Richard Grol
Biographic Data
| ID | 1732433 |
|---|---|
| NAME | Richard Grol |
| GIVEN NAMES | Richard |
| FAMILY NAME | Grol |
| SIGNATURE | GROL R |
| AFFILIATIONS | Radboud University Nijmegen |
| VERIFIED | No |
| TOTAL WORKS | 24 |
| TOTAL CITATIONS | 16 |
| AUTHOR COUNT | 24 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1994 |
| LATEST PUBLICATION YEAR | 2023 |
| H-INDEX | 2 |
Holding still, together - Parkinson's care Portrayed
Complexity within the healthcare setting grows rapidly, and person-centered care takes on center stage. This begs for a mind- and skillset change in health professionals, because most current education equips them poorly to deal with this. Last year at ICIC22, we presented our innovative arts-based research project, focusing on a combination of narrative accounts and photographs of 21 people with Parkinson’s and 22 different practitioners. The re…
Person-centered Parkinson's care Portrayed
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Holding still, together
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
From Postpartum Haemorrhage Guideline to Local Protocol
Objective Postpartum hemorrhage (PPH) has a continuously rising incidence worldwide, suggesting suboptimal care. An important step in optimizing care is the translation of evidence-based guidelines into comprehensive hospital protocols. However, knowledge about the quality of these protocols is lacking. The objective of this study was to evaluate the quality of PPH-protocols on structure and content in the Netherlands. Methods We performed an obs…
Monitoring Modifiable Cardiovascular Risk in Type 2 Diabetes Care in General Practice
BACKGROUND: Because many patients in usual care reach the diabetes treatment goals, it may be more efficacious to focus quality improvement efforts on those general practice populations requiring additional support. We therefore developed a tool based on a composite end point considering blood pressure, lipids, and glycaemia. METHODS: We created an aggregated z(A)-score, calculated as the average of 3 z-scores testing whether the mean practice va…
Which Physician and Practice Characteristics are Associated With Adherence to Evidence-Based Guidelines for Depressive and Anxiety Disorders
BACKGROUND: Research on quality of care for depressive and anxiety disorders has reported low rates of adherence to evidence-based depression and anxiety guidelines. To improve this care, we need a better understanding of the factors determining guideline adherence. OBJECTIVE: To investigate how practice- and professional-related factors are associated with adherence to these guidelines. DESIGN: Cross-sectional cohort study. PARTICIPANTS: A total…
Cost-Effectiveness of a Quality Improvement Collaborative Focusing on Patients With Diabetes
OBJECTIVE: To investigate the lifelong health effects, costs, and cost-effectiveness of a quality improvement collaborative focusing on improving diabetes management in an integrated care setting. STUDY DESIGN AND METHODS: Economic evaluation from a healthcare perspective with lifetime horizon alongside a nonrandomized, controlled, before-after study in the Netherlands. Analyses were based on 1861 diabetes patients in 6 intervention and 9 control…
Public Reporting in Health Care
BACKGROUND: One of the underlying goals of public reporting is to encourage the consumer to select health care providers or health plans that offer comparatively better quality-of-care. OBJECTIVE: To review the weight consumers give to quality-of-care information in the process of choice, to summarize the effect of presentation formats, and to examine the impact of quality information on consumers' choice behavior. The evidence is organized in a …
Patient evaluations of accessibility and co‐ordination in general practice in Europe
Objective To determine whether patient evaluations of the accessibility to general practice and co‐ordination with other care providers were associated with characteristics of general practice organizations. Background In 1998 patients across Europe perceived that small general practices have better accessibility than large practices. Since then a number of changes in primary care have had impact on accessibility and co‐ordination of care. Design…
Diversity in diabetes care programmes and views on high quality diabetes care
There is large diversity in diabetes care programmes and related quality indicators. From this review and our analysis on the mutual relationship between diversity in diabetes care programmes and the conceptualization of high quality diabetes care, we conclude that no single conceptual framework used to date provides a comprehensive overview of attributes of high quality diabetes care linked to quality indicators at the structure, process and out…
The Option scale
Objective To examine the psychometric properties of a revised scale, named ‘observing patient involvement in decision making’ (OPTION), by analysing its reapplication to a sample of routine primary care consultations. The OPTION instrument assesses to what degree clinicians involve patients in decision making. Design Cross‐sectional assessment of medical interaction by two calibrated raters. Setting Primary care. Participants Twenty‐one general p…
A consultation leaflet to improve an older patient's involvement in general practice care
Objective To evaluate the effects of a programme to enhance the involvement of older patients in their consultations in general practice. Design Cluster randomized trial, in which data was collected from different cohorts. Setting and participants Twenty‐five general practices in the south‐east part of the Netherlands and their patients aged 70 years and over. Intervention Patients in the intervention group received a leaflet to help them prepare…
Effect of a comprehensive intervention program targeting general practice staff on quality of life in patients at high cardiovascular risk
Assessing the Quality of Life of Adults with Chronic Respiratory Diseases in Routine Primary Care
From best evidence to best practice
Patient characteristics as predictors of primary health care preferences
