Connectedness of healthcare professionals involved in the treatment of patients with Parkinson's disease: a social networks study.

Abstract:

BACKGROUND:Patients with chronic illness typically receive ambulatory treatment from multiple health professionals. Connectedness between these professionals may influence their clinical decisions and the coordination of patient care. We aimed to describe and analyze connectedness in a regional network of health professionals involved in ambulatory treatment of patients with Parkinson's disease (PD). METHODS:Observational study with 104 health professionals who had joined a newly established network (ParkinsonNet) were asked to complete a pre-structured form to report on their professional contacts with others in the network. Using social networks methods, network measures were calculated for the total network and for the networks of individual health professionals. We planned to test differences between subgroups of health professionals regarding 12 network measures, using a random permutation method. RESULTS:Ninety-six health professionals (92%) provided data on 101 professionals. The reciprocity of reported connections was 0.42 in the network of professional contacts. Measures characterizing the individual networks showed a wide variation; e.g., density varied between 0 and 100% (mean value 28.4%). Health professionals with ≥10 PD patients had higher values on 7 out of 12 network measures compare to those with < 10 PD patients (size, number of connections, two step reach, indegree centrality, outdegree centrality, inreach centrality, betweenness centrality). Primary care professionals had lower values on 11 out of 12 network measures (all but reach efficiency) compared to professionals who were affiliated with a hospital. CONCLUSIONS:Our measure of professional connectedness proved to be feasible in a regional disease-specific network of health professionals. Network measures describing patterns in the professional contacts showed relevant variation across professionals. A higher caseload and an affiliation with a hospital were associated with stronger connectedness with other health professionals.

journal_name

Implement Sci

authors

Wensing M,van der Eijk M,Koetsenruijter J,Bloem BR,Munneke M,Faber M

doi

10.1186/1748-5908-6-67

subject

Has Abstract

pub_date

2011-07-03 00:00:00

pages

67

issn

1748-5908

pii

1748-5908-6-67

journal_volume

6

pub_type

杂志文章
  • Collaborative approach to Optimise MEdication use for Older people in Nursing homes (COME-ON): study protocol of a cluster controlled trial.

    abstract:BACKGROUND:Ageing has become a worldwide reality and presents new challenges for the health-care system. Research has shown that potentially inappropriate prescribing, both potentially inappropriate medications and potentially prescribing omissions, is highly prevalent in older people, especially in the nursing home se...

    journal_title:Implementation science : IS

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/s13012-016-0394-6

    authors: Anrys P,Strauven G,Boland B,Dalleur O,Declercq A,Degryse JM,De Lepeleire J,Henrard S,Lacour V,Simoens S,Speybroeck N,Vanhaecht K,Spinewine A,Foulon V

    更新日期:2016-03-11 00:00:00

  • Developing the ethics of implementation research in health.

    abstract::Implementation research (IR) is growing in recognition as an important generator of practical knowledge that can be translated into health policy. With its aim to answer questions about how to improve access to interventions that have been shown to work but have not reached many of the people who could benefit from th...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/s13012-016-0527-y

    authors: Gopichandran V,Luyckx VA,Biller-Andorno N,Fairchild A,Singh J,Tran N,Saxena A,Launois P,Reis A,Maher D,Vahedi M

    更新日期:2016-12-09 00:00:00

  • Assessing the Integrated Community-Based Health Systems Strengthening initiative in northern Togo: a pragmatic effectiveness-implementation study protocol.

    abstract:BACKGROUND:Over the past decade, prevalence of maternal and child morbidity and mortality in Togo, particularly in the northern regions, has remained high despite global progress. The causes of under-five child mortality in Togo are diseases with effective and low-cost prevention and/or treatment strategies, including ...

    journal_title:Implementation science : IS

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s13012-019-0921-3

    authors: Lauria ME,Fiori KP,Jones HE,Gbeleou S,Kenkou K,Agoro S,Agbèrè AD,Lue KD,Hirschhorn LR

    更新日期:2019-10-16 00:00:00

  • The use of tacit and explicit knowledge in public health: a qualitative study.

