Skip to main content
Top

Tip

Swipe om te navigeren naar een ander hoofdstuk

2023 | OriginalPaper | Hoofdstuk

15. Organisatorische implementatiestrategieën

Auteurs : Prof. dr. Michel Wensing, Dr. Miranda Laurant

Gepubliceerd in: Implementatie

Uitgeverij: Bohn Stafleu van Loghum

share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Samenvatting

Geplande verandering in een of meer aspecten van de organisatie van de patiëntenzorg kan een belangrijke bijdrage leveren aan het succes van implementatie. Dit hoofdstuk behandelt verandering van professionele rollen (vaak meer taken voor niet-artsen), versterking van patiëntenzorgteams, digitalisering van werkprocessen in de zorg, geïntegreerde zorg (waaronder ketenzorg en zorgpaden), kwaliteitsmanagement, en verandering van organisatiecultuur en leiderschap. Deze strategieën kunnen alle de implementatie van innnovatie bevorderen, maar de effecten zijn wisselend en niet altijd goed aangetoond. De invoering van organisatieverandering kan ook zelf onderwerp van een implementatieprogramma zijn. Onderzoek naar de effecten van organisatorische implementatiestrategieën is lastig, omdat het complexe interventies zijn waarvan de werking door contextfactoren wordt beïnvloed.
Literatuur
go back to reference Bosch M, Faber MJ, 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(Suppl 6):5S–35. CrossRef Bosch M, Faber MJ, 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(Suppl 6):5S–35. CrossRef
go back to reference Buurman B, Parlevliet J, Allore H, Blok W, Van Deelen D, Van Charante E moll, De Haan R, De Rooij S. Comprehensive geriatric assessment and transitional care in acutely hospitalized patients: the transitional care bridge randomized clinical trial. JAMA Intern Med. 2016;176:302–9. Buurman B, Parlevliet J, Allore H, Blok W, Van Deelen D, Van Charante E moll, De Haan R, De Rooij S. Comprehensive geriatric assessment and transitional care in acutely hospitalized patients: the transitional care bridge randomized clinical trial. JAMA Intern Med. 2016;176:302–9.
go back to reference Campanella P, Lovoto E, Marone C, et al. The impact of electronic health records on the healthcare quality: a systematic review and meta-analysis. Eur J Publ Health. 2015;26:60–4. CrossRef Campanella P, Lovoto E, Marone C, et al. The impact of electronic health records on the healthcare quality: a systematic review and meta-analysis. Eur J Publ Health. 2015;26:60–4. CrossRef
go back to reference Cummings G, Lee H, Macgregor T, et al. Factors contributing to nursing leadership: a systematic review. J Health Serv Res Policy. 2008;13(4):240–8. CrossRef Cummings G, Lee H, Macgregor T, et al. Factors contributing to nursing leadership: a systematic review. J Health Serv Res Policy. 2008;13(4):240–8. CrossRef
go back to reference Curley C, McEachern E, Sperof T. A firm trial of interdisciplinary rounds on the inpatient medical wards: an intervention designed using continuous quality improvement. Med Care. 1998;36:AS4–12. Curley C, McEachern E, Sperof T. A firm trial of interdisciplinary rounds on the inpatient medical wards: an intervention designed using continuous quality improvement. Med Care. 1998;36:AS4–12.
go back to reference Fakha A, Groenvynck L, De Boer B, Van Achterberg T, Hamers J, Verbeek H. A myriad of factors influencing the implementation of transitional care innovations: a scoping review. Implemen Sci. 2021;16:21. CrossRef Fakha A, Groenvynck L, De Boer B, Van Achterberg T, Hamers J, Verbeek H. A myriad of factors influencing the implementation of transitional care innovations: a scoping review. Implemen Sci. 2021;16:21. CrossRef
go back to reference Flodgren G, Rachas A, Farmer AJ, et al. Interactive telemedicine: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2015;(9):CD002098. Flodgren G, Rachas A, Farmer AJ, et al. Interactive telemedicine: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2015;(9):CD002098.
go back to reference Franx G, Dixon L, Wensing M, Pincus H. Implementation strategies for collaborative primary care-mental health models. Curr Opin Psychiatry. 2013;26:502–10. CrossRef Franx G, Dixon L, Wensing M, Pincus H. Implementation strategies for collaborative primary care-mental health models. Curr Opin Psychiatry. 2013;26:502–10. CrossRef
