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Accreditation in stroke units of 6 European regions / Ömer R. Saka in Cerebrovascular Diseases, 35(2013)Suppl.3 ([05/01/2013])  

[article] Accreditation in stroke units of 6 European regions : One name different realities [printed text] / Ömer R. Saka, Author ; Ying Sun, Author ; D Michiels, Author ; Vincent Thijs, Author ; Dimitri Hemelsoet, Author ; Marijke Eyssen , Author ; Dominique Paulus , Author . - 2013 . - 481. Languages : English (eng) in Cerebrovascular Diseases > 35(2013)Suppl.3 [05/01/2013] . - 481 Descriptors: Classification W 1 Serials. Periodicals Indexation 2011-20 ; Belgium ; Cardiac Resynchronization Therapy Devices ; Emergency Treatment ; Journal Article ; Peer Review ; R181 ; Stroke Abstract: Background: ESO guidelines aim to promote standardised care of high quality in Europe but the organisation of acute care in stroke units (SU) largely differs between countries. This study aimed to scrutinize the accreditation or certification procedures of SU in 6 countries/regions: Scotland, Sweden, The Netherlands, France, Germany and the “London Stroke Services” (LSS). Methods: the information was collected with standardised questionnaires (25 pages) sent by mail to 12 experts from the 6 countries/regions. The research team analyzed the answers and clarified further issues by interviews. Results: an official mandatory accreditation procedure (organized and paid by governmental agencies) exists in Scotland, in LSS and in France. In Germany this procedure exists (private organizations) but is not mandatory. The accreditation process always implies at least site-visits and patient data review. Accreditation is renewed on a 1-, 3-, or 5-year basis. Some countries differentiate between types of SU (e.g. primary, comprehensive SU). The study further listed the criteria that SU must fulfil and the indicators measured for their accreditation (structure, process and outcome). Few of them refer to outcomes e.g. mortality, complications and recurrence. Incentives to encourage better quality differ between countries: public reporting of the results of the accreditation procedure, support to poor performers, benchmarking between hospitals, financial consequences. Conclusion: this exhaustive analysis gives an overview of the accreditation procedures in selected European countries. Care of high quality relies on a common evidence base but the quality assurance procedures, the indicators used as well as the consequences of the measurement largely differ between the countries. The question is to know if these various accreditation procedures result in differences in patients' outcomes. Link for e-copy: http://dx.doi.org/10.1159/000353129 Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=3779 [article]

An evaluation protocol for NIHDI conventions / Philippe Vandenbroeck / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2018)  