    abstract:BACKGROUND:Planning a public health initiative is both a science and an art. Public health practitioners work in a complex, often time-constrained environment, where formal research literature can be unavailable or uncertain. Consequently, public health practitioners often draw upon other forms of knowledge. METHODS:T...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-7-20

    authors: Kothari A,Rudman D,Dobbins M,Rouse M,Sibbald S,Edwards N

    更新日期:2012-03-20 00:00:00

  • Towards a taxonomy of behavior change techniques for promoting shared decision making.

    abstract:BACKGROUND:There is little information about the functions and behavior change techniques (BCTs) needed to implement shared decision making (SDM) in clinical practice. To guide future implementation initiatives, we sought to develop a BCT taxonomy for SDM implementation interventions. METHODS:This study is a secondary...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/s13012-020-01015-w

    authors: Agbadjé TT,Elidor H,Perin MS,Adekpedjou R,Légaré F

    更新日期:2020-08-20 00:00:00

  • Priority setting for the implementation of artemisinin-based combination therapy policy in Tanzania: evaluation against the accountability for reasonableness framework.

    abstract:BACKGROUND:Priority setting for artemisinin-based antimalarial drugs has become an integral part of malaria treatment policy change in malaria-endemic countries. Although these drugs are more efficacious, they are also more costly than the failing drugs. When Tanzania changed its National Malaria Treatment Policy in 20...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-7-18

    authors: Mori AT,Kaale EA

    更新日期:2012-03-18 00:00:00

  • German language questionnaires for assessing implementation constructs and outcomes of psychosocial and health-related interventions: a systematic review.

    abstract:BACKGROUND:Over the past years, implementation science has gained more and more importance in German-speaking countries. Reliable and valid questionnaires are needed for evaluating the implementation of evidence-based practices. On an international level, several initiatives focused on the identification of questionnai...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/s13012-018-0837-3

    authors: Kien C,Schultes MT,Szelag M,Schoberberger R,Gartlehner G

    更新日期:2018-12-12 00:00:00

  • Testing the leadership and organizational change for implementation (LOCI) intervention in substance abuse treatment: a cluster randomized trial study protocol.

    abstract:BACKGROUND:Evidence-based practice (EBP) implementation represents a strategic change in organizations that requires effective leadership and alignment of leadership and organizational support across organizational levels. As such, there is a need for combining leadership development with organizational strategies to s...

    journal_title:Implementation science : IS

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s13012-017-0562-3

    authors: Aarons GA,Ehrhart MG,Moullin JC,Torres EM,Green AE

    更新日期:2017-03-03 00:00:00

  • Applying the COM-B model to creation of an IT-enabled health coaching and resource linkage program for low-income Latina moms with recent gestational diabetes: the STAR MAMA program.

    abstract:BACKGROUND:One of the fastest growing risk groups for early onset of diabetes is women with a recent pregnancy complicated by gestational diabetes, and for this group, Latinas are the largest at-risk group in the USA. Although evidence-based interventions, such as the Diabetes Prevention Program (DPP), which focuses on...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/s13012-016-0426-2

    authors: Handley MA,Harleman E,Gonzalez-Mendez E,Stotland NE,Althavale P,Fisher L,Martinez D,Ko J,Sausjord I,Rios C

    更新日期:2016-05-18 00:00:00

  • A randomised controlled trial of performance review and facilitated feedback to increase implementation of healthy eating and physical activity-promoting policies and practices in centre-based childcare.

    abstract:BACKGROUND:While it is recommended that childcare services implement policies and practices to support obesity prevention, there remains limited evidence to inform policy and practice. The aim of this study is to examine the effectiveness of performance review and facilitated feedback in increasing the implementation o...

    journal_title:Implementation science : IS

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/s13012-019-0865-7

    authors: Finch M,Stacey F,Jones J,Yoong SL,Grady A,Wolfenden L

    更新日期:2019-02-18 00:00:00

  • Resource use, costs and quality of end-of-life care: observations in a cohort of elderly Australian cancer decedents.

    abstract:BACKGROUND:The last year of life is one of the most resource-intensive periods for people with cancer. Very little population-based research has been conducted on end-of-life cancer care in the Australian health care setting. The objective of this program is to undertake a series of observational studies examining reso...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/s13012-014-0148-2

    authors: Langton JM,Srasuebkul P,Reeve R,Parkinson B,Gu Y,Buckley NA,Haas M,Viney R,Pearson SA,End-of-Life in Cancer Care (EoL-CC) Investigators.

