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2017 | OriginalPaper | Hoofdstuk

8. Beïnvloedende factoren bij implementatie

Auteurs : Prof. dr. Michel Wensing, Prof. dr. Richard Grol

Uitgeverij: Bohn Stafleu van Loghum

Samenvatting

Een goede diagnostische analyse van de doelgroep en setting is cruciaal in elk verbeterprogramma, omdat implementatiestrategieën naar verwachting effectiever zijn als ze direct betrekking hebben op problemen in de zorgverlening en de factoren die verandering beïnvloeden. Bepaalde factoren zouden het effect van implementatiestrategieën kunnen ‘modereren’ of ‘mediëren’ (tussenstappen in een veranderingsproces). Een systematische benadering van implementatie omvat een analyse van individuen en organisaties die een belang of doel hebben bij een veranderingsproces. Het betrekken van beleidsmakers en managers bij de implementatie van nieuwe werkwijzen vraagt specifieke aandacht. De knelpunten en prikkels kunnen worden geordend naar inhoudelijke domeinen: individuele factoren (gerelateerd aan zorgverleners of anderen) sociale factoren (die te maken hebben met de teams en netwerken van zorgverleners), organisatorische factoren (gerelateerd aan zorginstellingen of eerstelijnspraktijken), maatschappelijke factoren (die te maken hebben met het zorgsysteem) en maatschappelijke of politieke ontwikkelingen. In elke groep die een nieuwe werkwijze invoert, kunnen ‘segmenten’ worden onderscheiden. Hierbij richt de diagnostische analyse van beïnvloedende factoren bij implementatie zich niet op de variabelen, maar op de zorgverleners en patiënten. Verschillende subgroepen in een doelgroep bevinden zich vaak in verschillende fasen van een veranderingsproces en in elke fase kunnen andere problemen van invloed zijn op de feitelijke implementatie.

vorige hoofdstuk De rol van kwaliteitsindicatoren

volgende hoofdstuk Methoden om invoeringsproblemen op te sporen

Achterberg T van, Holleman G, Ven M van de, et al. Promoting evidence-based practice: the roles and activities of professional nurses’ associations. J Adv Nurs. 2006;53(5):605–12.CrossRef

Allen GM, Lexchin J, Wiebe N. Physician awareness of drug costs: a systematic review. PLOS Medicine. 2007;4:1486–96.

Armitage CJ, Conner M. Efficacy of the Theory of Planned Behaviour: a meta-analytic review. British Journal of Social Psychology. 2001;40:471–99.CrossRef

Armstrong D, Reyburn H, Jones R. A study of general practitioners’ reasons for changing their prescribing behaviour. BMJ. 1996;312:949–52.CrossRef

Ayanian JZ, Berwick DM. Do physicians have a bias toward action? A classic study revisited. Med Decis Making. 1991;11:154–8.CrossRef

Baker R, Camosso-Stefinovic J, Gillies C, et al. Tailored interventions to address determinants of practice. Cochrane Lib., 2015, issue 4.

Bakwin H. Pseudodoxia pediatrica. N Engl J Med. 1945;232:691–7.CrossRef

Blumenthal D. Doctors in a wired World: can professionalism survive connectivity. Milbank Q. 2002;80:525–46.CrossRef

Bokhoven MA van, Pleunis-van Empel MCH, Koch H, et al. Why do patients want their blood tested? A qualitative study of patient expectations in general practice. BMC Fam Pract. 2006;7:75.CrossRef

Bosch M, Faber M, Cruijsberg J, et al. Effectiveness of patient care teams and the role of clinical expertise and coordination: a literature review. Med Care Res Rev. 2009;66:S5–35.CrossRef

Bosch M, Dijkstra R, Wensing, et al. Organizational culture, team climate and diabetes care in small office-based practices. BMC Health Serv Res 2008;8:180.