An evaluation protocol for NIHDI conventions [printed text] / Philippe Vandenbroeck, Author ; Wendy Christiaens , Author ; Marie Dauvrin , Author ; Rachel Wickert, Author ; Kim Becher, Author ; Erik Hendrickx, Author ; Jo Goossens, Author ; Liesbeth Jenné, Author ; Marijke Eyssen , Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2018 . - 65 p. : ill., ; A4. - (KCE Reports. Health Services Research (HSR); 299) . ISSN : D/2018/10.273/21 : € 0,00 Languages : English (eng) Descriptors: Classification WA 525 Health Administration and Organization - General works Indexation 2015-18 ; Ambulatory Care ; Chronic Disease ; Efficiency, Organizational ; Long-Term Care ; Multidisciplinary team (MDT) ; Organizational Innovation ; Patient Care Team ; Quality of Health Care ; R299 ; Rehabilitation Contents note: SCIENTIFIC REPORT 1 -- 1 INTRODUCTION 1 -- 1.1 CONVENTIONS AS A MODEL TO FINANCE/REIMBURSE CARE 1 -- 1.2 CONVENTIONS AS A MODEL TO FINANCE/REIMBURSE CARE 4 -- 1.3 CONVENTIONS AS AN AGREEMENT BETWEEN THE NIHDI AND CARE INSTITUTIONS 4 -- 1.3.1 The role of the Board of Medical Directors and the Insurance Committee 4 -- 1.3.2 Overview of the content of the agreement 6 -- 1.3.3 Duration of conventions .8 -- 1.3.4 Existing measures for quality assurance 8 -- 2 SCOPE 9 -- 2.1 CONVENTIONS ARE USED FOR REHABILITATION AND OTHER HEALTH-RELATED CONDITIONS .9 -- 2.2 CONVENTIONS TRANSFERRED TO THE COMMUNITIES 10 -- 2.3 CONCEPTUAL LEVELS 10 -- 3 RESEARCH OBJECTIVES 11 -- 4 A TYPOLOGY OF CONVENTIONS 11 -- 5 QUALITY EVALUATION IN HEALTH CARE: AN INTERNATIONAL PERSPECTIVE 12 -- 5.1 SHORT DESCRIPTION OF THE COUNTRIES INCLUDED IN THE INTERNATIONAL COMPARISON 12 -- 5.1.1 France 12 -- 5.1.2 Scotland 13 -- 5.1.3 The Netherlands 13 -- 5.2 ASSESSMENT OF QUALITY OF HEALTH CARE IN FOUR COUNTRIES: METHODOLOGY 13 -- 5.2.1 Scope of the literature search 13 -- 5.2.2 Search process 14 -- 5.2.3 Analysis 14 -- 5.2.4 Validation by country experts 15 -- 5.3 CROSS-COMPARISON OF THE QUALITY EVALUATION 15 -- 5.4 THE ORGANISATION OF CARE AND FINANCING OF FOUR EXAMPLES OF HEALTH CONDITIONS AND DISEASES 19 -- 5.4.1 In France 19 -- 5.4.2 In Scotland 20 -- 5.4.3 In the Netherlands 21 -- 6 TOWARDS A META-EVALUATION PROTOCOL 22 -- 6.1 APPROACH AND METHODOLOGY 22 -- 6.1.1 A soft systems-inspired approach 22 -- 6.1.2 Operationalisation of the approach 26 -- 6.2 FINDINGS 29 -- 6.2.1 Root definition of a rehabilitation convention 29 -- 6.2.2 VSM-based activity models 30 -- 6.2.3 Measures of performance 34 -- 6.2.4 Perceived strengths and weaknesses of conventions as a financing and operational instrument 34 -- 6.2.5 Perceived weaknesses of conventions contextualised in the VSM-based activity models 41 -- 6.2.6 Reframing of the research question 45 -- 6.3 OUTLINE OF A META-EVALUATION PROTOCOL 47 -- 6.3.1 Preliminary outline of a meta-evaluation protocol 47 -- 6.3.2 Validation in a stakeholder workshop 50 -- 6.3.3 Validation with the Board of Medical Directors 55 -- 6.3.4 Fine-tuning in collaboration with clinical professionals 56 -- 6.3.5 Final version of a meta-evaluation protocol 58 -- REFERENCE LIST 63 Link for e-copy: https://kce.fgov.be/sites/default/files/atoms/files/KCE_299_Evaluation_protocol_ [...] Format of e-copy: PDF (1,2 MB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4365

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An evaluation protocol for NIHDI conventions / Philippe Vandenbroeck / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2018)  