    更新日期:2015-02-26 00:00:00

  • Strengthening evaluation and implementation by specifying components of behaviour change interventions: a study protocol.

    abstract:BACKGROUND:The importance of behaviour change in improving health is illustrated by the increasing investment by funding bodies in the development and evaluation of complex interventions to change population, patient, and practitioner behaviours. The development of effective interventions is hampered by the absence of ...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-6-10

    authors: Michie S,Abraham C,Eccles MP,Francis JJ,Hardeman W,Johnston M

    更新日期:2011-02-07 00:00:00

  • The IGNITE (investigation to guide new insight into translational effectiveness) trial: Protocol for a translational study of an evidenced-based wellness program in fire departments.

    abstract:BACKGROUND:Worksites are important locations for interventions to promote health. However, occupational programs with documented efficacy often are not used, and those being implemented have not been studied. The research in this report was funded through the American Reinvestment and Recovery Act Challenge Topic 'Path...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-5-73

    authors: Elliot DL,Kerry KS,Moe EL,Defrancesco CA,Goldberg L,Mackinnon DP,Enders J,Favorite KC

    更新日期:2010-10-08 00:00:00

  • Adapting evidence-informed complex population health interventions for new contexts: a systematic review of guidance.

    abstract:BACKGROUND:Adapting interventions that have worked elsewhere can save resources associated with developing new interventions for each specific context. While a developing body of evidence shows benefits of adapted interventions compared with interventions transported without adaptation, there are also examples of inter...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/s13012-019-0956-5

    authors: Movsisyan A,Arnold L,Evans R,Hallingberg B,Moore G,O'Cathain A,Pfadenhauer LM,Segrott J,Rehfuess E

    更新日期:2019-12-17 00:00:00

  • A description of a knowledge broker role implemented as part of a randomized controlled trial evaluating three knowledge translation strategies.

    abstract:BACKGROUND:A knowledge broker (KB) is a popular knowledge translation and exchange (KTE) strategy emerging in Canada to promote interaction between researchers and end users, as well as to develop capacity for evidence-informed decision making. A KB provides a link between research producers and end users by developing...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-4-23

    authors: Dobbins M,Robeson P,Ciliska D,Hanna S,Cameron R,O'Mara L,DeCorby K,Mercer S

    更新日期:2009-04-27 00:00:00

  • Enablers and barriers to using patient decision aids in early stage breast cancer consultations: a qualitative study of surgeons' views.

    abstract:BACKGROUND:For early stage breast cancer, randomized controlled trials (RCTs) have shown that patient decision aids (PtDAs), when used by surgeons, result in increased patient knowledge about options and different patient treatment choices as compared to standard care. Yet, recent data suggests that PtDAs are used by l...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/s13012-014-0174-0

    authors: O'Brien MA,Charles C,Lovrics P,Wright FC,Whelan T,Simunovic M,Kennedy E,Grunfeld E

    更新日期:2014-11-29 00:00:00

  • Net benefits: assessing the effectiveness of clinical networks in Australia through qualitative methods.

    abstract:BACKGROUND:In the 21st century, government and industry are supplementing hierarchical, bureaucratic forms of organization with network forms, compatible with principles of devolved governance and decentralization of services. Clinical networks are employed as a key health policy approach to engage clinicians in improv...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-7-108

    authors: Cunningham FC,Ranmuthugala G,Westbrook JI,Braithwaite J

    更新日期:2012-11-02 00:00:00

  • From sensitization to adoption? A qualitative study of the implementation of a digitally supported intervention for clinical decision making in polypharmacy.

    abstract:OBJECTIVE:Formative evaluation of the implementation process for a digitally supported intervention in polypharmacy in Germany. Qualitative research was conducted within a cluster randomized controlled trial (C-RCT). It focused on understanding how the intervention influences behavior-related outcomes in the prescripti...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/s13012-020-01043-6

    authors: Söling S,Köberlein-Neu J,Müller BS,Dinh TS,Muth C,Pfaff H,Karbach U,AdAM Study Group.

