References of "GILLAIN, Daniel"
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See detailThe role of wrist actigraphy in the evaluation and safety of patients in psychogeriatric ward
GILLAIN, Daniel ULg; Schyns, Edwin ULg; LEJEUNE, Christophe ULg et al

in European Geriatric Medicine (2013), 4(S1),

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See detailCLINICAL AND FUNCTIONAL CHARACTERISTICS OF NONAGENARIANS HOSPITALIZED IN A GERIATRIC UNIT: A DESCRIPTIVE STUDY
Petermans, Jean ULg; Mathieu, Sandrine; ALLEPAERTS, Sophie ULg et al

in Journal of Aging Research and Clinical Practice (2013), 2(3), 303-309

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See detailThe development and validation of nursing related groups based on the Belgian Nursing Minimum Dataset
THONON, Olivier ULg; VAN HERCK, Pieter; GILLAIN, Daniel ULg et al

in SHEERIN, Fintan; SERMEUS, Walter; EHRENBERG, Anna (Eds.) ACENDIO 2013 - Proceedings of 9th European Conference of ACENDIO (2013, March)

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See detailThe situation of gerontechnology in Belgium
Petermans, Jean ULg; LEJEUNE, CHRISTOPHE; GILLAIN, Daniel ULg

in GERONTECHNOLOGY (2012, June 26), 11(2), 269-270

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See detailOpportunité des séjours : l’outil AEP dans les hôpitaux belges
FONTAINE, Pierre; GILLAIN, Daniel ULg; THONON, Olivier ULg et al

in Gestions Hospitalieres (2012)

L'évolution des coûts de santé en général, et hospitaliers en particulier, a conduit les autorités belges à prendre des mesures pour limiter les durées de séjour. Les hôpitaux étant à présent financés en ... [more ▼]

L'évolution des coûts de santé en général, et hospitaliers en particulier, a conduit les autorités belges à prendre des mesures pour limiter les durées de séjour. Les hôpitaux étant à présent financés en fonction du nombre d'admissions et des pathologies correspondantes, l'usage d'un outil permettant d'estimer la proportion des admissions et des journées inappropriées, ainsi que leurs causes, est d'un intérêt majeur. Trois enquêtes transversales successives ont été menées de 2003 à 2005 dans 23 hôpitaux aigus en médecine interne, chirurgie et gériatrie. En tout, 12 000 séjours et 1 800 admissions ont ainsi été audités au moyen de l'Appropriateness Evaluation Protocol. [less ▲]

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See detailL'hôpital de jour gériatrique : quels objectifs, quelle organisation, quelle efficience : une revue de la littérature
Petermans, Jean ULg; VELGHE, A.; GILLAIN, Daniel ULg et al

in Gériatrie et Psychologie Neuropsychiatrie du Vieillissement (2011), 9(3), 295-303

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See detailThe Belgian geriatric day hospitals as part of a care program for the geriatric patient : first results of the implementation at the national level
VELGHE, A.; KOHN, L.; Petermans, Jean ULg et al

in Acta Clinica Belgica (2011), 66(3), 186-190

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See detailAssessing the causes inducing lengthening of hospital stays by means of the Appropriateness Evaluation Protocol.
Fontaine, Pierre ULg; Jacques, Jessica ULg; Gillain, Daniel ULg et al

in Health Policy (2011)

OBJECTIVES: The objective is to evaluate the use of the Appropriateness Evaluation Protocol (AEP) as a screening tool for determining the causes of the non-justified days to help hospitals to decrease the ... [more ▼]

OBJECTIVES: The objective is to evaluate the use of the Appropriateness Evaluation Protocol (AEP) as a screening tool for determining the causes of the non-justified days to help hospitals to decrease the length of stay while preserving the quality of care. METHODS: Three successive cross-sectional surveys were conducted from 2003 till 2005, in 23 Belgian hospitals. During this period, 10921 days were audited by means of the AEP. This study is focused on adult acute non-intensive care units. The appropriateness of each day of the sample was assessed, and for those considered as inappropriate, the reasons explaining the prolongation of the stay were investigated. RESULTS: The proportion of inappropriate days was 24.61%. There is a high variability across specialties and hospitals. Regarding inappropriate days, the analysis of causes of prolongation, globally, by bed index or by hospital, indicated clearly internal and external factors that lengthen stays. The most frequent reasons are waits for an examination (22%) and the lack of extra-hospital structures (31%). CONCLUSIONS: The use of AEP as a tool of internal audit to measure the proportion of non-justified days and their causes turns out to be possible and the obtained results has provided some accurate and useful information for the participating, and allowed them to take concrete decisions which lead to shrinking of the length of hospital stay. [less ▲]

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See detailMeasure of nursing time interventions for hospitalized elderly patients
THONON, Olivier ULg; GILLAIN, Daniel ULg; SERMEUS, Walter et al

Poster (2009, July)

