In addition to diagnosing the disease, establishing the care needs of people suffering from demen... more In addition to diagnosing the disease, establishing the care needs of people suffering from dementia is of paramount importance. Based on a literature review and expert advice, a working document has been drawn up in this article to determine the care diagnosis of dementia patients living at home. The components of care diagnosis were listed by means of a systematic literature review. The inventory was then further adapted and a working document was developed using semi-structured interviews of sixteen professional caregivers and two informal carers. The literature on care diagnosis is recent, and there are only a few studies with unequivocal results. However, all authors agree that making an inventory of the care needs results in better care planning and a better quality of life for both patient and informal carer. A synthesis of the literature review and semi-structured interviews led to a working document proposing the creation of an inventory of the care needs for a dementia pat...
Complex chronic conditions often require long-term care from various healthcare professionals. Th... more Complex chronic conditions often require long-term care from various healthcare professionals. Thus, maintaining quality care requires care coordination. Concepts for the study of care coordination require clarification to develop, study and evaluate coordination strategies. In 2007, the Agency for Healthcare Research and Quality defined care coordination and proposed five theoretical frameworks for exploring care coordination. This study aimed to update current theoretical frameworks and clarify key concepts related to care coordination. We performed a literature review to update existing theoretical frameworks. An in-depth analysis of these theoretical frameworks was conducted to formulate key concepts related to care coordination. Our literature review found seven previously unidentified theoretical frameworks for studying care coordination. The in-depth analysis identified fourteen key concepts that the theoretical frameworks addressed. These were 'external factors', ...
Care pathways are widely used in hospitals to improve quality. There is a growing interest in ext... more Care pathways are widely used in hospitals to improve quality. There is a growing interest in extending care pathways into primary care. There is little evidence on the relationship between care pathways across the primary-hospital care continuum and improvement in quality of care. Members of primary and hospital care services in the region of Bruges (Belgium) developed a care pathway for radical prostatectomy patients. An evaluation of this care pathway encountered some problems. To assess if a revision of the care pathway would improve quality of care enhancing patient outcomes. An exploratory trial was performed to test the feasibility of quality measurement, the possible intervention effect and recruitment. A pre-post-intervention postal survey was used. Quality of care was translated into process and outcome indicators. These indicators were measured in two groups receiving a postal questionnaire: one group before (pre-intervention) and another group after implementation (post-...
Large and undeclared differences exist between incidence and prevalence rates of depression in ge... more Large and undeclared differences exist between incidence and prevalence rates of depression in general practice based morbidity registries, and in registries based on questionnaires of questionnaire-based interviews. We tried to identify possible explanations for these differences. Literature-based discussions were held among a multidisciplinary group of clinicians and researchers. Selection bias and imperfections in the diagnostic capabilities of each of the systems may play a role, but they are insufficient explanations for the differences that were identified. Questionnaires provide factual information on a patient's situation. Frequently no information is available on the intensity or consistency of the symptoms and on the personal growth or coping strategies that were developed by the patient. GPs may register depressive complaints as part of other psychological problems to which the depression is related. Their diagnostic strategy is part of a process to identify those who can benefit from specific interventions. In general practice, depression is a diagnosis that tends to emerge progressively. Depression can be considered as a way of coping with events. DSM-based questionnaires provide information that is more related to a latent characteristic of a personality, rather than a temporal, inappropriate expression of this characteristic, as identified in a clinical diagnosis. Conceptual differences and different objectives when diagnosing, more than selection bias or diagnostic imperfections, tend to be responsible for the identified differences in occurrence rates of depression.
In addition to diagnosing the disease, establishing the care needs of people suffering from demen... more In addition to diagnosing the disease, establishing the care needs of people suffering from dementia is of paramount importance. Based on a literature review and expert advice, a working document has been drawn up in this article to determine the care diagnosis of dementia patients living at home. The components of care diagnosis were listed by means of a systematic literature review. The inventory was then further adapted and a working document was developed using semi-structured interviews of sixteen professional caregivers and two informal carers. The literature on care diagnosis is recent, and there are only a few studies with unequivocal results. However, all authors agree that making an inventory of the care needs results in better care planning and a better quality of life for both patient and informal carer. A synthesis of the literature review and semi-structured interviews led to a working document proposing the creation of an inventory of the care needs for a dementia pat...
Complex chronic conditions often require long-term care from various healthcare professionals. Th... more Complex chronic conditions often require long-term care from various healthcare professionals. Thus, maintaining quality care requires care coordination. Concepts for the study of care coordination require clarification to develop, study and evaluate coordination strategies. In 2007, the Agency for Healthcare Research and Quality defined care coordination and proposed five theoretical frameworks for exploring care coordination. This study aimed to update current theoretical frameworks and clarify key concepts related to care coordination. We performed a literature review to update existing theoretical frameworks. An in-depth analysis of these theoretical frameworks was conducted to formulate key concepts related to care coordination. Our literature review found seven previously unidentified theoretical frameworks for studying care coordination. The in-depth analysis identified fourteen key concepts that the theoretical frameworks addressed. These were 'external factors', ...
Care pathways are widely used in hospitals to improve quality. There is a growing interest in ext... more Care pathways are widely used in hospitals to improve quality. There is a growing interest in extending care pathways into primary care. There is little evidence on the relationship between care pathways across the primary-hospital care continuum and improvement in quality of care. Members of primary and hospital care services in the region of Bruges (Belgium) developed a care pathway for radical prostatectomy patients. An evaluation of this care pathway encountered some problems. To assess if a revision of the care pathway would improve quality of care enhancing patient outcomes. An exploratory trial was performed to test the feasibility of quality measurement, the possible intervention effect and recruitment. A pre-post-intervention postal survey was used. Quality of care was translated into process and outcome indicators. These indicators were measured in two groups receiving a postal questionnaire: one group before (pre-intervention) and another group after implementation (post-...
Large and undeclared differences exist between incidence and prevalence rates of depression in ge... more Large and undeclared differences exist between incidence and prevalence rates of depression in general practice based morbidity registries, and in registries based on questionnaires of questionnaire-based interviews. We tried to identify possible explanations for these differences. Literature-based discussions were held among a multidisciplinary group of clinicians and researchers. Selection bias and imperfections in the diagnostic capabilities of each of the systems may play a role, but they are insufficient explanations for the differences that were identified. Questionnaires provide factual information on a patient's situation. Frequently no information is available on the intensity or consistency of the symptoms and on the personal growth or coping strategies that were developed by the patient. GPs may register depressive complaints as part of other psychological problems to which the depression is related. Their diagnostic strategy is part of a process to identify those who can benefit from specific interventions. In general practice, depression is a diagnosis that tends to emerge progressively. Depression can be considered as a way of coping with events. DSM-based questionnaires provide information that is more related to a latent characteristic of a personality, rather than a temporal, inappropriate expression of this characteristic, as identified in a clinical diagnosis. Conceptual differences and different objectives when diagnosing, more than selection bias or diagnostic imperfections, tend to be responsible for the identified differences in occurrence rates of depression.
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