TY - JOUR
KW - Adult
KW - Attitude of Health Personnel
KW - Cohort Studies
KW - Communication
KW - Delivery of Health Care, Integrated
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Interprofessional Relations
KW - Male
KW - Mental Health Services
KW - Middle Aged
KW - National Health Programs/organization & administration/standards
KW - Netherlands
KW - Patient Care Team
KW - Physicians, Family
KW - Primary Health Care
KW - Psychiatry
KW - Psychology
KW - Quality Assurance, Health Care
KW - Referral and Consultation
KW - Regional Medical Programs/organization & administration/standards
KW - Social Work, Psychiatric
AU - J. Heideman
AU - M. Laurant
AU - P. Verhaak
AU - M. Wensing
AU - R. Grol
A1 - 
AB - OBJECTIVE: To describe the implementation of a nationwide programme and to determine the effects of specific quality improvement (QI) interventions within this programme on perceived barriers to collaboration between general practitioner (GPs) and mental health professionals and frequency of structural one-on-one contact regarding individual patients. METHODS: The implementation of regional QI-interventions, perceived barriers to collaboration, and frequency of structural one-on-one contact, were assessed in a cohort study involving two surveys (2001 and 2003) among a random sample of 2757 GPs. RESULTS: 1336 and 1358 GPs returned baseline and follow-up questionnaires respectively. Most of the interventions were only offered to a minority of GPs. Less than 25% of GPs that had been offered interventions actually participated. The frequency of structural one-on-one contact with mental health professionals did not change, but barriers to collaboration decreased between 2001 and 2003. For GPs who actually participated in interactive small group meetings or in intervention in which mental health professionals were integrated in general practice, a reduction of perceived barriers could be observed as well as an increase in the frequency of structural one-on-one contact. CONCLUSION: Interventions that could be characterized as interactive small group meetings as well as interventions that involved the integration of mental health professionals in general practice led to a reduction of perceived barriers as well as an increase in the frequency of structural one-on-one contact. These findings add to the knowledge of which interventions have an effect on the collaboration between different health care providers.
BT - Journal of evaluation in clinical practice
C5 - Education & Workforce
CP - 6
CY - England
DO - 10.1111/j.1365-2753.2006.00760.x
IS - 6
JF - Journal of evaluation in clinical practice
N2 - OBJECTIVE: To describe the implementation of a nationwide programme and to determine the effects of specific quality improvement (QI) interventions within this programme on perceived barriers to collaboration between general practitioner (GPs) and mental health professionals and frequency of structural one-on-one contact regarding individual patients. METHODS: The implementation of regional QI-interventions, perceived barriers to collaboration, and frequency of structural one-on-one contact, were assessed in a cohort study involving two surveys (2001 and 2003) among a random sample of 2757 GPs. RESULTS: 1336 and 1358 GPs returned baseline and follow-up questionnaires respectively. Most of the interventions were only offered to a minority of GPs. Less than 25% of GPs that had been offered interventions actually participated. The frequency of structural one-on-one contact with mental health professionals did not change, but barriers to collaboration decreased between 2001 and 2003. For GPs who actually participated in interactive small group meetings or in intervention in which mental health professionals were integrated in general practice, a reduction of perceived barriers could be observed as well as an increase in the frequency of structural one-on-one contact. CONCLUSION: Interventions that could be characterized as interactive small group meetings as well as interventions that involved the integration of mental health professionals in general practice led to a reduction of perceived barriers as well as an increase in the frequency of structural one-on-one contact. These findings add to the knowledge of which interventions have an effect on the collaboration between different health care providers.
PP - England
PY - 2007
SN - 1356-1294; 1356-1294
SP - 860
EP - 866
EP - 
T1 - Effects of a nationwide programme: Interventions to reduce perceived barriers to collaboration and to increase structural one-on-one contact
T2 - Journal of evaluation in clinical practice
TI - Effects of a nationwide programme: Interventions to reduce perceived barriers to collaboration and to increase structural one-on-one contact
U1 - Education & Workforce
U2 - 18070256
U3 - 10.1111/j.1365-2753.2006.00760.x
VL - 13
VO - 1356-1294; 1356-1294
Y1 - 2007
ER -