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See detailDevelopment and validation of nursing resource weights for the Belgian Nursing Minimum Dataset in general hospitals: a Delphi questionnaire survey approach.
SERMEUS, Walter; GILLET, Pierre ULg; GILLAIN, Daniel ULg et al

in International Journal of Nursing Studies (2009), 46(2), 256-67

BACKGROUND: Internationally, nursing is not well represented in hospital financing systems. In Belgium a nursing weight system exists to adjust budget allocation for differences in nurse staffing ... [more ▼]

BACKGROUND: Internationally, nursing is not well represented in hospital financing systems. In Belgium a nursing weight system exists to adjust budget allocation for differences in nurse staffing requirements, but there is a need for revision. Arguments include the availability of a nursing minimum dataset and the adverse consequences of the current historically based nursing weight system. OBJECTIVES: The development and validation of nursing resource weights for the revised Belgium nursing minimum dataset (NMDS). DESIGN: Two independent cross sectional Delphi-surveys. SETTING AND PARTICIPANTS: A convenience sample of 222 head nurses from 69 Belgian hospitals participated in the cross sectional survey methods. To assess validity 112 patient case records from 61 nursing wards of 35 Belgian general hospitals representing general, surgical, pediatric, geriatric and intensive care were selected. METHODS: Nursing resource weights were constructed based on Delphi survey results by NMDSII intervention. The patient case Delphi survey results were used as the primary source for validation. A series of additional validation measures were calculated, based on the different patient classification systems. Finally, three validated nursing resource weighting systems were compared to the constructed NMDSII weighting system: the use of 'Closon', 'Ghent' and WIN weights. RESULTS: A coherent set of nursing resource weights was developed. The comparison of nurse resource weights, based on the survey per NMDS intervention versus the survey on patient cases, yielded high correlations: r=0.74 to r=0.97 (p<0.01) between three case rating questions, as an indication of reliability in terms of internal consistency, and r=0.90 (p<0.01) between summed intervention weights and patient case weights, as an indication of criterion validity in terms of concurrent validity. Other concurrent validity measures based on summed intervention weights versus patient classification dependency weights showed a correlation ranging from r=0.14 to r=0.74. The correlation of summed intervention weights with the Closon, Ghent and WIN weights ranged from r=0.93 to r=0.96 (p<0.01), as a third indication of concurrent validity. CONCLUSIONS: A system of valid nursing resource weights has been developed. The system should be further validated within an international context. [less ▲]

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See detailDevelopment of a financial model for Geriatric Day Hospitals
Gillain, Daniel ULg; Fecher-Bourgeois, Fabienne ULg; Velghe, A. et al

Poster (2009)

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See detailActualisation du Résumé Infirmier Minimum en Belgique, du concept à l’implémentation.
THONON, Olivier ULg; VAN DEN HEEDE, Koen; GILLAIN, Daniel ULg et al

in Actes de la 4ème conférence francophone en Gestion et Ingénierie des SystèmEs Hospitaliers - GISEH (2008, September)

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See detailDéfinition d'un système de financement de l'hôpital de jour gériatrique (Health Services Research)
Gillain, Daniel ULg; Velghe, Anja; Boman, Xavier et al

Report (2008)

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See detailFrom a Belgian Nursing minimum dataset to a nursing cost-weight per DRG
SERMEUS, Walter; GILLAIN, Daniel ULg; GILLET, Pierre ULg et al

in BMC Health Services Research (2007)

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See detailRevision of the Belgian Nursing Minimum Dataset: from data to information
SERMEUS, Walter; VAN DEN HEEDE, Koen; MICHIELS, Dominik et al

in Studies in Health Technology & Informatics (2006), 122

The Ministry of Public Health commissioned a research project to the Catholic University of Leuven and the University Hospital of Liege to revise the Belgian Nursing Minimum Dataset (B-NMDS). The study ... [more ▼]

The Ministry of Public Health commissioned a research project to the Catholic University of Leuven and the University Hospital of Liege to revise the Belgian Nursing Minimum Dataset (B-NMDS). The study started in 2000 and will end with the implementation of the revised B-NMDS in January 2007. The study entailed four major phases. The first phase involved the development of a conceptual framework based on a literature review and secondary data analysis. The second phase focused on language development and development of a data collection tool. The third phase focused on data collection and validation of the new tool. In the fourth phase the validity and reliability of the dataset was tested. The new dataset is without avail if it is not leading to new information. Four applications of the dataset has been defined from the beginning: evaluation of the appropriateness of stay (AEP) in the hospital, nurse staffing, hospital financing and quality management. The aim of this paper is to describe how the B-NMDS can contribute to each of these applications. [less ▲]

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See detailEtude des disparités de la chirurgie élective en Belgique
Jacques, Jessica ULg; Gillain, Daniel ULg; Fecher-Bourgeois, Fabienne ULg et al

Report (2006)