OBJECTIVE: To identify associations between various cultural and demographic factors and patients' primary health care preferences. SEARCH STRATEGY: Searches were performed in MEDLINE (1966-December 2000), PsycINFO (1977-May 2001) and Sociological Abstracts (1963-December 2000). Identified papers were checked for more papers. INCLUSION CRITERIA: Studies with a focus on primary health care or health care in general, asking patients about preferenc…
Functional status, health problems, age and comorbidity in primary care patients
Successes and Failures in the Implementation of Evidence-Based Guidelines for Clinical Practice
BACKGROUND: The development and implementation of (evidence-based) clinical practice guidelines is one of the promising and effective tools for improving the quality of care. However, many guidelines are not used after dissemination. Implementation activities frequently produce only moderate improvement. It is important to study specific guideline programs in detail to learn from their successes and failures. OBJECTIVES: Experiences with more tha…
Optimal Methods for Guideline Implementation
BACKGROUND: Quality problems in medical care are not a new finding. Variations in medical practice as well as actual medical errors have been pointed out for many decades. The current movement to write practice guidelines to attempt to correct these deviations from recommended medical practice has not solved the problem. OBJECTIVE: In order to gain greater acceptance of these guidelines and to change the behavior of health care providers, the sci…
Is ‘shared decision‐making’ feasible in consultations for upper respiratory tract infections? Assessing the influence of antibiotic expectations using discourse analysis
OBJECTIVES: To examine the discourse of consultations in which conflict occurs between parents and clinicians about the necessity of antibiotics to treat an upper respiratory tract infection. To appraise the feasibility of shared decision-making in such consultations. DESIGN: A qualitative study using discourse analysis techniques. SETTING: A general practice with 12 500 patients in an urban area of Cardiff, Wales. PARTICIPANTS: Two consultations…
What can patients do to improve health care
ObjectiveTo give an overview of the value of different interventions for increasing the role of individual patients in improving the quality of care provision. Search strategyMedline searches and manual searches in medical journals covering the period from 1980 until June 1997. Inclusion criteriaStudies reporting descriptions and evaluations of seven types of interventions that aim to help integrate the needs and preferences of individual patient…
A systematic review of the literature on patient priorities for general practice care. Part 1
Does the health status of chronically ill patients predict their judgements of the quality of general practice care
Quality judgements by patients on general practice care
Quality judgements by patients on general practice care
Diversity in diabetes care programmes and views on high quality diabetes care
There is large diversity in diabetes care programmes and related quality indicators. From this review and our analysis on the mutual relationship between diversity in diabetes care programmes and the conceptualization of high quality diabetes care, we conclude that no single conceptual framework used to date provides a comprehensive overview of attributes of high quality diabetes care linked to quality indicators at the structure, process and out…
Quality judgements by patients on general practice care
Does the health status of chronically ill patients predict their judgements of the quality of general practice care
What can patients do to improve health care
ObjectiveTo give an overview of the value of different interventions for increasing the role of individual patients in improving the quality of care provision. Search strategyMedline searches and manual searches in medical journals covering the period from 1980 until June 1997. Inclusion criteriaStudies reporting descriptions and evaluations of seven types of interventions that aim to help integrate the needs and preferences of individual patient…
A systematic review of the literature on patient priorities for general practice care. Part 1
Is ‘shared decision‐making’ feasible in consultations for upper respiratory tract infections? Assessing the influence of antibiotic expectations using discourse analysis
OBJECTIVES: To examine the discourse of consultations in which conflict occurs between parents and clinicians about the necessity of antibiotics to treat an upper respiratory tract infection. To appraise the feasibility of shared decision-making in such consultations. DESIGN: A qualitative study using discourse analysis techniques. SETTING: A general practice with 12 500 patients in an urban area of Cardiff, Wales. PARTICIPANTS: Two consultations…
Functional status, health problems, age and comorbidity in primary care patients
Successes and Failures in the Implementation of Evidence-Based Guidelines for Clinical Practice
BACKGROUND: The development and implementation of (evidence-based) clinical practice guidelines is one of the promising and effective tools for improving the quality of care. However, many guidelines are not used after dissemination. Implementation activities frequently produce only moderate improvement. It is important to study specific guideline programs in detail to learn from their successes and failures. OBJECTIVES: Experiences with more tha…
Optimal Methods for Guideline Implementation
BACKGROUND: Quality problems in medical care are not a new finding. Variations in medical practice as well as actual medical errors have been pointed out for many decades. The current movement to write practice guidelines to attempt to correct these deviations from recommended medical practice has not solved the problem. OBJECTIVE: In order to gain greater acceptance of these guidelines and to change the behavior of health care providers, the sci…
From best evidence to best practice
Patient characteristics as predictors of primary health care preferences
