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
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
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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