go back to reference Gonçalves-Bradley DC, J Maria AR, Ricci-Cabello I, Villanueva G, Fønhus MS, Glenton C, Lewin S, Henschke N, Buckley BS, Mehl GL, Tamrat T, Shepperd S. Mobile technologies to support healthcare provider to healthcare provider communication and management of care. Cochrane Database Syst Rev. 2020;Issue 8. Art. No.: CD012927. Gonçalves-Bradley DC, J Maria AR, Ricci-Cabello I, Villanueva G, Fønhus MS, Glenton C, Lewin S, Henschke N, Buckley BS, Mehl GL, Tamrat T, Shepperd S. Mobile technologies to support healthcare provider to healthcare provider communication and management of care. Cochrane Database Syst Rev. 2020;Issue 8. Art. No.: CD012927.
go back to reference Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients’ care. Lancet. 2003;362:1225–30. CrossRef Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients’ care. Lancet. 2003;362:1225–30. CrossRef
go back to reference Hazen ACM, De Bont AA, Boelman L, et al. The degree of integration of non-dispensing pharmacists in primary care practice and the impact on health outcomes: a systematic review. Res Social Adm Pharm. 2018;14(3):228–40. CrossRef Hazen ACM, De Bont AA, Boelman L, et al. The degree of integration of non-dispensing pharmacists in primary care practice and the impact on health outcomes: a systematic review. Res Social Adm Pharm. 2018;14(3):228–40. CrossRef
go back to reference Karimi-Shahanjarini A, Shakibazadeh E, Rashidian A, Hajimiri K, Glenton C, Noyes J, Lewin S, Laurant M, Colvin CJ. Barriers and facilitators to the implementation of doctor-nurse substitution strategies in primary care: a qualitative evidence synthesis. Cochrane Database Syst Rev. 2019;Issue 4. Art. No.: CD010412. Karimi-Shahanjarini A, Shakibazadeh E, Rashidian A, Hajimiri K, Glenton C, Noyes J, Lewin S, Laurant M, Colvin CJ. Barriers and facilitators to the implementation of doctor-nurse substitution strategies in primary care: a qualitative evidence synthesis. Cochrane Database Syst Rev. 2019;Issue 4. Art. No.: CD010412.
go back to reference Kringos DS, Sunol R, Wagner C, et al. The influence of context on the effectiveness of hospital quality improvement strategies: a review of systematic reviews. BMC Health Serv Res. 2015;15:277. CrossRef Kringos DS, Sunol R, Wagner C, et al. The influence of context on the effectiveness of hospital quality improvement strategies: a review of systematic reviews. BMC Health Serv Res. 2015;15:277. CrossRef
go back to reference Laurant M, Van der Biezen M, Wijers N, Watananirun K, Kontopantelis E, Van Vught AJAH. Nurses as substitutes for doctors in primary care. Cochrane Database Syst Rev. 2018;7. Art. No.: CD001271. Laurant M, Van der Biezen M, Wijers N, Watananirun K, Kontopantelis E, Van Vught AJAH. Nurses as substitutes for doctors in primary care. Cochrane Database Syst Rev. 2018;7. Art. No.: CD001271.
go back to reference Mahmoud Z, Angelé-Halgand N, Churruca K, et al. The impact of lean management on frontline healthcare professionals: a scoping review of the literature. BMC Health Serv Res. 2021;21:382. CrossRef Mahmoud Z, Angelé-Halgand N, Churruca K, et al. The impact of lean management on frontline healthcare professionals: a scoping review of the literature. BMC Health Serv Res. 2021;21:382. CrossRef
go back to reference Maier CB, Aiken LH. Task shifting from physicians to nurses in primary care in 39 countries: a cross-country comparative study. Eur J Public Health. 2016. pii: ckw098 (Epub). Maier CB, Aiken LH. Task shifting from physicians to nurses in primary care in 39 countries: a cross-country comparative study. Eur J Public Health. 2016. pii: ckw098 (Epub).
go back to reference Menachemi N, Rahurkar S, Harle CA, Vest JR. The benefits of health information exchange: an updated systematic review. JAMIA. 2018;25:1259–65. Menachemi N, Rahurkar S, Harle CA, Vest JR. The benefits of health information exchange: an updated systematic review. JAMIA. 2018;25:1259–65.
go back to reference Millar R, Mannion R, Freeman T, Davies HTO. Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. Milbank Quaterly. 2013;91:738–70. CrossRef Millar R, Mannion R, Freeman T, Davies HTO. Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. Milbank Quaterly. 2013;91:738–70. CrossRef