Bruers JJM, Felling AJA, Truin GJ, et al. Patient orientation and professional orientation of Dutch dentists. Community Dent Oral Epidemiol. 2004;32:115–24.CrossRef

Camp K van de, Vernooij-Dassen MJFJ, Grol RPTM, Bottema BJAM. How to conceptualize professionalism: a qualitative study. Med Teach. 2004;26:696–702.CrossRef

Cockburn J, Pit S. Prescribing behaviour in clinical practice: patients’ expectations and doctors’ perceptions of patients’ expectations - a questionnaire study. BMJ. 1997;315:520–3.CrossRef

Damschroeder LJ, Aron DC, Keith RE, Kirsch SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implemention science. Implem Sci. 2009;4:50.CrossRef

Davis SA, Mazmanian PE, Fordis M, et al. Accuracy of physician self-assessment compared with observed measures of competence. A systematic review. JAMA. 2006;296:1094–102.PubMed

Dijkstra RF, Braspenning JCC, Uiters E, et al. Perceived barriers to the implementation of diabetes guidelines in hospitals in The Netherlands. Neth J Med. 2000;56:80–5.CrossRef

Dijkstra R, Braspenning JCC, Huijsmans Z, et al. Patients and nurses determine variation in adherence to guidelines at Dutch hospitals more than internists or settings. Diabet Med. 2004;21:586–91.CrossRef

Eccles M, Grimshaw J, Walker A, et al. Changing the behaviour of healthcare professionals: the use of theory in promoting the uptake of research findings. J Clin Epidemiol. 2005;58:107–12.CrossRef

Eccles MP, Hrisos S, Francis J, et al. Do self-reported intentions predict clinicians’ behaviour: a systematic review. Implement Sci. 2006;1:28.CrossRef

Epstein AM, Lee TH, Hamel MB. Paying physicians for high-quality care. N Engl J Med. 2004;350:406–10.CrossRef

Flottorp S, Oxman AD, Krause J, Musila NR, Wensing M, Godycki-Cwirko M, et al. A checklist for identifying determinants of practice: a systematic review and synthesis of frameworks and taxonomies of factors that prevent or enable improvements in healthcare professional practice. Implem Sci. 2013;8:35.CrossRef

Gandjour A, Bannenberg A, Lauterbach KW. Threshold volumes associated with higher survival in health care: a systematic review. Med Care. 2003;41(10):1129–41.CrossRef

Geertsma RH, Parker RC, Krauss S. How physicians view the process of change in their practice behaviour. J Med Educ. 1982;57:752–61.PubMed

Glassman PA, Kravitz RL, Petersen LP, et al. Differences in clinical decision making between internists and cardiologists. Arch Intern Med. 1997;157:506–12.CrossRef

Gosden T, Torgerson DJ. The effect of fundholding on prescribing and referral costs: a review of the evidence. Health Policy. 1997;40:103–14.CrossRef

Greer AL. The state of the art versus the state of the science. Int J Technol Assess Health Care. 1988;4:5–26.CrossRef

Griffiths P, Dall ‘Ora C, Simon M, et al. Nurses’ shift length and overtime working in 12 European countries. The association with perceived quality of care and patient safety. Med Care 2014; 52: 975–81.CrossRef

Grol R, Wensing M. Implementation of quality assurance and medical audit: general practitioners’ perceived obstacles and requirements. Br J Gen Pract. 1995;45:548–52.PubMedPubMedCentral

Grol R, Wensing M. What drives change? Barriers to and incentives for achieving a evidence-based practice. MJA. 2004;180:S57–60.PubMed

Grol R, Buchan H. Clinical guidelines: what can we do to increase their use? MJA. 2006;185(6):301–2.PubMed

Grol R, Weel C van. Getting a grip on guidelines: how to make them more relevant for practice. Br J Gen Pract. 2009;59(562):e143–4.CrossRef

Halm EA, Teirstein AS. Clinical practice. Management of community-acquired pneumonia. N Engl J Med. 2002;347(25):2039–45.CrossRef

Hayward RS, Guyatt GH, Moore KA, et al. Canadian physicians’ attitudes about and preferences regarding clinical practice guidelines. CMAJ. 1997;156(12):1715–23.PubMedPubMedCentral

