BACKGROUND: Although the importance of evaluating implementation fidelity is acknowledged, little is known about heterogeneity in fidelity over time. This study aims to generate insight into the heterogeneity in implementation fidelity trajectories of a health promotion program in multidisciplinary settings …

Many countries and health systems are pursuing integrated care as a means of achieving better outcomes. However, no standard approaches exist for comparing integration approaches across models or settings, and for evaluating whether the key components of integrated care are present in different initiatives. …

Reliable management information is invaluable for policymakers and advisers to make informed policy decisions. Depending on the information needs of the policymakers and the characteristics of the data required, different approaches exploiting different ways to process data from multiple sources, may …

Vertical and horizontal alignment within organizations are seen as prerequisites for meeting strategic objectives and indications of effective management. In the area of safety management, the concept of vertical alignment has been followed through the introduction of hierarchical structures and bidirectional …

Background: Patient participation and goal setting appear to be difficult in daily physiotherapy practice, and practical methods are lacking. An existing patient-specific instrument, Patient-Specific Complaints (PSC), was therefore optimized into a new Patient Specific Goal-setting method (PSG). The …

Objective: This study describes the process elements of decision-making for dementia, in order to enrich a model to facilitate shared decision-making for professionals working with people with dementia and their informal caregivers. Methods: We performed a qualitative study based on secondary analysis …

The collection and analysis of relevant data for evaluating public policies is not a straightforward task. An important type of such studies is the so-called ex-post evaluation. The main objective of ex-post evaluations is to determine to what extent a realized intervention is successful in tackling …

Evaluating protein kinetics in the critically ill population remains a very difficult task. Heterogeneity in the intensive care unit (ICU) population and wide spectrum of disease processes creates complexity in assessing protein kinetics. Traditionally, protein has been delivered in the context of total …

The purpose was to perform a systematic review of clinical assessment methods for classifying Generalized Joint Hypermobility (GJH), evaluate their clinimetric properties, and perform the best evidence synthesis of these methods. Four test assessment methods (Beighton Score [BS], Carter and Wilkinson, …

The Palace hotel Zandvoort is a 4-star hotel situated at the boulevard of Zandvoort which is one of the most popular beaches in the Netherlands. The main problem for the Palace hotel are the bad online reviews. The purpose is to investigate what people are expecting from the Palace hotel. The main …