go back to reference Morello RT, Lowthian JA, Barker AL, et al. Strategies for improving patient safety culture in hospitals: a systematic review. BMJ Qual Saf. 2013;22:11–8. CrossRef Morello RT, Lowthian JA, Barker AL, et al. Strategies for improving patient safety culture in hospitals: a systematic review. BMJ Qual Saf. 2013;22:11–8. CrossRef
go back to reference Mumford V, Forde K, Greenfield D, et al. Health services accreditation: what is the evidence that the benefits justify the costs? Int J Qual Health Care. 2013;25:606–20. CrossRef Mumford V, Forde K, Greenfield D, et al. Health services accreditation: what is the evidence that the benefits justify the costs? Int J Qual Health Care. 2013;25:606–20. CrossRef
go back to reference Nieuwboer MS, Richters A, Van der Marck MA. Triple aim improvement for individuals, services and society in dementia care : The DementiaNet collaborative care approach. Z Gerontol Geriatr. 2017;50(Suppl 2):78–83. CrossRef Nieuwboer MS, Richters A, Van der Marck MA. Triple aim improvement for individuals, services and society in dementia care : The DementiaNet collaborative care approach. Z Gerontol Geriatr. 2017;50(Suppl 2):78–83. CrossRef
go back to reference Odendaal WA, Anstey Watkins J, Leon N, Goudge J, Gri#iths F, Tomlinson M, Daniels K. Health workers’ perceptions and experiences of using mHealth technologies to deliver primary healthcare services: a qualitative evidence synthesis. Cochrane Database Syst Rev. 2020;Issue 3. Art. No.: CD011942. Odendaal WA, Anstey Watkins J, Leon N, Goudge J, Gri#iths F, Tomlinson M, Daniels K. Health workers’ perceptions and experiences of using mHealth technologies to deliver primary healthcare services: a qualitative evidence synthesis. Cochrane Database Syst Rev. 2020;Issue 3. Art. No.: CD011942.
go back to reference Øvretveit J. The leaders role in quality and safety improvement: a review of research and guidance. Stockholm: Association of County Councils (Lanstingsforbundet); 2004. Øvretveit J. The leaders role in quality and safety improvement: a review of research and guidance. Stockholm: Association of County Councils (Lanstingsforbundet); 2004.
go back to reference Pannick S, Davis R, Ashrafian H, et al. Effects of interdisciplinary team care interventions on general medical wards: a systematic review. JAMA Intern Med. 2015;175:1288–98. CrossRef Pannick S, Davis R, Ashrafian H, et al. Effects of interdisciplinary team care interventions on general medical wards: a systematic review. JAMA Intern Med. 2015;175:1288–98. CrossRef
go back to reference Prades J, Remue E, Van Hoof E, Borras JM. Is it worth reorganizing cancer services on the basis of multidisciplinairy teams (MDTs)? A systematic review of the objectives and organization of MDTs and their impact on patient outcomes. Health Policy. 2015;119:464–79. CrossRef Prades J, Remue E, Van Hoof E, Borras JM. Is it worth reorganizing cancer services on the basis of multidisciplinairy teams (MDTs)? A systematic review of the objectives and organization of MDTs and their impact on patient outcomes. Health Policy. 2015;119:464–79. CrossRef
go back to reference Reeves S, Pelone F, Harrison R, Goldman J, Zwarenstein M. Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2017;(6):CD0000072. Reeves S, Pelone F, Harrison R, Goldman J, Zwarenstein M. Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2017;(6):CD0000072.
go back to reference Reynolds R, Dennis S, Hasan I, et al. A systematic review of chronic disease management interventions in primary care. BMC Fam Pract. 2018;19:11. CrossRef Reynolds R, Dennis S, Hasan I, et al. A systematic review of chronic disease management interventions in primary care. BMC Fam Pract. 2018;19:11. CrossRef
go back to reference Shortell S, Jones R, Rademaker A, et al. Assessing the impact of total quality management and organizational culture on multiple outcomes of care for coronary artery bypass graft surgery patients. Med Care. 2000;38:207–17. CrossRef Shortell S, Jones R, Rademaker A, et al. Assessing the impact of total quality management and organizational culture on multiple outcomes of care for coronary artery bypass graft surgery patients. Med Care. 2000;38:207–17. CrossRef
