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Assurance de Qualité pour le cancer rectal, phase 1 / F. Penninckx / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2007)
Assurance de Qualité pour le cancer rectal, phase 1 : Recommandation de bonne pratique pour la prise en charge du cancer rectal [printed text] / F. Penninckx, Author ; S. Roels, Author ; D. Leonard, Author ; J. Decaestecker, Author ; C. DE VLEESCHOUWER, Author ; K. Haustermans, Author ; N. Ectors, Author ; Marc Peeters, Author ; Eric Van Cutsem, Author ; E. Danse, Author ; D. De Coninck, Author ; E. Van Eycken, Author ; Joan Vlayen , Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2007 . - vii, 249 p. : ill. ; 30 cm.. - (KCE Reports B. Good Clinical Practice (GCP); 69B) .
ISSN : D/2007/10.273/55 : 0 €
Etude nr 2006-03-1
Languages : English (eng) French (fre)
Descriptors: Classification
WI 610 Anus. Rectum -- Neoplams
Indexation
2006-03-1 ; Practice Guideline [Publication type] ; R69 ; Rectal Diseases ; Rectal NeoplasmsLink for e-copy: https://doi.org/10.57598/R69B Format of e-copy: .PDF (2,21 MB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=1666 Copies(0)
Status No copy Assurance de qualité pour le cancer rectal – phase 2 / Joan Vlayen / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2008)
Assurance de qualité pour le cancer rectal – phase 2 : Développement et test d’un ensemble d’indicateurs de qualité [printed text] / Joan Vlayen , Author ; E. Van Eycken, Author ; F. Penninckx, Author ; M. Verstreken, Author ; C. Mertens . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2008 . - vi, 159 p. : ill. ; 30 cm.. - (KCE Reports B. Good Clinical Practice (GCP); 81B) .
ISSN : D/2008/10.273/39 : 0 €
Etude n° 2006-03-1
Languages : English (eng) French (fre)
Descriptors: Classification
WI 610 Anus. Rectum -- Neoplams
Indexation
2006-03-1 ; Practice Guideline [Publication type] ; R81 ; Rectal Diseases ; Rectal NeoplasmsLink for e-copy: https://doi.org/10.57598/R81B Format of e-copy: .PDF (1,28 MB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=1693 Copies(0)
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Dual Diagnosis Carrà, Giuseppe Qualität der ärztlichen Versorgung in Österreich Ellmerer, Claudia Prevention and Treatment of pressure ulcers Morbidity, performance and quality in primary care Westert, Gert. P. Assurance de qualité pour le cancer rectal - phase 3 / Els Goetghebeur / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2011)
Assurance de qualité pour le cancer rectal - phase 3 : méthodes statistiques visant à comparer les centres sur base d'un ensemble d'indicateurs de qualité [printed text] / Els Goetghebeur, Author ; Ronan Van Rossem, Author ; Katrien Baert, Author ; Kurt Vanhoutte, Author ; Tom Boterberg, Author ; Pieter Demetter, Author ; Mark De Ridder, Author ; David Harrington, Author ; Marc Peeters, Author ; Guy Storme, Author ; Johanna Verhulst, Author ; Joan Vlayen , Author ; France Vrijens , Author ; Stijn Vansteedlandt, Author ; Wim Ceelen, Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2011 . - XIII, 114 p. : ill. ; A4. - (KCE Reports B. Good Clinical Practice (GCP); 161B) .