An evaluation protocol for NIHDI conventions : Supplement [printed text] / Philippe Vandenbroeck, Author ; Wendy Christiaens , Author ; Marie Dauvrin , Author ; Rachel Wickert, Author ; Kim Becher, Author ; Erik Hendrickx, Author ; Jo Goossens, Author ; Liesbeth Jenné, Author ; Marijke Eyssen , Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2018 . - 109 p. : ill., ; A4. - (KCE Reports. Health Services Research (HSR); 299CS) . ISSN : D/2018/10.273/22 : € 0,00 Languages : English (eng) Descriptors: Classification WA 525 Health Administration and Organization - General works Indexation 2015-18 ; Ambulatory Care ; Chronic Disease ; Efficiency, Organizational ; Long-Term Care ; Multidisciplinary team (MDT) ; Organizational Innovation ; Patient Care Team ; Quality of Health Care ; R299 ; Rehabilitation Contents note: PPENDIX REPORT 1 -- TABLE OF CONTENTS 1 -- LIST OF FIGURES 6 -- LIST OF TABLES 6 -- APPENDIX 1 LIST OF REHABILITATION CONVENTIONS 11 -- APPENDIX 2 DESCRIPTION OF THE QUALITY ASSESSMENT IN BELGIUM, FRANCE, SCOTLAND -- AND THE NETHERLANDS 13 -- APPENDIX 2.1 BELGIUM 13 -- APPENDIX 2.2 FRANCE 16 -- APPENDIX 2.3 SCOTLAND 19 -- APPENDIX 2.4 THE NETHERLANDS 23 -- APPENDIX 3 - THE ORGANISATION OF CARE AND FINANCING OF FOUR EXAMPLES OF HEALTH -- CONDITIONS AND DISEASES 27 -- 1 INTRODUCTION 27 -- 2 FRANCE 27 -- 2.1 DESCRIPTION OF THE FRENCH HEALTH CARE SYSTEM 27 -- 2.1.1 Governance and organisation of the health care system 27 -- 2.1.2 Chronic diseases 28 -- 2.1.3 Rehabilitation and intermediate care 30 -- 2.1.4 Quality and safety monitoring in the health care system 31 -- 2.2 DIABETES 32 -- 2.2.1 Supporting policies and governance 32 -- 2.2.2 Organization and funding of health care 32 -- 2.2.3 Care pathways 33 -- 2.2.4 Health networks 33 -- 2.2.5 Therapeutic education 34 -- 2.2.6 SOPHIA program for improving patient support 34 -- 2.2.7 ASALEE protocol in first line of care 34 -- 2.2.8 Patient participation 35 -- 2.2.9 Evaluation 35 -- 2.3 STROKE 35 -- 2.3.1 Supporting policies and governance 35 -- 2.3.2 Organisation and funding of health care 35 -- 2.3.3 Patient participation 35 -- 2.3.4 Evaluation 36 -- 2.4 HAEMOPHILIA 36 -- 2.4.1 Supporting policies and governance 36 -- 2.4.2 Organisation and funding of health care 36 -- 2.4.3 Patient-level care 38 -- 2.4.4 Patient participation 38 -- 2.4.5 Evaluation 38 -- 2.5 FEMALE GENITAL MUTILATIONS 38 -- 2.5.1 Supporting policies and governance 38 -- 2.5.2 Organisation and funding of health care 39 -- 2.5.3 Patient participation 39 -- 2.5.4 Evaluation 39 -- 2.6 SUMMARY TABLE 39 -- 3 SCOTLAND 40 -- 3.1 DESCRIPTION OF THE SCOTTISH HEALTH CARE SYSTEM 40 -- 3.1.1 Organisation and governance of the health care system 40 -- 3.1.2 Intermediate care sector 41 -- 3.1.3 Patient participation 42 -- 3.1.4 Quality objectives 42 -- 3.2 DIABETES 43 -- 3.2.1 Supporting policies and governance 43 -- 3.2.2 