Richard P. T. M. Grol (original) (raw)

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Papers by Richard P. T. M. Grol

Archives of Biochemistry and Biophysics, 1968

Supportive Care in Cancer, 2005

Goals of work Professional care providers need a substantial basis of competence and expertise to... more Goals of work Professional care providers need a substantial basis of competence and expertise to provide appropriate palliative care. Little is known about the problems professionals experience in their palliative care provision in daily practice or about the nature of the advice and support they request from experts. Our aim was to investigate the extent to which professionals requested assistance from palliative care consultation teams and the reasons behind these requests to trace any gaps they experience in the provision of palliative care.

Patient Education and Counseling, 2007

Medical Care, 2010

Objective: To investigate the lifelong health effects, costs, and cost-effectiveness of a quality... more Objective: To investigate the lifelong health effects, costs, and cost-effectiveness of a quality improvement collaborative focusing on improving diabetes management in an integrated care setting. Study Design and Methods: Economic evaluation from a healthcare perspective with lifetime horizon alongside a nonrandomized, controlled, before-after study in the Netherlands. Analyses were based on 1861 diabetes patients in 6 intervention and 9 control regions, representing 37 general practices and 13 out-patient clinics. Change in the United Kingdom Prospective Diabetes Study score, remaining lifetime, and costs per quality-adjusted life year gained were calculated. Probabilistic life tables were constructed using the United Kingdom Prospective Diabetes Study risk engine, a validated diabetes model, and nonparametric bootstrapping of individual patient data.

Journal of evaluation in clinical practice, 2010

RATIONAL AND AIMS: In recent years, guidelines for treatment of patients with chronic heart failu... more RATIONAL AND AIMS: In recent years, guidelines for treatment of patients with chronic heart failure (CHF) have been updated. Insight in current pharmacological and non-pharmacological treatment of CHF in primary care, which was non-optimal in earlier studies, is limited. We aim to describe current pharmacological and non-pharmacological treatment of CHF in primary care.

European Journal of Oral Sciences, 2006

The main purpose of conducting routine oral examinations (ROEs) is to prevent the onset of oral d... more The main purpose of conducting routine oral examinations (ROEs) is to prevent the onset of oral diseases (primary prevention) and/or to prevent the further progression of prevalent oral diseases (i.e. caries, dental erosion, periodontal disease, and oral cancer) by carrying out different diagnostic procedures in combination with oral health preventive advice and feedback (1-4). The time period between two successive ROEs can be either fixed or individualized. A fixed recall interval (Fx) is the same period of time for all patients between successive ROEs, whereas an individualized recall interval (Iv) varies among patients and is based on assessment of the individual risk for disease onset or progression (3).

European Journal of Clinical Pharmacology, 2004

Background Differences in prescribing behaviour among general practitioners (GPs). Aim To formula... more Background Differences in prescribing behaviour among general practitioners (GPs). Aim To formulate and validate clinical prescribing indicators based on general practice guidelines. Design Validatory study. Setting Pharmacies and general practices in the Netherlands in 2003. Participants A total of 379 pharmacies, 947 general practices and 3.8 million patients. Methods A total of 51 potential indicators were formulated, based on medicinal recommendations

European Journal of Cancer, 2007

Cancer, 2007

BACKGROUND. In the current study, the authors focused on determinants influencing the quality of ... more BACKGROUND. In the current study, the authors focused on determinants influencing the quality of care and variations in the actual quality of integrated care for patients with nonsmall cell lung cancer (NSCLC) to estimate whether there is room for improvement.

British Journal of General Practice

Background. Individual feedback on general practitioners' requests for tests can improve the qual... more Background. Individual feedback on general practitioners' requests for tests can improve the quality of their test ordering behaviour. Little is known of the side effects on hospital referral behaviour when the use of tests is reduced through feedback. Aim. A study was undertaken to explore changes in general practitioners' hospital referral rates in a region where their use of diagnostic tests is reduced through feedback. Method. Trends in test requests and of first referrals to specialists were compared among 64 general practitioners in the Maastricht region of the Netherlands where routine feedback on test ordering behaviour is provided by the diagnostic coordinating centre. Results. Reduction in diagnostic test use was not accompanied by a higher hospital referral rate, not even for specialties related to tests discussed in feedback. Good responders to feedback had decreased hospital referral rates in contrast to increased rates for poor responders (P<O.O 1). Conclusion. Reducing the volume of general practitioners' diagnostic tests through feedback does not lead to more specialist referrals. Together with lower test use, fewer hospital referrals were seen.