SIMPLE: implementation of recommendations from international evidence-based guidelines on caesarean sections in the Netherlands. Protocol for a controlled before and after study

Autor: Johannes P.R. Doornbos, Hubertina C.J. Scheepers, Jan G. Nijhuis, Froukje de Boer, Frans T. H. Lim, Francis P.J.M. Vrouenraets, E. N. C. Schoorel, Harry Visser, Sonja Melman, Robert Aardenburg, Martina Porath, Karin de Boer, Luc J.M. Smits, Friso M.C. Delemarre, Mallory Woiski, Marko Sikkema, Ivo M. A. van Dooren, Simone Kuppens, Anneke Kwee, Madelaine Jonkers, Gunilla Kleiverda, Rosella P.M.G. Hermens, Carmen D. Dirksen, Anjoke J.M. Huisjes, Ben W.J. Mol, Paulien C.M. van der Salm
Přispěvatelé: Amsterdam Public Health, Obstetrics and Gynaecology, Promovendi ODB, Obstetrie & Gynaecologie, Health Services Research, MUMC+: KIO Kemta (9), MUMC+: MA Obstetrie Gynaecologie (3), MUMC+: MA Medische Staf Obstetrie Gynaecologie (9), RS: CAPHRI School for Public Health and Primary Care, RS: GROW - School for Oncology and Reproduction
Rok vydání: 2013
Předmět:
Evidence-based practice
Population
Decision Making
Health Informatics
Unnecessary Procedures
Health informatics
Health administration
03 medical and health sciences
Study Protocol
0302 clinical medicine
Nursing
Clinical Protocols
Pregnancy
Health care
Outcome Assessment
Health Care
Medicine
Humans
030212 general & internal medicine
Practice Patterns
Physicians'
education
Netherlands
Quality Indicators
Health Care
Medicine(all)
lcsh:R5-920
education.field_of_study
030219 obstetrics & reproductive medicine
Evidence-Based Medicine
Cardiovascular diseases [NCEBP 14]
business.industry
Cesarean Section
Health Policy
Public Health
Environmental and Occupational Health
Health services research
Prenatal Care
General Medicine
Evidence-based medicine
Guideline
3. Good health
Hospitalization
Pregnancy Complications
Gynecology
Practice Guidelines as Topic
Quality of hospital and integrated care Quality of Care [NCEBP 4]
Costs and Cost Analysis
Female
Guideline Adherence
lcsh:Medicine (General)
business
Quality of hospital and integrated care [NCEBP 4]
Zdroj: Implementation Science, 8, pp. 3
Implementation Science : IS
Implementation Science, Vol 8, Iss 1, p 3 (2013)
Implementation Science, 8, 3
IMPLEMENTATION SCIENCE, 8(1). BioMed Central
Implementation science, 8:3. BioMed Central Ltd
ISSN: 1748-5908
Popis: Contains fulltext : 117613.pdf (Publisher’s version ) (Open Access) BACKGROUND: Caesarean section (CS) rates are rising worldwide. In the Netherlands, the most significant rise is observed in healthy women with a singleton in vertex position between 37 and 42 weeks gestation, whereas it is doubtful whether an improved outcome for the mother or her child was obtained. It can be hypothesized that evidence-based guidelines on CS are not implemented sufficiently. Therefore, the present study has the following objectives: to develop quality indicators on the decision to perform a CS based on key recommendations from national and international guidelines; to use the quality indicators in order to gain insight into actual adherence of Dutch gynaecologists to guideline recommendations on the performance of a CS; to explore barriers and facilitators that have a direct effect on guideline application regarding CS; and to develop, execute, and evaluate a strategy in order to reduce the CS incidence for a similar neonatal outcome (based on the information gathered in the second and third objectives). METHODS: An independent expert panel of Dutch gynaecologists and midwives will develop a set of quality indicators on the decision to perform a CS. These indicators will be used to measure current care in 20 hospitals with a population of 1,000 women who delivered by CS, and a random selection of 1,000 women who delivered vaginally in the same period. Furthermore, by interviewing healthcare professionals and patients, the barriers and facilitators that may influence the decision to perform a CS will be measured. Based on the results, a tailor-made implementation strategy will be developed and tested in a controlled before-and-after study in 12 hospitals (six intervention, six control hospitals) with regard to effectiveness, experiences, and costs. DISCUSSION: This study will offer insight into the current CS care and into the hindering and facilitating factors influencing obstetrical policy on CS. Furthermore, it will allow definition of patient categories or situations in which a tailor-made implementation strategy will most likely be meaningful and cost effective, without negatively affecting the outcome for mother and child. TRIAL REGISTRATION: http://www.clinicaltrials.gov: NCT01261676.
Databáze: OpenAIRE
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