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ODHIN -Optimizing delivery of health care interventions in the Netherlands

Projectomschrijving

Veel Nederlands nuttigen teveel alcohol en dit resulteert in allerlei gezondheidsklachten. Het tijdige signaleren van overmatig alcoholgebruik en het aanbieden van een advies in de huisartsenpraktijk draagt bij aan een reductie van het alcholgebruik. Er isonderzocht of de huisartsen en andere professionals in de huisartsenpraktijk kunnen worden ondersteund, zodat overmatig alcohol gebruik wordt gesignaleerd en een kort advies wordt gegeven gericht op de reductie van het alcoholgebruik. Uit het onderzoek blijkt dat scholing en support deze zorg enigszins verbetert. Het toekennen van een financiële vergoeding resulteert slechts tijdelijk in een verbetering van de zorg, waarbij het stoppen van de financiële vergoeding gepaard gaat met een terugslag in de vroegsignalering en kortdurende interventies. Zorgverleners maakten nauwelijks gebruik van de mogelijkheid om patiënten te verwijzen naar een website voor aanvullend advies.

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Samenvatting van de aanvraag

ODHIN is a Europe wide project involving research institutions from nine European countries that will help to optimize the delivery of health care interventions by understanding how better to translate the results of clinical research into everyday practice. The Netherlands is one of the participating countries. Besides the Netherlands the following countries are involved: Spain (overall coordination), United Kingdom, Italy, Sweden, Poland, Slovenia, Portugal and Czech Republic. ODHIN will use the implementation of identification and brief intervention (IBI) programmes for hazardous and harmful alcohol consumption n primary health care as a case study. There is strong evidence for the effectiveness and cost-effectiveness of IBI in reducing hazardous and harmful alcoholconsumption and its consequences, which include more than 60 clinical diagnoses and conditions. Radboud University Nijmegen Medical Centre (RUNMC), IQ healthcare is one of the leading participating organisations. IQ healthcare will lead workpackage 2, the knowledge base, and will participate in other workpackages (WP3 to WP6)as well. IQ healthcare is memeber of the steering commitee, and will take responsibility to translate the findings into Dutch and translate scienc to dutch policy and other stakeholders, such as professional organisations. Workpackage 2 (IQ healtcare projectleader): A series of systematic reviews investigating the impact of different behavioural, organizational and financial strategies in changing provider behaviour across a range of clinical lifestyle interventions will be undertaken. 24 months Workpackage 3: Modelling studies will test the impact of different IBI approaches on changes in alcohol consumption and the resulting impacts on healthcare costs and health-related quality of life. 36 months Workpackage 4: The knowledge base of potential barriers and facilitators to implementing IBI will be updated. 24 months Workpackage 5: A stepped cluster randomised controlled trial will be undertaken with five arms and three time phases to test the incremental effect of strategies. Phase A will aim at raising awareness, insight, and acceptance of performance of IBI in PHC. Phases B and C will aim at acceptance, change and maintenance of implementation with financial and organisational strategies used in a different order to test the impact of both separately and in sequence. 48 months Workpackage 6: ODHIN will build a clinical evidence-based database on effective and cost-effective IBI measures for use in PHC and will develop a tool to assess the extent of provision of clinical practice. 36 months Dissemination of knowledge (Workpackage 7): A project website and a series of scientific publications, reports and fact sheets will widely disseminate the documented and evaluated conceptual models across diverse health care settings throughout Europe. 48 months The findings will also be translated to Dutch and disseminated amongst stakeholders (eg. Dutch government, Partnership Vroegsignalering Alcohol, and professional bodies and organisations such as NHG, LHV, LVG, ROS, etc.).

Onderwerpen

Kenmerken

Projectnummer:
200310017
Looptijd: 100%
Looptijd: 100 %
2011
2015
Onderdeel van programma:
Projectleider en penvoerder:
Dr. M.G.H. Laurant
Verantwoordelijke organisatie:
Radboudumc