Michel Wensing

Implementation of outpatient schema therapy for borderline personality disorder: study design (2009)

Nadort, Marjon, Arntz, Arnoud, Smit, Johannes H, Giesen-Bloo, Josephine, Eikelenboom, Merijn, Spinhoven, Philip, ...

Abstract Background Schema Therapy (ST) is an integrative psychotherapy based upon a cognitive schema model which aims at identifying and changing dysfunctional schemas and modes through cognitive,...

High workload and job stress are associated with lower practice performance in general practice: an observational study in 239 general practices in the Netherlands (2009)

Van Den Hombergh, Pieter, Künzi, Beat, Elwyn, Glyn, Van Doremalen, Jan, Akkermans, Reinier, Grol, Richard, ...

Abstract Background The impact of high physician workload and job stress on quality and outcomes of healthcare delivery is not clear. Our study explored whether high workload and job stress were...

Out-of-hours care in western countries: assessment of different organizational models (2009)

Huibers, Linda, Giesen, Paul, Wensing, Michel, Grol, Richard

Abstract Background Internationally, different organizational models are used for providing out-of-hours care. The aim of this study was to assess prevailing models in order to identify their...

Structured chronic primary care and health-related quality of life in chronic heart failure (2009)

Bosch, Marije, Van Der Weijden, Trudy, Grol, Richard, Schers, Henk, Akkermans, Reinier, Niessen, Louis, ...

Abstract Background Structured care is proposed as a lever for improving care for patients with chronic conditions. The purpose of this study was to explore the associations of structured care...

European Practice Assessment of Cardiovascular risk management (EPA Cardio): protocol of an international observational study in primary care (2009)

Wensing, Michel, Ludt, Sabine, Campbell, Stephen, Van Lieshout, Jan, Volbracht, Eckhard, Grol, Richard, ...

Abstract Background Despite important improvements in available prevention and treatment, cardiovascular diseases (CVD) remain an important cause of morbidity and mortality. Not all high-risk...

The Patients Assessment Chronic Illness Care (PACIC) questionnaire in The Netherlands: a validation study in rural general practice (2008)

Wensing, Michel, Van Lieshout, Jan, Jung, Hans, Hermsen, Jan, Rosemann, Thomas

Abstract Background Many patients with chronic illness receive health care in primary care settings, so a challenge is to provide well-structured chronic care in these settings. Our aim was to...

Organizational culture, team climate and diabetes care in small office-based practices (2008)

Bosch, Marije, Dijkstra, Rob, Wensing, Michel, Van Der Weijden, Trudy, Grol, Richard

Abstract Background Redesigning care has been proposed as a lever for improving chronic illness care. Within primary care, diabetes care is the most widespread example of restructured integrated...

Implementing cognitive behavior therapy for chronic fatigue syndrome in mental health care: a costs and outcomes analysis (2008)

Scheeres, Korine, Wensing, Michel, Bleijenberg, Gijs, Severens, Johan L

Abstract Background This study investigated the costs and outcomes of implementing cognitive behavior therapy (CBT) for chronic fatigue syndrome (CFS) in a mental health center (MHC). CBT is an...

Mix of methods is needed to identify adverse events in general practice: A prospective observational study (2008)

Wetzels, Raymond, Wolters, René, Van Weel, Chris, Wensing, Michel

Abstract Background The validity and usefulness of incident reporting and other methods for identifying adverse events remains unclear. This study aimed to compare five methods in general practice....

Family practice nurses supporting self-management in older patients with mild osteoarthritis: a randomized trial (2008)

Wetzels, Raymond, Van Weel, Chris, Grol, Richard, Wensing, Michel

Abstract Background Supporting self-management intends to improve life-style, which is beneficial for patients with mild osteoarthritis (OA). We evaluated a nurse-based intervention on older OA...

Association between obesity, quality of life, physical activity and health service utilization in primary care patients with osteoarthritis (2008)

Rosemann, Thomas, Grol, Richard, Herman, Katja, Wensing, Michel, Szecsenyi, Joachim

Abstract Objective To assess the association of obesity with quality of life, health service utilization and physical activity in a large sample of primary care patients with osteoarthritis (OA)....

Improving patient adherence to lifestyle advice (IMPALA): a cluster-randomised controlled trial on the implementation of a nurse-led intervention for cardiovascular risk management in primary care (protocol) (2008)

Van Steenkiste, Ben, Ronda, Gaby, Wensing, Michel, Stoffers, Henri E, Elwyn, Glyn, ...

Abstract Background Many patients at high risk of cardiovascular diseases are managed and monitored in general practice. Recommendations for cardiovascular risk management, including lifestyle...

Treatment of myofascial trigger points in common shoulder disorders by physical therapy: A randomized controlled trial [ISRCTN75722066] (2007)

Bron, Carel, Wensing, Michel, Franssen, Jo LM, Oostendorp, Rob AB

Abstract Background Shoulder disorders are a common health problem in western societies. Several treatment protocols have been developed for the clinical management of persons with shoulder pain....