ISSN : D/2011/10.273/39 : € 0,00
Etude n° 2010-04
Languages : English (eng) French (fre)
Descriptors: Indexation
2010-04 ; Benchmarking ; Quality Indicators, Health Care ; Quality of Health Care ; R161 ; Rectal Neoplasms ; Regression analysis
Classification
WI 610 Anus. Rectum -- NeoplamsAbstract: Le Centre fédéral d'expertise des soins de santé (KCE) a étudié avec l'Université de Gand la meilleure manière de faire état de la qualité des soins du cancer du rectum. Les médecins du groupe PROCARE ont mis a disposition les données anonymes de 3 300 patients traités dans 79 hôpitaux belges. L'évaluation a notamment tenu compte du fait que tous les cancers n’en sont pas au même stade et de l’influence que cela peut avoir sur la comparaison des résultats entre hôpitaux. En outre des indicateurs globaux, synthétisant les nombreuses données disponibles, ont été développés. Les efforts qui ont été faits ces dernières années pour standardiser la chirurgie semblent avoir porté leurs fruits. En matière de diagnostic et d'examen des tissus il reste encore beaucoup de différences entre les hôpitaux. La méthode développée ici pour évaluer la qualité du cancer du rectum peut être appliquée à d'autres types de cancers. Contents note: LIST OF TABLES 3 -- LIST OF FIGURES 5 -- LIST OF ABBREVIATIONS 6 -- ABBREVIATED LIST OF AVAILABLE QCIS 7 -- 1 INTRODUCTION AND RESEARCH QUESTIONS 9 -- 1.1 BACKGROUND 9 -- 1.2 THE CURRENT PROJECT 9 -- 2 CONCEPTUAL FRAMEWORK AND METHODOLOGICAL APPROACH FOR -- THE ESTIMATION AND BENCH MARKING OF CENTER EFFECTS ON -- QUALITY INDEXES 11 -- 2.1 PATIENT MIX ADJUSTMENT FOR QUALITY OF CARE INDICATORS. 11 -- 2.1.1 The causal inference framework for center effects 11 -- 2.1.2 A motivated choice among different modeling approaches 12 -- 2.1.3 Limitations due to restricted variable access 13 -- 2.1.4 On the Instrumental Variables method 14 -- 2.1.5 Outcome regression methods and propensity score methods 15 -- 2.1.6 Scope of analysis 18 -- 2.2 LITERATURE SEARCH FOR PROGNOSTIC FACTORS OF RECTAL CANCER 20 -- 2.2.1 Methodological approach 20 -- 2.2.2 Results 20 -- 2.2.3 Discussion 21 -- 2.3 DIMENSIONS OF CARE AND THEIR AGGREGATION 22 -- 2.3.1 Goal 22 -- 2.3.2 Key approach 23 -- 2.3.3 Criteria for indexes 24 -- 2.3.4 Other issues in the construction of quality indicators and quality indexes 31 -- 2.4 REVIEW OF STATISTICAL METHODS FOR PROVIDER PROFILING 33 -- 2.4.1 Goals 33 -- 2.4.2 Methods for provider profiling in the literature 33 -- 2.4.3 Visualizing variation between centers 35 -- 2.4.4 Graphical presentation of center results 37 -- 2.5 PROPOSED APPROACH FOR PROCARE 40 -- 2.5.1 Choice of index 40 -- 2.5.2 Adjusting for patient specific factors 40 -- 2.5.3 Bench marking 40 -- 2.5.4 Visualization 40 -- 3 APPLICATION AND RESULTS ON THE PROCARE DATABASE 42 -- 3.1 INTRODUCTION 42 -- 3.2 METHODS 44 -- 3.2.1 Descriptive statistics 44 -- 3.2.2 Identification of relevant prognostic factors 45 -- 3.2.3 Estimation of unadjusted and case mix adjusted center effects 46 -- 3.3 DESCRIPTION OF THE STUDY COHORT 47 -- 3.3.1 Centers 47 -- 3.3.2 Prognostic factors 49 -- 3.3.3 Associations between prognostic factors 55 -- 3.3.4 Joint missingness patterns of prognostic factors 58 -- 3.3.5 Follow-up information 58 -- 3.4 DESCRIPTION AND ANALYSIS OF INDIVIDUAL QUALITY OF CARE INDICATORS 60 -- 3.4.1 The worked out case of Overall Survival QCI 1111 60 -- 3.4.2 Tabulated results for the QCIs 69 -- 3.5 SUMMARY POINTS 76 -- 4 AGGREGATED QUALITY INDEXES 78 -- 4.1 INTRODUCTION 78 -- 4.2 METHODS 78 -- 4.2.1 Evaluation of quality and reliability of