Hillman BJ, Joseph CA, Marry MR, et al. Frequency and costs of diagnostic imaging in office practice a comparison of self-referring and radiologist-referring physicians. N Engl J Med. 1990;323:1604–8.CrossRef

Hong SW, Ching TY, Fung JPM, et al. The employment of ward opinion leaders for continuing education in the hospital. Med Teacher. 1990;23:209–17.CrossRef

Hooi J, Weijden T van der, Grol R. Aanbevelingen voor de implementatie van de “richtlijn beroerte 2000”. Rapport van de werkgroep Implementatie, CBO Richtlijn Beroerte 2000. Maastricht: WOK, 2000.

Hulscher ME, Grol RP, Meer JW van der. Antibiotic prescribing in hospitals: a social and behavioural scientific approach. Lancet Infect Dis. 2010;10(3):167–75.CrossRef

Jackevicius CA, Tu JV, Demers V, et al. Cardiovascular outcomes after a change in prescription policy for clopidogrel. N Engl J Med. 2008;359:1802–10.CrossRef

Kitchener M, Caronna CA, Shortell SM. From the doctor’s workshop to the iron cage? Evolving modes of physician control in US health systems. Soc Sci Med. 2005;60:1311–22.CrossRef

Lavis JN, Robertson D, Woodside JM, et al. How can research organizations more effectively transfer research knowledge to decision makers? Milbank Q. 2003;81:221–48.CrossRef

Lavis JN, Oxman AD, Moynihan R, Paulsen EJ. Evidence-informed health policy I - Synthesis of findings from a multi-method study of organizations that support the use of research evidence. Implement Sci. 2008;3:53.CrossRef

Lomas J, Enkin M, Andersson GM, et al. Opinion leaders versus audit and feedback to implement practice guidelines. Delivery after previous cesarean arthritis. JAMA. 1991;265:2202–7.

Loo R. Assessing ‘team climate’ in project teams. Int J Project Manag. 2003;21:511–7.CrossRef

Mannion R, Davies HTO, Marshall MN. Cultural characteristics of “high” and “low” performing hospitals. Journal of Health Organization and Management. 2005;19:431–9.CrossRef

Montano DE, Phillips WR. Cancer screening by primary care physicians: a comparison of rates obtained from physician self-report, patient survey, and chart audit. Am J Pub Health. 1995;85:795–800.CrossRef

Muruthappu M, Gilberg BJ, El-Harasis MA, et al. The influence of volume and experience on individual surgical performance. A systematic review. Ann Surg. Ann Surg. 2015;261:642–7.CrossRef

Nouwens E, Lieshout J van, Hombergh P van, Laurant M, Wensing M. Shifting cardiovascular care to nurses results in structured chronic care. Am J Manag Care. 2014;20:e278–84.PubMed

Obstfelder A, Engeseth KH, Wynn R. Characteristics of successfully implemented telemedical applications. Implement Sci. 2007;2:25.CrossRef

Ouimet M, Landry R, Amara N, Belkhodja O. What factors induce health care decision-makers to use clinical guidelines? Evidence from provincial health ministries, regional authorities and hospitals in Canada. Soc Sci Med. 2006;62:964–76.CrossRef

Øvretveit J. Leiding improvement. Journal of Health Organization and Management. 2005;19:413–30.CrossRef

Papanikolauou PN, Christidi GD, Ioannidis JPA. Patient outcomes with teaching versus nonteaching healthcare: a systematic review. PLOS Medicine. 2006;3:1603–15.

Park W. A comprehensive empirical investigation of the relationship among variables of the group-think model. J Organiz Behav. 2000;21:873–87.CrossRef

Pathman DE, Konrad TR, Freed GL, et al. The awareness-to-adherence model of the steps to clinical guideline compliance. The case of pediatric vaccine recommendations. Med Care. 1996;34:873–89.CrossRef

Pham HH, Landon BE, Reschovsky JD, Wu B, Schrag D. Rapidity and modality of imaging for acute low back pain in elderly patients. Arch Intern Med. 2009;169:972–81.CrossRef

Rogers EM. Diffusion of innovations. New York: Simon & Schuster Ltd; 2003.

