  Case management projects enabling frail older people to stay in their own home a nested analysis within the framework of the evaluation of Protocol 3 projects; ; et al Poster (2013, February 22) Detailed reference viewed: 3 (0 ULg)Collaborative care in the addiction management of alcohol, illicit drugs and hypnotics and tranquilizers in the Belgian working population; ; Vanmeerbeek, Marc  et alPoster (2012, October) Background: General practitioners (GPs) and occupational physicians (OPs) play an important role in detecting and managing substance abuse in the working population. Their collaboration is critical in ... [more ▼] Background: General practitioners (GPs) and occupational physicians (OPs) play an important role in detecting and managing substance abuse in the working population. Their collaboration is critical in coordinating care, facilitate a quicker rehabilitation and shorten sickleave. A systematic literature search was performed according to the ADAPTE-framework to explore if guidelines exist for collaboration between GPs and OPs in substance abuse management. Method: International guidelines regarding collaborative care for alcohol abuse, illicit drug use and hypnotics and tranquilizers were identified by a detailed systematic search in the Guidelines International Network (GIN) and US National Guidelines Clearinghouse (NGC) databases. Results: In total 20 guidelines were considered of sufficient methodological quality, based on criteria of the Appraisal of Guidelines for Research and Education (AGREE) II instrument. Two out of 20 eligible guidelines reported on the role of OPs. There is a lack of adequate evidence on the role of the OP in substance abuse management. No practical avenues for collaboration between GPs and OPs in the management of substance abuse were suggested. Conclusions: In order to ensure adequate substance abuse management, collaborative models for general practice and occupational health should be developed. We recommend to study pros and cons for collaboration as well as the best way to achieve it. [less ▲] Detailed reference viewed: 20 (5 ULg)Avantages, désavantages et faisabilité de l’introduction de programmes “P4Q” en Belgique; ; et al Report (2009) This study is a logical follow up of previous KCE reports about quality of care, namely report 41 about clinical quality indicators in hospitals and report 76 about quality promotion in general practice ... [more ▼] This study is a logical follow up of previous KCE reports about quality of care, namely report 41 about clinical quality indicators in hospitals and report 76 about quality promotion in general practice. Pay for Performance (P4P) or Pay for Quality initiatives (P4Q), who concentrate exclusively on the quality constituent of performance, establishes a direct correlation between the payment and the outcomes, assessed by structure, process and\or outcome indicators). P4Q initiative arouses an increasing interest, abroad as in our own country. However, the future Belgian initiatives will be able to reach their objective if they are based on what can be learned from experiences led abroad and on a theoretical frame fitting to the Belgian context. Accordingly, the present report will answer the following research questions: 1. What can be learned from the international P4Q models about: • Assessment: what are the benefits and the unintended consequences of the P4Q programs? • The concept and the implementation: which theoretical framework can be applied to the Belgian health care system; how should be conceived the financial incentives; what are the determining success factors? 2. What are the essential conditions required to apply the international P4Q models or add a P4Q constituent to the Belgian quality experiences? • What are the current initiatives in Belgium? Are there proofs of their impact on quality of care? • To what extent are financial planning, databases and other current tools (recommendations of good practice, quality indicators) adequate to implement a P4Q program in the Belgian context of health care? What are the determining factors for success or failure in the implementation of these programs? [less ▲] Detailed reference viewed: 99 (12 ULg) |
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