Effectiveness of a tailored implementation strategy to improve adherence to a guideline on mental health problems in occupational health care
| Autor: | Margot C. W. Joosen, Karlijn M. van Beurden, Berend Terluin, Monique A. J. M. Loo, Evelien P. M. Brouwers, Jaap van Weeghel, Jac J. L. van der Klink, David S. Rebergen |
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| Přispěvatelé: | General practice, APH - Mental Health, APH - Aging & Later Life, Arbeid & Gezondheid, Tranzo, Scientific center for care and wellbeing |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
RETURN IMPACT Occupational Health Services Psychological intervention Occupational safety and health Health administration 0302 clinical medicine PHYSICIANS Health care Medicine 030212 general & internal medicine Occupational health professionals ASSOCIATIONS lcsh:Public aspects of medicine 030503 health policy & services Health Policy Medical record WORKERS Middle Aged DEPRESSION Work disability prevention 3. Good health Female Mental health 0305 other medical science Research Article Adult medicine.medical_specialty Practice guideline ADJUSTMENT DISORDERS Attitude of Health Personnel Health Personnel 03 medical and health sciences MANAGEMENT Humans QUALITY Occupational health business.industry Public health Guideline adherence lcsh:RA1-1270 Guideline CLINICAL-PRACTICE Family medicine Implementation Occupational medicine business Program Evaluation |
| Zdroj: | BMC Health Services Research, Vol 19, Iss 1, Pp 1-14 (2019) BMC Health Services Research BMC Health Services Research, 19(1):281. BioMed Central BMC Health Services Research, 19:281. BMC Joosen, M C W, van Beurden, K M, Rebergen, D S, Loo, M A J M, Terluin, B, van Weeghel, J, van der Klink, J J L & Brouwers, E P M 2019, ' Effectiveness of a tailored implementation strategy to improve adherence to a guideline on mental health problems in occupational health care ', BMC Health Services Research, vol. 19, no. 1, 281 . https://doi.org/10.1186/s12913-019-4058-5 |
| ISSN: | 1472-6963 |
| DOI: | 10.1186/s12913-019-4058-5 |
| Popis: | Background As compliance to guidelines is generally low among health care providers, little is known about the impact of guidelines on the quality of delivery of care. To improve adherence to guideline recommendations on mental health problems, an implementation strategy was developed for Dutch occupational physicians (OPs). The aims were 1) to assess adherence to a mental health guideline in occupational health care and 2) to evaluate the effect of a tailored implementation strategy on guideline adherence compared to traditional guideline dissemination. Methods An audit of medical records was conducted as part of a larger RCT study. Participants were 66 OPs (32 intervention and 34 control) employed at one of six sites of an Occupational Health Service in southern Netherlands. OPs in the intervention group received multiple-session peer group training which focused on identifying and addressing barriers to using the guideline, using a Plan-Do-Check-Act approach. The control group did not receive training. Medical records of 114 workers sick-listed with mental health problems were assessed (56 intervention and 58 control). Guideline adherence was determined by auditing the records using 12 guideline-based performance indicators (PI), grouped into 5 PIs: process diagnosis, problem orientation, interventions/treatment, relapse prevention, and continuity of care. Differences in performance rates of the PIs between the intervention and control groups were analyzed, taking into account the cluster study design. Results OPs who received the training showed significantly greater adherence compared to the controls (p |
| Databáze: | OpenAIRE |
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