Health service utilization patterns of primary care patients with osteoarthritis (2007)

Rosemann, Thomas, Joos, Stefanie, Szecsenyi, Joachim, Laux, Gunter, Wensing, Michel

Abstract Background To assess factors associated with visits to GPs, orthopaedists, and non-physician practitioners of complementary medicine (alternative practitioners) by primary care patients with...

Management of children's urinary tract infections in Dutch family practice: a cohort study (2007)

Harmsen, Mirjam, Wensing, Michel, Braspenning, Jozé CC, Wolters, René J, Van Der Wouden, Johannes C, Grol, Richard PTM

Abstract Background Optimal clinical management of childhood urinary tract infections (UTI) potentiates long-term positive health effects. Insight into the quality of care in Dutch family practices...

[ISRCTN75722066] (2007)

Carel Bron, Michel Wensing, Jo Lm Franssen, Rob Ab Oostendorp, Open Access

Treatment of myofascial trigger points in common shoulder disorders by physical therapy: A randomized controlled trial

The impact of co-morbidity on GPs' pharmacological treatment decisions for patients with an anxiety disorder (2007)

Smolders, Mirrian, Laurant, Miranda, Van Rijswijk, Eric, Mulder, Jan, Braspenning, Jozé, Verhaak, Peter, ...

Background. Co-morbidity may influence GPs’ treatment decisions for patients with anxiety. However, knowledge about differences in the pharmacological treatment of anxiety disorders in patients...

The impact of co-morbidity on GPs' pharmacological treatment decisions for patients with an anxiety disorder (2007)

Smolders, Mirrian, Laurant, Miranda, Van Rijswijk, Eric, Mulder, Jan, Braspenning, Jozé, Verhaak, Peter, ...

Background. Co-morbidity may influence GPs' treatment decisions for patients with anxiety. However, knowledge about differences in the pharmacological treatment of anxiety disorders in patients with...

Problems and needs for improving primary care of osteoarthritis patients: the views of patients, general practitioners and practice nurses (2006)

Rosemann, Thomas, Wensing, Michel, Joest, Katharina, Backenstrass, Matthias, Mahler, Cornelia, Szecsenyi, Joachim

Abstract Background Osteoarthritis (OA) is highly prevalent and has substantial impact on quality of life as well as on healthcare costs. The general practitioner (GP) often is the first care...

The relationship between organisational characteristics and the effects of clinical guidelines on medical performance in hospitals, a meta-analysis (2006)

Dijkstra, Rob, Wensing, Michel, Thomas, Ruth, Akkermans, Reinier, Braspenning, Joze, Grimshaw, Jeremy, ...

Abstract Objective To measure the effectiveness of strategies to implement clinical guidelines and the influence of organisational characteristics on hospital care. Methods Systematic review and meta...

Organizational interventions to implement improvements in patient care: a structured review of reviews (2006)

Wensing, Michel, Wollersheim, Hub, Grol, Richard

Abstract Background Changing the organization of patient care should contribute to improved patient outcomes as functioning of clinical teams and organizational structures are important enablers for...

Referrals from general practice to consultants in Germany: If the GP is the initiator, patients' experiences are more positive (2006)

Rosemann, Thomas, Wensing, Michel, Rueter, Gernot, Szecsenyi, Joachim

Abstract Background Referrals of patients from primary care to medical specialist care are an important activity in any health care system. German data show that the number of referrals by GPs have...

The design of the Dutch EASYcare study: a randomised controlled trial on the effectiveness of a problem-based community intervention model for frail elderly people [NCT00105378] (2005)

Melis, René JF, Van Eijken, Monique IJ, Borm, George F, Wensing, Michel, Adang, Eddy, Van De Lisdonk, Eloy H, ...

Abstract Background Because of their complex clinical presentations and needs frail elderly people require another approach than people who age without many complications. Several inpatient geriatric...

ELSID-Diabetes study-evaluation of a large scale implementation of disease management programmes for patients with type 2 diabetes. Rationale, design and conduct – a study protocol [ISRCTN08471887] (2005)

Joos, Stefanie, Rosemann, Thomas, Heiderhoff, Marc, Wensing, Michel, Ludt, Sabine, Gensichen, Jochen, ...

Background Diabetes model projects in different regions of Germany including interventions such as quality circles, patient education and documentation of medical findings have shown improvements of...

Physicians perceived usefulness of high-cost diagnostic imaging studies: results of a referral study in a German medical quality network (2005)

Schneider, Antonius, Rosemann, Thomas, Wensing, Michel, Szecsenyi, Joachim

Abstract Background Medical and technological progress has led to increased numbers of diagnostic tests, some of them inducing high financial costs. In Germany, high-cost diagnostic imaging is...

Are ICD-10 codes appropriate for performance assessment in asthma and COPD in general practice? Results of a cross sectional observational study (2005)

Schneider, Antonius, Gantner, Lutz, Maag, Inko, Borst, Mathias M, Wensing, Michel, Szecsenyi, Joachim

Abstract Background The increasing prevalence and impact of obstructive lung diseases and new insights, reflected in clinical guidelines, have led to concerns about the diagnosis and therapy of...

