Inventarisatie van lacunes in huisartsgeneeskundige kennis

Tasche, Marjolein; Oosterberg, E. H.; Kolnaar, Ben; Rosmalen, Karel

doi:10.1007/bf03082652

Cited by 14 publications

(4 citation statements)

References 2 publications

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“…81 This ap-proach has an important spin-off in that it identifies deficiencies in scientific knowledge 82 and can direct studies to areas with a high priority in terms of patient care. Some proposals in less economically developed countries are linking continuing education with acquisition of research data.…”

Section: Encourage the Participation Of Primary Care Cliniciansmentioning

confidence: 99%

Global Health and Primary Care Research

Beasley¹,

Starfield²,

Weel³

et al. 2007

The Journal of the American Board of Family Medicine

104

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A strong primary health care system is essential to provide effective and efficient health care in both resource-rich and resource-poor countries. Although a direct link has not been proven, we can reasonably expect better economic status when the health of the population is improved. Research in primary care is essential to inform practice and to develop better health systems and health policies. Among the challenges for primary care, especially in countries with limited resources, is the need to enhance the research capacity and to engage primary care clinicians in the research enterprise. These caregivers need to be an integral part of the research enterprise so the right questions will be asked, the results from research will be used in practice, and a scholarly and evidence-based approach to primary care will become the norm.The challenge of developing research in primary care can be met only by creating a strong infrastructure. This will include strengthening academic departments, enhancing links to researchers in other fields, improving training programs for future primary care researchers, developing more practicebased primary care research networks, and increasing funding for research in primary care. A greatly increased commitment on the part of international organizations both within and outside of primary care is needed, in particular those organizations involved with funding research. We provide suggestions to improve the global primary care research enterprise for the benefit of the world's population. A strong primary health care system is essential to provide effective and efficient health care in both resource-rich and in resource-poor countries. To improve equity in health it is vitally important to improve health services for the world's poorest and least healthy people.1 Among the challenges for developing a strong primary care system, especially in countries with limited resources, is that of developing research capacity in primary care. This capacity is needed to inform practice and to improve health systems and policies. This paper reviews the evidence supporting the role of the primary care system in providing effective and efficient health care, the need for primary care research to be part of this system, a description of the primary care research, and recommendations to strengthen the primary care research enterprise. The Strength of Primary Care Predicts a Population's Health StatusStudies of the value of health services have concluded that approximately half of the improvements in the health of populations in the past half century are attributable to health services, with other factors (geography, nutrition, public health measures) accounting for the remainder.2-4 Within the last 2 decades, several researchers have shown that the strength of the primary care component of health systems is positively related to most common indicators of population health status, including birth outcomes, potential years of life lost, ageadjusted death rates, and age-specific mortality rates. The benef...

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Section: Encourage the Participation Of Primary Care Cliniciansmentioning

confidence: 99%

Global Health and Primary Care Research

Beasley¹,

Starfield²,

Weel³

et al. 2007

The Journal of the American Board of Family Medicine

104

View full text Add to dashboard Cite

show abstract

“…Only part of the NHG-guidelines published between 1989 and 2000 are evidence-based. They are mostly based on consensus between members of the study groups that are involved in the development of the guidelines [ 41 ]. Of 130 recommendations in 28 NHG-guidelines published between 1993 and 1997, 44% was evidence-based [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Do decision support systems influence variation in prescription?

Jong

Groenewegen

Spreeuwenberg

et al. 2009

BMC Health Serv Res

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Background: Translating scientific evidence into daily practice is problematic. All kinds of intervention strategies, using educational and/or directive strategies, aimed at modifying behavior, have evolved, but have been found only partially successful. In this article the focus is on (computerized) decision support systems (DSSs). DSSs intervene in physicians' daily routine, as opposed to interventions that aim at influencing knowledge in order to change behavior. We examined whether general practitioners (GPs) are prescribing in accordance with the advice given by the DSS and whether there is less variation in prescription when the DSS is used.

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“…In addition, we identified bidirectional interactions between PBRNs and health policymakers, through which PBRNs became not only the subjects of policies that supported or hindered their inception or activities, 154,156,158,159,165,[172][173][174]209,[238][239][240][241][242][243] but they also emerged as developers of priorities that influenced health policy. 9,10,13,28,33,[37][38][39]51,52,[67][68][69]76,79,88,91,97,110,118,119,125,128,135,150,170,183,211,216,217,237 In some situations, they acted as "conveners" who actively engaged health policymakers in the mission of PBRNs narrowing the "distance" between PBRNs and policymakers.…”

Section: Connection Of Findings With Social Network Theorymentioning

confidence: 99%

A Review of 50 Years of International Literature on the External Environment of Building Practice-Based Research Networks (PBRNs)

et al. 2022

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Background: This article is the second part of a novel scoping review of the international literature that presents those key elements that underpin the foundational activities of Practice-Based Research Networks (PBRNs). In this article, we examine the external environment and the intersection between the internal and external environment domains.Methods: We searched electronic databases, including MEDLINE (PubMed), OVID, CINAHL (EBSCOhost), Scopus, and SAGE for publications in English between 1/1/1965 and 9/15/2021. We also searched reference lists of selected publications, gray literature and other online sources. Inductive thematic analysis was applied to construct the main themes, subthemes, and key elements from a scoping review covering up to 10 years of reported experiences of each of the 98 PBRNs that met the inclusion criteria.Results: In this study we present 2 main themes: "Stakeholders at the Intersection Between the Internal and External Environment" and the "External Environment." The first is linked to the subthemes "Patient and Community Stakeholders" and "Other Healthcare Stakeholders" and 11 key elements. The second relates to the subthemes "National Health System," "Institutional/Governmental Support, National/State Policy and Regulatory Environment" "Professional Organizations," "Leveraging Previous Research and PBRN Experience and Interacting with Other Networks" and "Health Information Technology (HIT) and HIT Vendors" and 21 key elements.Conclusions: Despite variations in geography, time, and healthcare context, PBRNs shared many similar developmental experiences over the past 5 decades. Their external environment contributed significantly to their developmental trajectories during the first 10 years of their operation. ( J Am Board Fam Med 2022;35:762-792.

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Inventarisatie van lacunes in huisartsgeneeskundige kennis

Cited by 14 publications

References 2 publications

Global Health and Primary Care Research

Global Health and Primary Care Research

Do decision support systems influence variation in prescription?

A Review of 50 Years of International Literature on the External Environment of Building Practice-Based Research Networks (PBRNs)

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