OBJECTIVE: To identify associations between various cultural and demographic factors and patients' primary health care preferences. SEARCH STRATEGY: Searches were performed in MEDLINE (1966-December 2000), PsycINFO (1977-May 2001) and Sociological Abstracts (1963-December 2000). Identified papers were checked for more papers. INCLUSION CRITERIA: Studies with a focus on primary health care or health care in general, asking patients about preferenc…
Effect of a comprehensive intervention program targeting general practice staff on quality of life in patients at high cardiovascular risk
Assessing the Quality of Life of Adults with Chronic Respiratory Diseases in Routine Primary Care
The Option scale
Objective To examine the psychometric properties of a revised scale, named ‘observing patient involvement in decision making’ (OPTION), by analysing its reapplication to a sample of routine primary care consultations. The OPTION instrument assesses to what degree clinicians involve patients in decision making. Design Cross‐sectional assessment of medical interaction by two calibrated raters. Setting Primary care. Participants Twenty‐one general p…
A consultation leaflet to improve an older patient's involvement in general practice care
Objective To evaluate the effects of a programme to enhance the involvement of older patients in their consultations in general practice. Design Cluster randomized trial, in which data was collected from different cohorts. Setting and participants Twenty‐five general practices in the south‐east part of the Netherlands and their patients aged 70 years and over. Intervention Patients in the intervention group received a leaflet to help them prepare…
Patient evaluations of accessibility and co‐ordination in general practice in Europe
Objective To determine whether patient evaluations of the accessibility to general practice and co‐ordination with other care providers were associated with characteristics of general practice organizations. Background In 1998 patients across Europe perceived that small general practices have better accessibility than large practices. Since then a number of changes in primary care have had impact on accessibility and co‐ordination of care. Design…
Diversity in diabetes care programmes and views on high quality diabetes care
There is large diversity in diabetes care programmes and related quality indicators. From this review and our analysis on the mutual relationship between diversity in diabetes care programmes and the conceptualization of high quality diabetes care, we conclude that no single conceptual framework used to date provides a comprehensive overview of attributes of high quality diabetes care linked to quality indicators at the structure, process and out…
Public Reporting in Health Care
BACKGROUND: One of the underlying goals of public reporting is to encourage the consumer to select health care providers or health plans that offer comparatively better quality-of-care. OBJECTIVE: To review the weight consumers give to quality-of-care information in the process of choice, to summarize the effect of presentation formats, and to examine the impact of quality information on consumers' choice behavior. The evidence is organized in a …
Monitoring Modifiable Cardiovascular Risk in Type 2 Diabetes Care in General Practice
BACKGROUND: Because many patients in usual care reach the diabetes treatment goals, it may be more efficacious to focus quality improvement efforts on those general practice populations requiring additional support. We therefore developed a tool based on a composite end point considering blood pressure, lipids, and glycaemia. METHODS: We created an aggregated z(A)-score, calculated as the average of 3 z-scores testing whether the mean practice va…
Which Physician and Practice Characteristics are Associated With Adherence to Evidence-Based Guidelines for Depressive and Anxiety Disorders
BACKGROUND: Research on quality of care for depressive and anxiety disorders has reported low rates of adherence to evidence-based depression and anxiety guidelines. To improve this care, we need a better understanding of the factors determining guideline adherence. OBJECTIVE: To investigate how practice- and professional-related factors are associated with adherence to these guidelines. DESIGN: Cross-sectional cohort study. PARTICIPANTS: A total…
Cost-Effectiveness of a Quality Improvement Collaborative Focusing on Patients With Diabetes
OBJECTIVE: To investigate the lifelong health effects, costs, and cost-effectiveness of a quality improvement collaborative focusing on improving diabetes management in an integrated care setting. STUDY DESIGN AND METHODS: Economic evaluation from a healthcare perspective with lifetime horizon alongside a nonrandomized, controlled, before-after study in the Netherlands. Analyses were based on 1861 diabetes patients in 6 intervention and 9 control…
From Postpartum Haemorrhage Guideline to Local Protocol
Objective Postpartum hemorrhage (PPH) has a continuously rising incidence worldwide, suggesting suboptimal care. An important step in optimizing care is the translation of evidence-based guidelines into comprehensive hospital protocols. However, knowledge about the quality of these protocols is lacking. The objective of this study was to evaluate the quality of PPH-protocols on structure and content in the Netherlands. Methods We performed an obs…
Person-centered Parkinson's care Portrayed
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Holding still, together
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Holding still, together - Parkinson's care Portrayed
Complexity within the healthcare setting grows rapidly, and person-centered care takes on center stage. This begs for a mind- and skillset change in health professionals, because most current education equips them poorly to deal with this. Last year at ICIC22, we presented our innovative arts-based research project, focusing on a combination of narrative accounts and photographs of 21 people with Parkinson’s and 22 different practitioners. The re…
Medicine (20 works) · Nursing (12 works) · Psychology (11 works) · Computer Science (10 works) · Family medicine (8 works) · Health care (8 works) · MEDLINE (7 works) · Patient Satisfaction in Healthcare (7 works) · Patient-Provider Communication in Healthcare (7 works) · Primary Care and Health Outcomes (7 works)