the QCIs 78 -- 4.2.2 Number of dimensions needed 78 -- 4.2.3 Clinical importance and discriminating ability of selected QCIs per dimension 78 -- 4.2.4 Construction of the Quality Index 78 -- 4.2.5 Risk adjustment 79 -- 4.3 AN AGGREGATED OUTCOME QUALITY INDEX 79 -- 4.3.1 Quality and reliability of the QCIs 79 -- 4.3.2 Concurrent validity of the selected QCIs 79 -- 4.3.3 Clinical importance and discriminating ability of the selected QCIs per dimension 79 -- 4.3.4 Constructing the quality index (QI) 80 -- 4.3.5 Adjusting the outcome QI for patient characteristics 82 -- 4.4 AN AGGREGATED PROCESS QUALITY INDEX 85 -- 4.4.1 Quality and reliability of the QCIs 85 -- 4.4.2 Concurrent validity of selected QCIs 85 -- 4.4.3 Clinical importance and discriminating ability of selected QCIs per dimension 85 -- 4.4.4 Construction of the quality index (QI) 85 -- 4.5 AGGREGATED QUALITY INDEXES PER DOMAIN 90 -- 4.5.1 Overview of results 90 -- 4.5.2 Overview of variation per domain 98 -- 4.6 AN OVERALL COMPOSITE QUALITY INDEX 98 -- 5 MODEL BUILDING TO EXPLAIN EXCESS PROBABILITIES 101 -- 5.1 INTRODUCTION 101 -- 5.2 METHODOLOGY: FORWARD STEPWISE REGRESSION 101 -- 5.3 EXPLANATORY DESCRIPTIVES FOR EXTREME CENTER PERFORMANCE 102 -- 5.4 FORWARD STEPWISE REGRESSION 106 -- 6 DISCUSSION 108 -- 7 BIBLIOGRAPHY 112 Link for e-copy: https://doi.org/10.57598/R161B Format of e-copy: PDF (1,6 MB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2632 Copies(0)
Status No copy Asylum seekers in Belgium / Marie Dauvrin / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2019)
Asylum seekers in Belgium : options for a more equitable access to health care. A stakeholder consultation [printed text] / Marie Dauvrin , Author ; Jens Detollenaere , Author ; Chris De Laet , Author ; Dominique Roberfroid , Author ; Imgard Vinck , Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2019 . - 135 p. : ill., ; A4. - (KCE Reports. Health Services Research (HSR); 319C) .
ISSN : D/2019/10.273/53 : € 0,00
Languages : English (eng)
Descriptors: Indexation
2017-10 ; Delivery of Health Care ; Economics ; Health Policy ; Health Services Administration ; R319 ; Refugees
Classification
WA 300 Health issues of special population groupsContents note: 1 INTRODUCTION .12 -- 2 SCOPE AND RESEARCH QUESTIONS 14 -- 3 METHODS 16 -- 4 CONTEXT OF INTERNATIONAL PROTECTION AND HEALTH CARE FOR ASYLUM SEEKERS IN BELGIUM .19 -- 4.1 INTERNATIONAL PROTECTION FOR ASYLUM SEEKERS .19 -- 4.1.1 Procedure for international protection: legal and administrative aspects 20 -- 4.1.2 Number of asylum seekers in Belgium .21 -- 4.1.3 Material assistance during the procedure for international protection 22 -- 4.2 HEALTH PROBLEMS, HEALTH CARE UTILISATION AND COSTS AMONG ASYLUM SEEKERS.26 -- 4.2.1 Health problems 26 -- 4.2.2 Health care utilisation and costs 26 -- 4.3 CURRENT ORGANISATION AND ACCESS TO HEALTH CARE FOR ASYLUM SEEKERS 27 -- 4.3.1 Legal framework 27 -- 4.3.2 Summary of the key organisational elements 33 -- 5 DESCRIPTION OF THE PROBLEMS .37 -- 5.1 PROBLEMS AT THE MACRO-LEVEL .37 -- 5.1.1 Lack of coordination 37 -- 5.1.2 Regional differences regarding health care for asylum seekers 37 -- 5.1.3 Lack of monitoring of health care use and health care costs 37 -- 5.1.4 Lack of transparency about health care expenses .38 -- 5.1.5 Lack of administrative support and of qualified personnel to manage administrative tasks 38 -- 5.2 PROBLEMS AT THE MESO-LEVEL .39 -- 5.2.1 Unclear administrative system for health care professionals 39 -- 5.2.2 Differences in health care system depending on place of stay 39 -- 5.2.3 Lack of health care professionals qualified to interact in health care for asylum seekers 40 -- 5.2.4 High turnover of health care professionals in reception centres 40 -- 5.2.5 Reluctance and/or overburdening of (some) health care professionals 40 -- 5.2.6 Poor and/or unclear collaboration between the different actors involved in health care for asylum seekers .41 -- 5.2.7 Tension regarding patient confidentiality .41 -- 5.2.8 Lack of appropriate health information for asylum seekers 41 -- 5.3 PROBLEMS AT THE MICRO-LEVEL 41 -- 5.3.1 Inequity in access .41 -- 5.3.2 Inequity in treatment 43 -- 5.3.3 Inequity in outcomes 44 -- 5.4 SPECIFIC PROBLEMS FOR HEALTH CARE WITH UNACCOMPANIED MINORS 45 -- 5.4.1 Lack of coverage through insurance funds for unaccompanied minors 45 -- 5.4.2 Difficulties to comply with the conditions to access the compulsory health insurance .45 -- 5.4.3 Shortage of guardians 45 -- 5.4 OTHER ISSUES 45 -- 6 OPTIONS TO IMPROVE EQUITABLE ACCESS TO HEALTH CARE FOR ASYLUM SEEKERS: RESULTS OF THE STAKEHOLDER CONSULTATION 48 -- 6.1 FUNDAMENTAL TRANSVERSAL PRINCIPLES TO IMPROVE EQUITABLE ACCESS .48 -- 6.2 DISTRIBUTION OF FUNDING OF HEALTH CARE FOR ASYLUM SEEKERS .49 -- 6.2.1 Option 1: Sickness funds acts as distributor of funding – integration of asylum seekers in compulsory Belgian health care insurance .49 -- 6.2.2 Option 2: Fedasil acts as distributor of funding .59 -- 6.2.3 Option 3: actual actors distribute the funding, administration by MedPrima for all asylum seekers and access to health care covered by health insurance 63 -- 6.3 FUTURE GOVERNANCE OF HEALTH CARE FOR ASYLUM SEEKERS 65 -- 6.4 IMPROVEMENTS TO THE CURRENT SYSTEM (QUICK WINS) 70 -- 6.4.1 Quick wins across organisations 70 -- 6.4.2 Quick wins on the level of the CPAS – OCMW 71 -- 6.4.3 Quick wins on the level of Fedasil 72 -- 7 CONCLUSION .72 -- 7.1 PREREQUISITES 72 -- 7.2 ESTIMATED EFFECT OF OPTIONS ON THE DESCRIBED PROBLEMS 73 -- 7.3 LIMITATIONS 76 Link for e-copy: https://doi.org/10.57598/R319C Format of e-copy: PDF (3 MB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4610 Copies(0)
Status No copy Attitudes and beliefs of the Dutch speaking population in regards to the clinical guidelines for the treatment of low back pain recommended by the Belgian Health Care Knowledge Centre (KCE) / Hayley Fuller / Ghent : Ghent University . Department of General Practice and Primary Health Care (2021)
Attitudes and beliefs of the Dutch speaking population in regards to the clinical guidelines for the treatment of low back pain recommended by the Belgian Health Care Knowledge Centre (KCE) [printed text] / Hayley Fuller, Author ; Emma Legein, Author ; Jolien Neutens, Author . - Ghent : Ghent University . Department of General Practice and Primary Health Care, 2021 . - 108 p. : ill., ; A4.
€ 0,00
Languages : English (eng)
Descriptors: Classification
WE 755 Low back pain. Sciatica
Indexation
Academic Dissertations ; Low Back Pain ; R295 ; TherapeuticsAbstract: Background: Low back pain (LBP) is a common problem within the medical field with a big personal, social and economic impact. In order to optimize the approach to LBP a guideline about the treatment of LBP was drawn up by the Belgian Health Care Knowledge Centre. Among other things, the existence and awareness of these KCE guidelines can have an impact on coping strategies for LBP, satisfaction and results of LBP treatment.
Objectives: To determine the knowledge, attitudes and beliefs of the adult, Dutch speaking Belgian population ( ≥ 17years old) about the KCE guidelines on LBP.