Organisation and funding of health care 43 -- 3.2.3 Patient-level care 44 -- 3.2.4 Patient participation 44 -- 3.2.5 Evaluation 44 -- 3.3 STROKE 45 -- 3.3.1 Supporting policies and governance 45 -- 3.3.2 Organisation and funding of health care 45 -- 3.3.3 Patient level of care 46 -- 3.3.4 Patient participation 49 -- 3.3.5 Evaluation 49 -- 3.4 HAEMOPHILIA 49 -- 3.4.1 Supporting policies and governance 49 -- 3.4.2 Organisation and funding of health care 50 -- 3.4.3 Patient participation 51 -- 3.4.4 Evaluation of the system 51 -- 3.5 FEMALE GENITAL MUTILATION 51 -- 3.5.1 Supporting policies and governance 51 -- 3.5.2 Organisation and funding of health care 52 -- 3.5.3 Patient participation 52 -- 3.5.4 Evaluation of the system 52 -- 3.6 SUMMARY TABLE 53 -- 4 THE NETHERLANDS 54 -- 4.1 DESCRIPTION OF THE DUTCH HEALTH CARE SYSTEM 54 -- 4.1.1 Dutch health care policy and financing 54 -- 4.1.2 Curative care 54 -- 4.1.3 Long-term care 55 -- 4.1.4 Dutch health care organization 56 -- 4.2 DIABETES IN THE NETHERLANDS 59 -- 4.2.1 Supporting policies and governance 59 -- 4.2.2 Organization and funding of health care 60 -- 4.2.3 Evaluation 61 -- 4.3 STROKE/CVA/CARDIOVASCULAR DISEASES AND RISK MANAGEMENT 62 -- 4.3.1 Organization and funding of health care 62 -- 4.3.2 Patient participation 65 -- 4.3.3 Evaluation 65 -- 4.4 HEMOPHILIA 65 -- 4.4.1 Supporting policies and governance 65 -- 4.4.2 Organization and funding of health care 66 -- 4.4.3 Evaluation 66 -- 4.5 FEMALE GENITAL MUTILATION 67 -- 4.5.1 Supporting policies and governance 67 -- 4.5.2 Notification code domestic violence (Meldcode intrafamiliaal geweld) 67 -- 4.5.3 Prevention FGM 67 -- 4.5.4 Example protocol medical care after FGM 67 -- 4.6 SUMMARY TABLE 68 -- 5 CROSS COMPARISON 69 -- 5.1 GENERAL COMMENTS 69 -- 5.1.1 Provision of a setting for the organization and provision of multidisciplinary rehabilitation and care 69 -- 5.1.2 Provision of space for innovative, future-oriented practices 69 -- 5.1.3 Simulation of specialization, concentration of expertise and networking 69 -- 5.1.4 Enhancing ease of financing 70 -- 5.1.5 Provision of low-threshold and affordable care to patients 70 -- 5.1.6 Factors supporting the development of ad hoc rehabilitation programs 70 -- 5.2 SUMMARY TABLE 71 -- APPENDIX 4 LIST OF PARTICIPANTS TO STAKEHOLDER WORKSHOP 75 -- APPENDIX 5 SUMMARY PRESENTATION USED AT THE STAKEHOLDER WORKSHOP 76 -- APPENDIX 6 COMMENTS TO A PRELIMINARY VERSION OF THE META-EVALUATION -- INSTRUMENT BY A REPRESENTATIVE OF A SUBSET OF MULTIDISCIPLINARY CARE -- CONVENTIONS 94 -- APPENDIX 6.1 FINE-TUNING IN COLLABORATION WITH A REPRESENTATIVE OF THE SUBSET OF ‘MULTIDISCIPLINARY CARE’ CONVENTIONS 94 -- REFERENCES 101 Link for e-copy: https://kce.fgov.be/sites/default/files/atoms/files/KCE_299S_Evaluation_protocol [...] Format of e-copy: PDF (4 MB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4366