    更新日期:2020-09-21 00:00:00

  • A framework for scaling up health interventions: lessons from large-scale improvement initiatives in Africa.

    abstract:BACKGROUND:Scaling up complex health interventions to large populations is not a straightforward task. Without intentional, guided efforts to scale up, it can take many years for a new evidence-based intervention to be broadly implemented. For the past decade, researchers and implementers have developed models of scale...

    journal_title:Implementation science : IS

    pub_type: 杂志文章,评审

    doi:10.1186/s13012-016-0374-x

    authors: Barker PM,Reid A,Schall MW

    更新日期:2016-01-29 00:00:00

  • Using realist evaluation to open the black box of knowledge translation: a state-of-the-art review.

    abstract:BACKGROUND:In knowledge translation, complex interventions may be implemented in the attempt to improve uptake of research-based knowledge in practice. Traditional evaluation efforts that focus on aggregate effectiveness represent an oversimplification of both the environment and the interventions themselves. However, ...

    journal_title:Implementation science : IS

    pub_type: 杂志文章,评审

    doi:10.1186/s13012-014-0115-y

    authors: Salter KL,Kothari A

    更新日期:2014-09-05 00:00:00

  • Design, rationale, and baseline characteristics of a cluster randomized controlled trial of pay for performance for hypertension treatment: study protocol.

    abstract:BACKGROUND:Despite compelling evidence of the benefits of treatment and well-accepted guidelines for treatment, hypertension is controlled in less than one-half of United States citizens. METHODS/DESIGN:This randomized controlled trial tests whether explicit financial incentives promote the translation of guideline-re...

    journal_title:Implementation science : IS

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1748-5908-6-114

    authors: Petersen LA,Urech T,Simpson K,Pietz K,Hysong SJ,Profit J,Conrad D,Dudley RA,Lutschg MZ,Petzel R,Woodard LD

    更新日期:2011-10-03 00:00:00

  • Addressing challenges in scaling up TB and HIV treatment integration in rural primary healthcare clinics in South Africa (SUTHI): a cluster randomized controlled trial protocol.

    abstract:BACKGROUND:A large and compelling clinical evidence base has shown that integrated TB and HIV services leads to reduction in human immunodeficiency virus (HIV)- and tuberculosis (TB)-associated mortality and morbidity. Despite official policies and guidelines recommending TB and HIV care integration, its poor implement...

    journal_title:Implementation science : IS

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s13012-017-0661-1

    authors: Naidoo K,Gengiah S,Yende-Zuma N,Padayatchi N,Barker P,Nunn A,Subrayen P,Abdool Karim SS

    更新日期:2017-11-13 00:00:00

  • Applying GRADE-CERQual to qualitative evidence synthesis findings-paper 6: how to assess relevance of the data.

    abstract:BACKGROUND:The GRADE-CERQual (Confidence in Evidence from Reviews of Qualitative research) approach has been developed by the GRADE (Grading of Recommendations Assessment, Development and Evaluation) Working Group. The approach has been developed to support the use of findings from qualitative evidence syntheses in dec...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/s13012-017-0693-6

    authors: Noyes J,Booth A,Lewin S,Carlsen B,Glenton C,Colvin CJ,Garside R,Bohren MA,Rashidian A,Wainwright M,Tunςalp Ö,Chandler J,Flottorp S,Pantoja T,Tucker JD,Munthe-Kaas H

    更新日期:2018-01-25 00:00:00

  • Examining the implementation of NICE guidance: cross-sectional survey of the use of NICE interventional procedures guidance by NHS Trusts.

