based cross-sectional conducted in Flanders (Belgium). Study participants (≥18 years) medically diagnosed at least one...
Patients with multiple chronic diseases are usually treated according to disease-specific guidelines, outcome measurements focusing mostly on biomedical indicators (e.g. blood sugar levels or lung function). However, for multimorbidity, a goal-oriented approach the goals defined by individual patient, may be more suitable. Despite clear theoretical and conceptual advantages of including patient-defined in clinical decision-making it is not how patients define their which aspects play role...
Abstract Aim: To use normalization process theory (NPT) to build a strategy for the implementation of goal-oriented care (GOC) in primary Flanders, Belgium. Background: GOC is possible approach more coordinated and integrated tailors patients’ personal life goals. The concept has gained interest among policy makers researchers, but main drivers successful are healthcare professionals (PHCPs) who need see added value order embed it into their daily practice. NPT, developed understand...