La chirurgie élective recouvre les interventions qui peuvent normalement être programmées calmement sans danger immédiat pour la santé du patient. Naïvement, on pourrait s’attendre à ce que cette ... [more ▼]

La chirurgie élective recouvre les interventions qui peuvent normalement être programmées calmement sans danger immédiat pour la santé du patient. Naïvement, on pourrait s’attendre à ce que cette caractéristique contribue à des décisions d’intervention mûrement réfléchies et donc à peu de disparités entre les pratiques. Et pourtant on découvre dans la littérature internationale que le lieu de résidence du patient influence nettement la probabilité de subir certaines interventions. Ces différences sont-elles aussi observées en Belgique ? Quelle intervention, de la cataracte, du syndrome du canal carpien ou de la sténose carotidienne, présente la plus grande variabilité ? Où fait-on le plus d’arthroscopies en Belgique ? La prothèse totale de hanche et la prothèse totale de genou sont-elles liées géographiquement ? Et qu’en est-il de la césarienne, dont on a encore récemment beaucoup entendu parler dans l’actualité, pour la proportion inquiétante de césariennes dans certains hôpitaux ? Illustrer simplement les différences de pratique ne suffit pas. Classiquement, il s’agit ensuite d’essayer d’éliminer l’effet de plusieurs variables qui pourraient objectivement expliquer les différences observées, comme des comorbidités, des variables socioéconomiques, des facteurs d’offre médicale, … Mais les disparités de pratique subsistent en Belgique même après avoir éliminé l’effet de ces variables. Ceci avait déjà été mis en évidence dans des études précédentes. On débouche alors inévitablement sur un questionnement à propos de l’opportunité des soins. Cette recherche démontre que pour certaines interventions, il est possible de mettre en évidence une association entre « trop de soins donnés » et des « soins médicalement inopportuns ». Mais ce n’est pas toujours le cas, le questionnement reste alors entier et l’instauration de mesures qui viseraient à diminuer des différences non justifiées reste à l’ordre du jour. Une collaboration de fond avec les acteurs de terrain pour chaque domaine spécifique est un « must », comme le prouve cette étude. En outre, cette étude a montré une fois de plus que la Belgique est riche en bases de données qui ne demandent qu’à être exploitées, pas seulement par le KCE mais aussi par tous les autres acteurs qui cherchent à utiliser le plus efficacement possible les moyens disponibles pour offrir à tous les patients les meilleurs soins. [less ▲]

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See detailAge- and sex-stratified prevalence of physical disabilities and handicap in the general population
Ethgen, Olivier ULg; GILLAIN, Daniel ULg; Gillet, Pierre ULg et al

in Osteoporosis International (2005, March), 16(Suppl.3), 25

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See detailAge- and sex-stratified prevalence of physical disabilities and handicap in the general population.
Ethgen, Olivier ULg; Gillain, Daniel ULg; Gillet, Pierre ULg et al

in Aging Clinical & Experimental Research (2004), 16(5), 389-97

BACKGROUND AND AIMS: Our aim was to provide age- and sex-stratified prevalence estimates of physical disabilities and handicap in the general Belgian population. METHODS: A cross-sectional and ... [more ▼]

BACKGROUND AND AIMS: Our aim was to provide age- and sex-stratified prevalence estimates of physical disabilities and handicap in the general Belgian population. METHODS: A cross-sectional and demographically representative health interview survey was conducted nationwide in Belgium in 1997. The 8836 persons aged 15 years and over who answered the health interview were included in this study. Seventeen items from the survey encompassing main activities of daily living (ADL) and confining were analyzed. To provide prevalence estimates as detailed as possible, neither aggregation nor dichotomization were applied. RESULTS: Women consistently reported more disability than men: mobility (p < 0.001), transfer in-out bed (p < 0.001), transfer in-out chair (p < 0.001), dressing (p = 0.004), washing hands and face (p = 0.029), getting to and using toilet (p = 0.003), continence (p < 0.001), seeing (p < 0.001) and mastication (p < 0.001). As expected, there was a marked trend for increased prevalence of disability with increasing age for both sexes. Moderate disability arose mainly from the 25-34 age group for both sexes. For both genders, severe disability appeared mainly at higher ages, particularly for the 65-74 age group. Nevertheless, the data suggest that continence problems for women, mobility and transfer issues for men, as well as mastication problems for both genders, clearly emerge earlier than age 65. Regarding handicap, observed prevalence rates were increasing, in age as was the case for disability, but no differences were found between men or women, except for confinement to house/garden, for which women presented a higher rate in general (p < 0.001) and in the 75-84 age group (p = 0.036) in particular. CONCLUSIONS: This study shows the wide range of disability types in the general population and their association with handicap. While elderly individuals consistently report higher degrees of disability and handicap, attention should also be paid to younger age groups. Disability calls for wide, coherent and relevant medical as well as social responses. [less ▲]

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