    abstract:BACKGROUND:In the UK, NHS hospitals receive large amounts of evidence-based recommendations for care delivery from the National Institute for Health and Care Excellence (NICE) and other organisations. Little is known about how NHS organisations implement such guidance and best practice for doing so. This study was ther...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/s13012-015-0283-4

    authors: Lowson K,Jenks M,Filby A,Carr L,Campbell B,Powell J

    更新日期:2015-06-30 00:00:00

  • A protocol for a pragmatic randomized controlled trial using the Health Teams Advancing Patient Experience: Strengthening Quality (Health TAPESTRY) platform approach to promote person-focused primary healthcare for older adults.

    abstract:BACKGROUND:Healthcare systems are not well designed to help people maintain or improve their health. They are generally not person-focused or well-coordinated. The objective of this study is to evaluate the effectiveness of the Health Teams Advancing Patient Experience: Strengthening Quality (Health TAPESTRY) approach ...

    journal_title:Implementation science : IS

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s13012-016-0407-5

    authors: Dolovich L,Oliver D,Lamarche L,Agarwal G,Carr T,Chan D,Cleghorn L,Griffith L,Javadi D,Kastner M,Longaphy J,Mangin D,Papaioannou A,Ploeg J,Raina P,Richardson J,Risdon C,Santaguida PL,Straus S,Thabane L,Valaitis R,

    更新日期:2016-04-05 00:00:00

  • A geographical cluster randomised stepped wedge study of continuing medical education and cancer diagnosis in general practice.

    abstract:BACKGROUND:Denmark has inferior cancer survival rates compared with many European countries. The main reason for this is suggested to be late diagnosis at advanced cancer stages. Cancer diagnostic work-up begins in general practice in 85% of all cancer cases. Thus, general practitioners (GPs) play a key role in the dia...

    journal_title:Implementation science : IS

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/s13012-014-0159-z

    authors: Toftegaard BS,Bro F,Vedsted P

    更新日期:2014-11-07 00:00:00

  • Clinicians' perceptions of organizational readiness for change in the context of clinical information system projects: insights from two cross-sectional surveys.

    abstract:BACKGROUND:The adoption and diffusion of clinical information systems has become one of the critical benchmarks for achieving several healthcare organizational reform priorities, including home care, primary care, and integrated care networks. However, these systems are often strongly resisted by the same community tha...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-6-15

    authors: Paré G,Sicotte C,Poba-Nzaou P,Balouzakis G

    更新日期:2011-02-28 00:00:00

  • Pilot study evaluating the effects of an intervention to enhance culturally appropriate hypertension education among healthcare providers in a primary care setting.

    abstract:BACKGROUND:To improve hypertension care for ethnic minority patients of African descent in the Netherlands, we developed a provider intervention to facilitate the delivery of culturally appropriate hypertension education. This pilot study evaluates how the intervention affected the attitudes and perceived competence of...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-5-35

    authors: Beune EJ,Bindels PJ,Mohrs J,Stronks K,Haafkens JA

    更新日期:2010-05-14 00:00:00

  • Community member perspectives from transgender women and men who have sex with men on pre-exposure prophylaxis as an HIV prevention strategy: implications for implementation.

    abstract:BACKGROUND:An international randomized clinical trial (RCT) on pre-exposure prophylaxis (PrEP) as an human immunodeficiency virus (HIV)-prevention intervention found that taken on a daily basis, PrEP was safe and effective among men who have sex with men (MSM) and male-to-female transgender women. Within the context of...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-7-116

    authors: Galindo GR,Walker JJ,Hazelton P,Lane T,Steward WT,Morin SF,Arnold EA

    更新日期:2012-11-26 00:00:00

  • Research evidence and policy: qualitative study in selected provinces in South Africa and Cameroon.

    abstract:BACKGROUND:The translation of research into policy and practice is enhanced by policymakers who can recognise and articulate their information needs and researchers that understand the policymakers' environment. As researchers, we sought to understand the policymaking process and how research evidence may contribute in...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/s13012-015-0315-0

    authors: Naude CE,Zani B,Ongolo-Zogo P,Wiysonge CS,Dudley L,Kredo T,Garner P,Young T

    更新日期:2015-09-03 00:00:00