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Evidence-based health care policy in reimbursement decisions : lessons from a series of six equivocal case-studies Vrije Universiteit Brussel

P. Van Herck, Lieven Annemans, W. Sermeus, Dirk Ramaekers
Context: Health care technological evolution through new drugs, implants and other interventions is a key driver of healthcare spending. Policy makers are currently challenged to strengthen the evidence for and cost-effectiveness of reimbursement decisions, while not reducing the capacity for real innovations. This article examines six cases of reimbursement decision making at the national health insurance authority in Belgium, with outcomes ...

Obstacles to implementing Evidence-Based Practice in Belgium: a context-specific qualitative evidence synthesis including findings from different health care discipline's KU Leuven

Karin Hannes, Jo Goedhuys, Bert Aertgeerts
A number of barriers to the implementation of evidence-based practice have already been inventoried. However, little attention has been given to the context-specific nature of these barriers. This qualitative evidence synthesis examines commonalities in the obstacles perceived by different groups of health care practitioners working in the Belgian health care system and sets out to discuss potential strategies to bridge these country specific ...

Tools to assess the trustworthiness of evidence-based point-of-care information for health care professionals: A systematic review KU Leuven

Trudy Bekkering, Leen De Coninck, Nicolas Delvaux, Patrik Vankrunkelsven
BACKGROUND: User-friendly information at the point of care should be well structured, rapidly accessible, and comprehensive. Also, this information should be trustworthy, as it will be used by health care practitioners to practice evidence-based medicine. Therefore, a standard, validated tool to evaluate the trustworthiness of such point-of-care information resources is needed. OBJECTIVE: This systematic review sought to search for tools to ...

Evidence-Based Health Care Policy in Reimbursement Decisions: Lessons from a Series of Six Equivocal Case-Studies KU Leuven Universiteit Gent

Pieter Van Herck, Walter Sermeus, Dirk Ramaekers
CONTEXT: Health care technological evolution through new drugs, implants and other interventions is a key driver of healthcare spending. Policy makers are currently challenged to strengthen the evidence for and cost-effectiveness of reimbursement decisions, while not reducing the capacity for real innovations. This article examines six cases of reimbursement decision making at the national health insurance authority in Belgium, with outcomes ...

A Tool to Assess the Trustworthiness of Evidence-Based Point-of-Care Information for Health Care Professionals (CAPOCI): Design and Validation Study KU Leuven

Trudy Bekkering, Leen De Coninck, Nicolas Delvaux, Bert Aertgeerts, Patrik Vankrunkelsven
BACKGROUND: User-friendly information at the point of care for health care professionals should be well structured, rapidly accessible, comprehensive, and trustworthy. The reliability of information and the associated methodological process must be clear. There is no standard tool to evaluate the trustworthiness of such point-of-care (POC) information. OBJECTIVE: We aim to develop and validate a new tool for assessment of trustworthiness of ...

Evidence-Based Health Care: barriers and facilitators of electronic guideline implementation and development in ambulatory settings KU Leuven

Annemie Heselmans
IntroductionTheoretically, doing what has been proven to be effective or stopping was is not working has the potential to provide health benefits or to reduce patient risks and waste of health care resources. As a consequence, it is essential that we find ways of implementing this evidence into practice. One possible way to implement evidence into practice is the use of instruments such as clinical practice guidelines (CPGs).Giving the broad ...

Implementation of evidence-based antenatal care in Mozambique Instituut voor Tropische Geneeskunde Universiteit Gent

Leonardo Chavane, Mario Merialdi, Ana Pilar Betrán, Jennifer Requejo-Harris, Eduardo Bergel, Alicia Aleman, Mercedes Colomar, Maria Luisa Cafferata, Alicia Carbonell, Beatrice Crahay, et al.

BACKGROUND: Antenatal care (ANC) reduces maternal and perinatal morbidity and mortality directly through the detection and treatment of pregnancy-related illnesses, and indirectly through the detection of women at increased risk of delivery complications. The potential benefits of quality antenatal care services are most significant in low-resource countries where morbidity and mortality levels among women of reproductive age and neonates are ...

Pilot Health Promoting Hospital in rural South Africa: evidence-based approach to systematic hospital transformation Vrije Universiteit Brussel

Peter Delobelle, H Onya, C. Langa, J. Mashamba, Anne-Marie Depoorter
This project aimed at transforming a rural District Hospital in the Limpopo Province of South Africa into a Health Promoting Hospital according to standards developed by WHO-Europe. The intervention used a diagnostic approach and baseline needs assessment of hospital staff, patients, and their relatives to identify health education and promotion needs. Activities included empowerment training and skills development, implementation of health ...

Protocol for process evaluation of evidence-based care pathways Vrije Universiteit Brussel KU Leuven

Ruben van Zelm, Ellen Coeckelberghs, Walter Sermeus, Daan Aeyels, Massimiliano Panella, Kris Vanhaecht

BACKGROUND AND AIM: Care pathways are complex interventions, consisting of multiple 'active ingredients', to structure care processes around patient needs. Numerous studies have reported improved outcomes after implementation of care pathways. The structure-process-outcome framework and the context-mechanism-outcome framework both suggest that outcomes can only be achieved through a certain process within a context or structure. To understand ...

The Manage Care Model: developing an evidence-based and expert-driven chronic care management model for patients with diabetes Universiteit Antwerpen

Patrick Timpel, Caroline Lang, Johan Wens, Juan Carlos Contel, Peter E.H. Schwarz
Background: Most current care models are disease- or symptom-focused and mostly do not account for the individual needs of patients with chronic diseases. The aim of this study was to develop an innovative, evidence-based and expert-based practice model for the management of patients with type 2 diabetes mellitus. Method: An iterative approach was used combining systematic literature search with qualitative methods, including a standardised ...