Annual report 2018 / KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre fédéral d'expertise des soins de santé / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2019)  

Annual report 2018 : Belgian Health Care Knowledge Centre [printed text] / KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre fédéral d'expertise des soins de santé , Author ; Christian Léonard , Editor ; Marijke Eyssen  . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2019. - (Rapport annuel, ISSN 1783-4120; 2018) . 0 € Languages : English (eng) Descriptors: Classification W 1 Serials. Periodicals Indexation Annual Reports ; KCE Link for e-copy: https://annualreport.kce.be/2018/en/annual-report-2018/index.html Format of e-copy: Website Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4536

Aspecifieke nekpijn / Giannoula Tsakitzidis / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2009)  

Aspecifieke nekpijn : diagnose en behandeling. [printed text] / Giannoula Tsakitzidis, Author ; Roy Remmen, Author ; Lieve Peremans, Author ; Paul Van Royen, Author ; Christiane Duchesnes, Author ; Dominique Paulus , Author ; Marijke Eyssen , Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2009 . - viii, 73 p. : ill. ; 30 cm.. - (KCE Reports A. Good Clinical Practice (GCP); 119A) . ISSN : D/2009/10.273/54 : 0 € Studie nr 2008-24 Languages : Dutch (dut) English (eng) Descriptors: Indexation 2008-24 ; Diagnosis ; Neck Pain ; Prognosis ; R119 ; Review ; Therapeutics Classification WE 708 Neck Contents note: 1 INTRODUCTION 3 -- 1 1 PURPOSE OF THE STUDY 3 -- 1 2 NON-SPECIFIC NECK PAIN: DEFINITION AND EPIDEMIOLOGY 3 -- 1 2 1 Definition 3 -- 1 2 2 Importance of neck pain 5 -- 2 METHODOLOGY 6 -- 2 1 SELECTION CRITERIA 6 -- 2 1 1 Participant 6 -- 2 1 2 Intervention 7 -- 2 1 3 Comparison 7 -- 2 1 4 Outcome 7 -- 2 2 LOCATING STUDIES 8 -- 2 2 1 Searches in databases 9 -- 2 2 2 Screening of titles and abstracts 9 -- 2 2 3 Screening full text and quality appraisal 9 -- 2 2 4 New search for diagnosis and prognosis 10 -- 2 3 DATA EXTRACTION 11 -- 3 RESULTS 12 -- 3 1 NUMBER OF PUBLICATIONS INCLUDED 12 -- 3 2 DIAGNOSIS 12 -- 3 3 ASSESSMENT OF PAIN AND DISABILITY 14 -- 3 4 PROGNOSIS 15 -- 3 5 TREATMENT 15 -- 3 5 1 Manual therapy 15 -- 3 5 2 Electrotherapy and other physical medicine modalities 19 -- 3 5 3 Multimodal interventions 20 -- 3 5 4 Multidisciplinary treatments 21 -- 3 5 5 Medication 22 -- 3 5 6 Other methods 23 -- 3 6 CLINICAL QUESTIONS ON NON-SPECIFIC NECK PAIN: SUMMARY OF THE LITERATURE FINDINGS 25 -- 3 6 1 Management of non-specific neck pain 26 -- 4 DISCUSSION 28 -- 5 SUMMARY 30 -- 6 APPENDICES 32 -- APPENDIX 1: SEARCH STRATEGY 32 -- SEARCH STRATEGY MEDLINE CLINICAL QUERIES AND SYSTEMATIC REVIEWS 32 -- SEARCH STRATEGY MEDLINE OTHERS 33 -- SEARCH STRATEGY COCHRANE 34 -- SEARCH STRATEGY PEDRO 34 -- SEARCH STRATEGY GUIDELINES 34 -- SEARCH STRATEGY EMBASE 35 -- SEARCH STRATEGY PUBMED SECOND SEARCH 36 -- SEARCH STRATEGY EMBASE 36 -- APPENDIX 2: CRITERIA USED TO ASSESS THE METHODOLOGICAL QUALITY OF -- THE STUDIES: RESULTS OF THE QUALITY APPRAISAL 37 -- QUALITY APPRAISAL: PAPERS ON DIAGNOSIS 37 -- QUALITY APPRAISAL: RCTS ON TREATMENT 38 -- QUALITY APPRAISAL: SYSTEMATIC REVIEWS 38 -- QUALITY APPRAISAL: AGREE SCORES FOR THE 2 SELECTED GUIDELINES 39 -- APPENDIX 3: EVIDENCE TABLE OF INCLUDED SYSTEMATIC REVIEWS 41 -- APPENDIX 4: EVIDENCE TABLE OF INCLUDED RCT’S FOR TREATMENT 51 -- APPENDIX 5: EVIDENCE TABLE OF INCLUDED PUBLICATIONS DIAGNOSIS AND -- PROGNOSIS 55 -- APPENDIX 6: RECOMMENDATIONS COMPARED TO EXISTING GUIDELINES 57 -- APPENDIX 7 : NECK DISABILITY INDEX 60 -- ORIGINAL VERSION NECK DISABILITY INDEX: INSTRUMENT AND INTERPRETATION 60 -- DUTCH VERSION NECK DISABILITY INDEX : INSTRUMENT AND INTERPRETATION 67 -- 7 REFERENCE LIST 70 Link for e-copy: https://kce.fgov.be/sites/default/files/page_documents/d20091027355.pdf Format of e-copy: PDF (1,83 MB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=1758

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Behandeling van autisme bij kinderen en jongeren / Geneviève Veereman / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2014)  

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Belrai suite of instruments / Anja Desomer / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2016)  

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Besoin de soins chroniques des personnes âgées de 18 à 65 ans et atteintes de lésions cérébrales acquises / E Lannoo / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2007)  

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Cardiac rehabilitation / Ilse Van Vlaenderen / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2010)  

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Cardiac rehabilitation / Ilse Van Vlaenderen / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2010)  

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Cardiale revalidatie / Ilse Van Vlaenderen / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2010)  

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Centres de réadaptation ORL/PSY / Jan Scheiris / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2008)  

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Chronic Fatigue Syndrome / Sabine Stordeur / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2008)  

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Chronisch Vermoeidheidssyndroom: / Sabine Stordeur / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2008)  

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Chronische zorgbehoeften bij personen met een niet- aangeboren hersenletsel (NAH) tussen 18 en 65 jaar / E Lannoo / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2007)  

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