go back to reference Smith SM, Cousins G, Clyne B, Allwright S, O’Dowd T. Shared care across the interface between primary and secondary care in management of long term conditions. Cochrane Database Syst Rev. 2017;(6 ):CD004910. Smith SM, Cousins G, Clyne B, Allwright S, O’Dowd T. Shared care across the interface between primary and secondary care in management of long term conditions. Cochrane Database Syst Rev. 2017;(6 ):CD004910.
go back to reference Straßner C, Hoffmann M, Forstner J, Roth C, Szecsenyi J, Wensing M. Interventions to improve hospital admission and discharge management: an umbrella review of systematic reviews. Qual Man Health Care. 2020;29:67–75. CrossRef Straßner C, Hoffmann M, Forstner J, Roth C, Szecsenyi J, Wensing M. Interventions to improve hospital admission and discharge management: an umbrella review of systematic reviews. Qual Man Health Care. 2020;29:67–75. CrossRef
go back to reference Stunnenberg L, Adriaansen M. Onderzoek zorg op afstand: de oplossing een kantelende zorgomgeving. TvZ. 2015;2015(4):48–52. Stunnenberg L, Adriaansen M. Onderzoek zorg op afstand: de oplossing een kantelende zorgomgeving. TvZ. 2015;2015(4):48–52.
go back to reference Timmermans M, Van Vught A, Peters Y, Meermans G, Peute J, Postma C, Smit C, Verdaasdonk E, De Vries RT, Wensing M, Laurant M. The impact of the implementation of physician assistants in inpatient care: a multicenter matched-controlled study. PLoS ONE. 2017;12:e0178212. CrossRef Timmermans M, Van Vught A, Peters Y, Meermans G, Peute J, Postma C, Smit C, Verdaasdonk E, De Vries RT, Wensing M, Laurant M. The impact of the implementation of physician assistants in inpatient care: a multicenter matched-controlled study. PLoS ONE. 2017;12:e0178212. CrossRef
go back to reference Urquhart C, Currell R, Grant MJ, Hardiker NR. Nursing record systems: effects on nursing practice and healthcare outcomes. Cochrane Database of Syst Rev. 2009;1:CD002099. Urquhart C, Currell R, Grant MJ, Hardiker NR. Nursing record systems: effects on nursing practice and healthcare outcomes. Cochrane Database of Syst Rev. 2009;1:CD002099.
go back to reference Van den Brink GTWJ, Hooker RS, Van Vught AJ, Vermeulen H, Laurant MGH. The cost-effectiveness of physician assistants/associates: a systematic review of international evidence. PLoS ONE. 2021 Nov 1;16(11):e0259183. CrossRef Van den Brink GTWJ, Hooker RS, Van Vught AJ, Vermeulen H, Laurant MGH. The cost-effectiveness of physician assistants/associates: a systematic review of international evidence. PLoS ONE. 2021 Nov 1;16(11):e0259183. CrossRef
go back to reference Van der Biezen M, Schoonhoven L, Wijers N, Van der Burgt R, Wensing M, Laurant M. Substitution of general practitioners by nurse practitioners in out-of-hours primary care: a quasi-experimental study. J Adv Nurs. 2016;72(8):1813–24. CrossRef Van der Biezen M, Schoonhoven L, Wijers N, Van der Burgt R, Wensing M, Laurant M. Substitution of general practitioners by nurse practitioners in out-of-hours primary care: a quasi-experimental study. J Adv Nurs. 2016;72(8):1813–24. CrossRef
go back to reference Wijers N, Van der Burgt R, Laurant M. Verpleegkundig specialist biedt kansen. Onderzoeksrapport naar de inzet van de verpleegkundig specialist op de spoedpost in Eindhoven. Nijmegen/Eindhoven: IQ healthcare, Radboudumc/Stichting KOH; 2013. Wijers N, Van der Burgt R, Laurant M. Verpleegkundig specialist biedt kansen. Onderzoeksrapport naar de inzet van de verpleegkundig specialist op de spoedpost in Eindhoven. Nijmegen/Eindhoven: IQ healthcare, Radboudumc/Stichting KOH; 2013.
go back to reference Wong CA, Cummings GG. The relationship between nursing leadership and patient outcomes: a systematic review. J Nurs Manag. 2007;15:508–21. CrossRef Wong CA, Cummings GG. The relationship between nursing leadership and patient outcomes: a systematic review. J Nurs Manag. 2007;15:508–21. CrossRef
go back to reference Zamboni K, Baker U, Tyagi M, et al. How and under what circumstances do quality improvement collaboratives lead to better outcomes? A Systematic Review. Implemen Sci. 2020;15:27. CrossRef Zamboni K, Baker U, Tyagi M, et al. How and under what circumstances do quality improvement collaboratives lead to better outcomes? A Systematic Review. Implemen Sci. 2020;15:27. CrossRef
Metagegevens
Titel
Organisatorische implementatiestrategieën
Auteurs
Prof. dr. Michel Wensing
Dr. Miranda Laurant
Copyright
2023
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-2909-0_15