Loes Knaapen

ORCID: 0000-0003-3041-4290
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About
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Research Areas
  • Clinical practice guidelines implementation
  • Patient-Provider Communication in Healthcare
  • Health, Medicine and Society
  • Healthcare cost, quality, practices
  • Menstrual Health and Disorders
  • Hernia repair and management
  • Health Sciences Research and Education
  • Healthcare Systems and Practices
  • Health Systems, Economic Evaluations, Quality of Life
  • Evaluation and Performance Assessment
  • Healthcare Systems and Technology
  • Meta-analysis and systematic reviews
  • Colorectal Cancer Surgical Treatments
  • Stoma care and complications
  • Biochemical effects in animals
  • Herbal Medicine Research Studies
  • Critical Realism in Sociology
  • Innovations in Medical Education
  • Mental Health and Patient Involvement
  • Healthcare and Venom Research
  • Ethics in Clinical Research
  • Medical Malpractice and Liability Issues
  • Abdominal Surgery and Complications
  • Health Policy Implementation Science
  • Pelvic and Acetabular Injuries

McGill University Health Centre
2025

University of Ottawa
2016-2021

Radboud University Nijmegen
2017

Radboud University Medical Center
2017

Creative Research Enterprises (United States)
2017

Université de Montréal
2013-2014

McGill University
2007-2013

Université du Québec
2007

Laboratoire Pacte
2007

Clinical practice guidelines are now ubiquitous. This article describes the emergence of such in a way that differs from two dominant explanations, one focusing on administrative cost‐cutting and other need to protect collective professional autonomy. Instead, this argues spread represents new regulation medical care resulting confluence circumstances mobilized many different groups. Although quality has traditionally been based standardization credentials, since 1960s it intensified...

10.1111/j.1468-0009.2007.00505.x article EN Milbank Quarterly 2007-12-01

Background To explore how clinical practice guidelines can be adapted to facilitate shared decision making. Methods This was a qualitative key-informant study with group discussions and semi-structured interviews. First, 75 experts in guideline development or making participated at two international conferences. Next, health professionals known as depression breast cancer, on and/or making, patient representatives were interviewed (N=20). Using illustrative treatment decisions we asked the...

10.1136/bmjqs-2012-001502 article EN BMJ Quality & Safety 2013-06-07

Since the emergence of Evidence-Based Medicine (EBM) movement, nature and role evidence in medicine has been much debated. The formal classification that is unique to Medicine, referred as Evidence hierarchy, fiercely criticized. Yet studies examine how classified EBM practice are rare. This article presents an observational study understood performed practice. It does this by examining absence defined managed Guideline development. label not denote quantity or quality found, but specific...

10.1177/0306312713483679 article EN Social Studies of Science 2013-05-15

Abstract Evidence‐based medicine (EBM), which advocates clinical decisions are based on evidence from medical research, has become an important ideal pursued in contemporary medicine. EBM relies two key principles: the hierarchy and practice guidelines. Both principles have been fiercely criticized, critics often invoke term ‘Cookbook medicine’ to stress dangers limitations of EBM. This article reviews diverse critical literature by drawing newly proposed subfield “Sociology Standards.” It...

10.1111/soc4.12184 article EN Sociology Compass 2014-06-01

10.1016/j.socscimed.2009.01.036 article EN Social Science & Medicine 2009-02-22

Abstract Background Guidelines based on patient preferences differ from those developed solely by clinicians and may promote adherence to guideline recommendations. There is scant evidence how develop patient-informed guidelines. This study aimed describe developers identify, incorporate report preferences. Methods We employed a descriptive cross-sectional survey design. Eligible organizations were non-profit agencies who at least one in the past five years had considered development....

10.1186/s12913-020-05343-x article EN cc-by BMC Health Services Research 2020-05-24

10.1016/j.shpsc.2007.12.009 article EN Studies in History and Philosophy of Science Part C Studies in History and Philosophy of Biological and Biomedical Sciences 2008-02-15

AbstractClinical practice guidelines have been critiqued for prescribing standardized care that neglects patients' personal circumstances and knowledge in health decisions. To make more patient centred, standard-setters are urged to involve patients the public guideline development use. Despite widespread principled support such Patient Public Involvement (PPI), underlying principles guiding PPI standardization of mired on confusion contradiction. Based literature general, informed by...

10.1080/09505431.2015.1125875 article EN Science as Culture 2016-03-08

Electronic Knowledge Resources (EKRs) are increasingly used by physicians, but their situational relevance has not been systematically examined.Systematically scrutinize the of EKR-derived information items in and outside clinical settings.Physicians use EKRs to accomplish four cognitive objectives (C1-4), three organizational (O1-3): (C1) Answer questions/solve problems/support decision-making a context; (C2) fulfill educational-research objectives; (C3) search for personal interest or...

10.1197/jamia.m2203 article EN Journal of the American Medical Informatics Association 2007-06-29

AIMTo outline current evidence regarding prevention and treatment of parastomal hernia to compare use synthetic biologic mesh.December 26, 2017|Volume 5|Issue 6| WJMA|www.wjgnet.comKnaapen L et al .Parastomal hernia: Biologic vs mesh during the initial surgery significantly reduces occurrence regardless type.

10.13105/wjma.v5.i6.150 article EN cc-by-nc World Journal of Meta-Analysis 2017-12-25

When science is evaluated by bureaucrats and administrators, it usually done quantified performance metrics, for the purpose of economic productivity. Olof Hallonsten criticizes both means (quantification) (economization) such external evaluation. I share concern that neoliberal metrics are shallow, over-simplified inaccurate, but differ in how best to oppose this reductionism. proposes replace quantitative with qualitative in-depth evaluation science, which would keep internal scientific...

10.1177/05390184211019161 article EN cc-by-nc Social Science Information 2021-06-22
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