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Onderzoek Welke barrières ervaren huisartsen bij de toepassing van aanbevelingen uit NHG-Standaarden? Marjolein Lugtenberg, Paul de Vries, Adrie Evertse, Judith Zegers-van Schaick, Gert Westert, Jako Burgers Inleiding lende niveaus kunnen de implementatie van richtlijnen bemoei- Klinische richtlijnen worden beschouwd als belangrijke instru- lijken, bijvoorbeeld op het niveau van de huisarts zelf, van de 1 10-14 menten om de kwaliteit van de zorg te verbeteren. In de prak- patiënt en van de organisatorische en sociale context. Een tijk blijkt hun impact echter niet optimaal te zijn. Verschillende recente internationale review van kwalitatieve onderzoeken liet onderzoeken hebben laten zien dat richtlijnen slechts een matig zien dat huisartsen zes soorten barrières ervaren bij de toepas- effect hebben op verandering van het zorgproces en dat er nog sing van richtlijnen: de inhoud van de richtlijnen; het format van 2-6 veel ruimte is voor verbetering. Zo schrijven huisartsen in onge- de richtlijnen; de individuele ervaring van de huisarts; het behoud veer eenderde van de gevallen niet volgens de NHG-Standaar- van de arts-patiëntrelatie; professionele verantwoordelijkheid en den voor. Dit percentage is in de afgelopen jaren redelijk stabiel praktische belemmeringen. 7,8 gebleven. Bovendien blijken er grote verschillen te bestaan tus- Slechts enkele onderzoeken hebben gekeken naar
Huisarts en wetenschap – Springer Journals
Published: Sep 21, 2012
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