Rosser W. Using the perception-reality gap to alter prescribing patterns. J Med Educ. 1983;58:728–32.PubMed

Raad voor de Volksgezondheid & Zorg. Professionals in de gezondheidszorg. Zoetermeer, 2000.

Salisbury C, Bosanquet N, Wilkinson E, et al. The implementation of evidence-based medicine in general practice prescribing. Br J Gen Pract. 1998;48:1849–51.PubMedPubMedCentral

Schutte K, Yano EM, Kilbourne AM, Wickrame B, Kirschner JE, Humphreys K. Organizational contexts of primary care approaches for managing problem drinking. Journal of Substance Abuse Treatment. 2009;36:435–45.CrossRef

Scott A. Agency, incentives and the behaviour of general practitioners: the relevance of principal agent theory in designing incentives for GPs in the UK. Aberdeen: Departments of Public Health and Economics, Aberdeen University; 1997.

Sheaff R, Smith K, Dickson M. Is GP restratification beginning in England? Social Policy & Administration. 2002;36:765–79.CrossRef

Steenkiste B van, Weijden T van der, Stoffers H, Grol R. Barriers to implementing cardiovascular risk tables in routine general practice. Scan J Prim Health Care. 2004;22(1):32–7.CrossRef

Steenkiste B van, Weijden T van der, Stoffers H, Kester A, Timmermans DR, Grol R. Improving cardiovascular risk management: a randomized, controlled trial on the effect of a decision support tool for patients and physicians. Eur J Cardiovasc Prev Rehabil. 2007;14(1):44–50.CrossRef

Steenkiste BC van, Weijden T van der, Stoffers JHEH, Grol RPTM. Patients’ responsiveness to a decision support tool for primary prevention of cardiovascular diseases in primary care. Patient Educ Couns. 2008;72:63–70.CrossRef

Stross JK. The educationally influential physician. J Cont Educ Health Prof. 1996;16:167–72.CrossRef

Sutherland K, Christianson JB, Leatherman S. Impact of targeted financial incentives on personal health behaviour: a review of the literature. Med Care Res Rev. 2008;65:S36–78.CrossRef

Wensing M, Bosch M, Grol R. The knowledge to action cycle: developing and selecting knowledge to action interventions. CMAJ. 2010;182(2):E85–8.CrossRef

Wensing M. Introduction to the article series on the Tailored Implementation in Chronic Diseases (TICD) project. Implem Sci 2016 (submitted).

Wensing M, Huntink E, Lieshout J Van, Godycki-Cwirko M, Kowalzcyck Jäger C, et al. Tailored implementation of evidence-based practice for patients with chronic diseases. Plos One. 2014;9:E101981.CrossRef

West E, Barron DN, Dowsett J, Newton JN. Hierarchies and cliques in the social networks of health care professionals: implications for the design of dissemination strategies. Soc Sci Med. 1999;48:633–6.CrossRef

Wheelan SA, Burchill CN, Tilin F. The link between teamwork and patients’ outcomes in intensive care units. Am J Crit Care. 2003;12:527–34.PubMed

Woolf SH, Grol R, Hutchinson A, et al. Potential benefits, limitations, and harms of clinical guidelines. BMJ. 1999;318:527–30.CrossRef

Zaat JO, Eijk JT van. General practitioners’ uncertainty, risk preferences, and use of laboratory tests. Med Care. 1992;30:846–54.CrossRef

Titel: Beïnvloedende factoren bij implementatie
Auteurs: Prof. dr. Michel Wensing
Prof. dr. Richard Grol
Uitgeverij: Bohn Stafleu van Loghum
Boek: Implementatie
Print ISBN: 978-90-368-1731-8

Elektronisch ISBN: 978-90-368-1732-5

Copyright: 2017
DOI: https://doi.org/10.1007/978-90-368-1732-5_8

Bohn Stafleu van Loghum

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