Study Design: Cross-sectional survey
Methods: In order to determine the knowledge, attitudes and beliefs of the adult, Dutch speaking Belgian population about the KCE guidelines on LBP, a survey was developed. The included questions/statements testing the knowledge about the KCE guidelines could be divided into seven topics (medical imaging, medication, job, emotional interference, medical treatment, medication and negative thoughts). The repeatability was tested using a test-retest approach. Questions/statements that did not meet the repeatability conditions were adjusted or deleted. Using a flyer, the survey was distributed to the Dutch speaking Belgian population through various media. Completing this survey took about 10 minutes. Over a period of 4 months, 2176 results were collected. Further statistical analysis of these results was done using the SPSS program. Results: 2092 participants, of which 16.49% healthcare providers (HCPs) and 35.51% students were included in the study. The majority (91.78%) of the participants had suffered from LBP in the past year, although not half of them (45.57%) consulted a HCP. Only 8.07% had already heard of the KCE guidelines. The knowledge of the KCE guidelines depends on which topic within the KCE guidelines is concerned. The KCE guidelines concerning movement and job are the best known and the topics about emotional interference and negative thoughts are the least known. Certain population groups know the KCE guidelines better than others. HCPs and people with a higher education generally know the guidelines better, while people who have an unhealthy lifestyle (smokers and people who do not participate in sports) answer less according to the KCE guidelines than people with healthier lifestyles. People who experience more or worse LBP and people who have visited a HCP due to their LBP also agree less with these guidelines.
14
Conclusion: The existence of the KCE guidelines is not well known by the Dutch speaking Belgian population and the knowledge about these guidelines varies. It seems appropriate to develop information campaigns aimed at the population that, according to the current results, is least likely to accept the guidelines. Subsequently, it will be useful to find out whether knowing the guidelines also results in implementing them.Contents note: Acknowledgement 4 -- Index 5 -- List of figures, tables and charts 7 -- List of figures 7 -- List of tables: 8 -- List of charts: 8 -- List of abbreviations 12 -- Abstract 13 -- Introduction 17 -- Knowledge of the guidelines and previous studies 19 -- Methods 21 -- Drafting survey 21 -- Repeatability 24 -- Population 24 -- Dissemination of the survey 24 -- Data collection 24 -- Statistical analysis 25 -- Results 26 -- Demographics of the responders 26 -- Occurrence of low back pain 29 -- The KCE guidelines 32 -- Opinions about medical imaging 32 -- Opinions about medication 35 -- Opinions about medical treatment 36 -- Opinions about movement 38 -- Opinions about the job 39 -- Opinions about emotional interference 41 -- Negative thoughts 42 -- Discussion. 44 -- The KCE guidelines 44 -- Opinions and attitudes about medical imaging 44 -- Opinions and attitudes about medication 45 -- Opinions and attitudes about medical treatment 45 -- Opinions and attitudes about movement 46 -- Opinions and attitudes about the job 47 -- Opinions and attitudes about emotional interference 48 -- Negative thoughts 49 -- Population 50 -- Health care providers 50 -- Population who already heard about the KCE guidelines 51 -- Low back pain 52 -- Lifestyle 53 -- Education 54 -- Strengths and limitations 54 -- Conclusion 56 -- References 57 -- Abstract in lekentaal 62 -- Ethisch comité 63 -- Appendix 66 -- Figures 66 -- Charts 94 -- Tables 104 Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4758 E-copies
Fuller_Hayley en Neutens_Jolien en Legein_Emma MP Deel 2URL Autologous breast reconstruction techniques after mammary resection / Sophie Gerkens / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2015)
PermalinkAutologous breast reconstruction techniques after mammary resection / Sophie Gerkens / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2015)
PermalinkAutologous breast reconstruction techniques after mammary resection / Sophie Gerkens / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2015)
PermalinkAvantages, désavantages et faisabilité de l’introduction de programmes “P4Q” en Belgique / Lieven Annemans / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2009)
PermalinkBaarmoederhalskankerscreening en testen op Human Papillomavirus (HPV) / Frank Hulstaert / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2006)
PermalinkBariatric surgery / Peter Louwagie / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2019)
PermalinkBariatric surgery in Belgium: organisation and payment of care before and after surgery / Koen Van Den Heede / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2020)
PermalinkBariatric surgery in Belgium: organisation and payment of care before and after surgery / Koen Van Den Heede / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2020)
PermalinkBarrières en drijfveren voor de opname van biosimilaire geneesmiddelen in België / Isabelle Lepage-Nefkens / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2013)
PermalinkBarriers and facilitators for eHealth adoption by general practitioners in Belgium / Jens Detollenaere / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2020)
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