Elderly patients' and GPs' views on different methods for patient involvement: an international qualitative interview study (2005)

Geest, Tina Aaen, Wetzels, Raymond, Raposo, Victor, Lopes Ferreira, Pedro, Baker, Richard, Wensing, Michel, ...

Background. Elderly patients' interaction with the GP may be improved through patient involvement techniques, and there is a variety of such techniques which improve patients' involvement in their...

Elderly patients' and GPs' views on different methods for patient involvement: an international qualitative interview study (2005)

Geest, Tina Aaen, Wetzels, Raymond, Raposo, Victor, Lopes Ferreira, Pedro, Baker, Richard, Wensing, Michel, ...

Background. Elderly patients' interaction with the GP may be improved through patient involvement techniques, and there is a variety of such techniques which improve patients' involvement in their...

ATTITUDES AND MANAGING ALCOHOL PROBLEMS IN GENERAL PRACTICE: AN INTERACTION ANALYSIS BASED ON FINDINGS FROM A WHO COLLABORATIVE STUDY (2004)

ANDERSON, PETER, KANER, EILEEN, WUTZKE, SONIA, FUNK, MICHELLE, HEATHER, NICK, WENSING, MICHEL, ...

Aims: To determine if GPs' attitudes towards working with drinkers moderated the impact that training and support had on screening and brief intervention activity in routine practice. Methods:...

Deconstructing patient centred communication and uncovering shared decision making: an observational study (2002)

Wensing, Michel, Elwyn, Glyn, Edwards, Adrian, Vingerhoets, Eric, Grol, Richard

Abstract Background Patient centred communication (PCC) has been described as a method for doctor-patient communication. The principles of shared decision making (SDM) have been proposed more...

Patient satisfaction with availability of general practice: an international comparison (2002)

WENSING, MICHEL, VEDSTED, PETER, KERSNIK, JANKO, PEERSMAN, WIM, KLINGENBERG, ANJA, HEARNSHAW, HILARY, ...

Objective. To identify associations between the characteristics of general practitioners and practices, and patients’ evaluations of the availability of general practice. Design. Written surveys...

Patients' priorities with respect to general practice care: an international comparison (1999)

Grol, Richard, Wensing, Michel, Mainz, Jan, Ferreira, Pedro, Hearnshaw, Hilary, Hjortdahl, Per, ...

Background and objectives. Improving the sensitivity of general practice to Patients' needs demands a good understanding of Patients' expectations and priorities in care provision. Insight into...

Evaluation of general practice care by chronically ill patients: effect of the method of administration (1996)

Wensing, Michel, Grol, Richard, Smiths, Anton, Van Montfort, Pauline

Background. Although the patient survey has become a popular method for learning about patients' views and experiences, little attention has been paid to the validity and feasibility of different...

Single and Combined Strategies for Implementing Changes in Primary Care: A Literature Review (1994)

WENSING, MICHEL, GROL, RICHARD

Doubts have been raised about the effectiveness of traditional types of continuing medical education. Different strategies or combinations of strategies could prove to be more effective for improving...

Quality Assurance in General Practice: the State of the Art in Europe (1994)

GROL, RICHARD, BAKER, RICHARD, WENSING, MICHEL, JACOBS, ANNELIES

‘Quality assurance’ (QA) is an important new development in general practice. In order to describe the state of the art in this field a preliminary survey was performed by the WONCA European...

Respecting the subjective: quality measurement from the patient's perspective

Elwyn, Glyn, Buetow, Stephen, Hibbard, Judith, Wensing, Michel

An unhappy patient suggests poor quality care, but Glyn Elwyn and colleagues point out that using measures of satisfaction to assess health providers is not without problems

On the trail of quality and safety in health care

Grol, Richard, Berwick, Donald M, Wensing, Michel

Initiatives to improve patient care have had only limited success. Richard Grol, Donald Berwick, and Michel Wensing call for steps to encourage a new generation of researchers to investigate how to...

Patients' Views on Healthcare: A Driving Force for Improvement in Disease Management

Michel Wensing, Richard Grol

There is a range of interesting approaches to integrate patients' views into disease management systems in order to implement evidence-based practice, and improve patient adherence to treatment and...

Interrater Reliability of Palpation of Myofascial Trigger Points in Three Shoulder Muscles

Bron, Carel, Franssen, Jo, Wensing, Michel, Oostendorp, Rob A.B.

This observational study included both asymptomatic subjects (n=8) and patients with unilateral or bilateral shoulder pain (n=32). Patient diagnoses provided by the referring medical physicians...

General practitioners' workload associated to practice size rather than chronic care organisation

Wensing, Michel, Van Den Hombergh, Pieter, Van Doremalen, Jan, Grol, Richard, Szecsenyi, Joachim

Objective This study aimed to explore the associations between chronic care organisation and physician workload in primary care.Design Secondary analysis of observational data.Setting and...

Economic barriers to implementation of innovations in health care: Is the long run-short run efficiency discrepancy a paradox?

Adang, Eddy M.M., Wensing, Michel

Favourable cost-effectiveness of innovative technologies is more and more a necessary condition for implementation in clinical practice. But proven cost-effectiveness itself does not guarantee...