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  1. AU="Roy Remmen"
  2. AU="Perlee, Sarah"
  3. AU="Atamanalp, Refik Selim"
  4. AU="Costa, Bruno Buranello"
  5. AU="Kohler, Beatriz"
  6. AU="Tabata, Toshinori"
  7. AU="Sun, Shijing"
  8. AU="Kufeji D."
  9. AU="Kohani, Sayeh"
  10. AU="Wong, John Cm"
  11. AU="Hua LI"
  12. AU="Özkan, Yasemin"
  13. AU=Quirmbach Diana
  14. AU="Corpstein, Clairissa D"
  15. AU="Motel-Klingebiel, Andreas"
  16. AU="Brown, Randy A"
  17. AU="Feng, Yaying"
  18. AU="Lussi, A"
  19. AU="Yeon Susan B"
  20. AU="Abaci, Irem"
  21. AU="Lin, Xiaode"
  22. AU="Mendez, Luis"
  23. AU=Alzahrani Faisal A AU=Alzahrani Faisal A
  24. AU="Heidi G Standke"
  25. AU="Banville, Isabelle"
  26. AU=Morrow Lee E
  27. AU="Cuss, Chad W."
  28. AU="Carter, Paul (Interviewpartner)"
  29. AU=Lubozynski M F
  30. AU="Yves, Ville"
  31. AU="Bayer, Emily A"
  32. AU=Roesch Saskia
  33. AU="Tam, Benjamin"
  34. AU="Mori, Kousuke"
  35. AU="Steuer, Melanie"
  36. AU="Sood Hemant"
  37. AU="Jennifer Schaff"
  38. AU="Maji, Manideepa"
  39. AU=Evans Heather L
  40. AU="Cheng, Shuai"
  41. AU="Zalis, Joshua"

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  1. Artikel ; Online: Scale-up of a chronic care model-based programme for type 2 diabetes in Belgium

    Katrien Danhieux / Veerle Buffel / Roy Remmen / Edwin Wouters / Josefien van Olmen

    BMC Health Services Research, Vol 23, Iss 1, Pp 1-

    a mixed-methods study

    2023  Band 11

    Abstract: Abstract Background Type 2 diabetes (T2D) is an increasingly dominant disease. Interventions are more effective when carried out by a prepared and proactive team within an organised system — the integrated care (IC) model. The Chronic Care Model (CCM) ... ...

    Abstract Abstract Background Type 2 diabetes (T2D) is an increasingly dominant disease. Interventions are more effective when carried out by a prepared and proactive team within an organised system — the integrated care (IC) model. The Chronic Care Model (CCM) provides guidance for its implementation, but scale-up of IC is challenging, and this hampers outcomes for T2D care. In this paper, we used the CCM to investigate the current implementation of IC in primary care in Flanders (Belgium) and its variability in different practice types. Methods Belgium contains three different primary-care practice types: monodisciplinary fee-for-service practices, multidisciplinary fee-for-service practices and multidisciplinary capitation-based practices. Disproportional sampling was used to select a maximum of 10 practices for each type in three Flemish regions, leading to a total of 66 practices. The study employed a mixed methods design whereby the Assessment of Chronic Illness Care (ACIC) was complemented with interviews with general practitioners, nurses and dieticians linked to the 66 practices. Results The ACIC scores of the fee-for-service practices — containing 97% of Belgian patients — only corresponded to basic support for chronic illness care for T2D. Multidisciplinary and capitation-based practices scored considerably higher than traditional monodisciplinary fee-for-service practices. The region had no significant impact on the ACIC scores. Having a nurse, being a capitation practice and having a secretary had a significant effect in the regression analysis, which explained 75% of the variance in ACIC scores. Better-performing practices were successful due to clear role-defining, task delegation to the nurse, coordination, structured use of the electronic medical record, planning of consultations and integration of self-management support, and behaviour-change intervention (internally or using community initiatives). The longer nurses work in primary care practices, the higher the chance that they perform more advanced ...
    Schlagwörter Type 2 diabetes ; Chronic care ; Primary care ; Chronic care model ; Primary care nurse ; Scale-up ; Public aspects of medicine ; RA1-1270
    Thema/Rubrik (Code) 360
    Sprache Englisch
    Erscheinungsdatum 2023-02-01T00:00:00Z
    Verlag BMC
    Dokumenttyp Artikel ; Online
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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  2. Artikel ; Online: Quality criteria of nature-based interventions in healthcare facilities

    Ann Sterckx / Ben Delbaere / Geert De Blust / Irina Spacova / Roeland Samson / Roy Remmen / Hans Keune

    Frontiers in Public Health, Vol

    a scoping review

    2024  Band 11

    Abstract: IntroductionImplementing integrated nature-based interventions that simultaneously serve human health and the restoration of biodiversity in healthcare facilities is considered a promising strategy. As an emerging field of research and practice in ... ...

    Abstract IntroductionImplementing integrated nature-based interventions that simultaneously serve human health and the restoration of biodiversity in healthcare facilities is considered a promising strategy. As an emerging field of research and practice in healthcare, identification of quality criteria is necessary to support desired outcomes related to biodiversity, human health and intervention processes. This study is part of a larger research project in collaboration with the Flemish Agency of Nature and Forest in Belgium.MethodsA scoping review was conducted in accordance with the Joanna Briggs Institute methodology for scoping reviews, in PubMed, Medline, Web of Science and Scopus. A step-by-step tabular screening process was conducted to identify relevant studies and reviews of nature-based interventions, published in English between January 2005 and April 2023. A qualitative content analysis was conducted and the results were then presented to the project steering group and a panel of stakeholders for refinement.ResultsAfter filtering on the eligibility criteria, and with focus on healthcare facilities, 14 articles were included in this study. A preliminary nature-based interventions quality framework with a set of quality indicators has been developed.DiscussionWhen designing integrated nature-based interventions, a needs analysis of users and the outdoor environment should be conducted. Next, the integration of a One Health and biodiversity perspective and the application of a complex intervention framework, could support the quality of the design and implementation of nature-based interventions in healthcare facilities and facilitate their assessment. In future work, more rigorous research into the design and implementation of integrated nature-based interventions is needed to test and refine the quality criteria in practice.
    Schlagwörter mental health ; physical health ; social health ; nature-based intervention ; healthcare ; relationship with nature ; Public aspects of medicine ; RA1-1270
    Thema/Rubrik (Code) 360
    Sprache Englisch
    Erscheinungsdatum 2024-01-01T00:00:00Z
    Verlag Frontiers Media S.A.
    Dokumenttyp Artikel ; Online
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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  3. Artikel ; Online: Nature's Contributions to Human Health

    Laura Lauwers / Hilde Bastiaens / Roy Remmen / Hans Keune

    Frontiers in Public Health, Vol

    A Missing Link to Primary Health Care? A Scoping Review of International Overview Reports and Scientific Evidence

    2020  Band 8

    Abstract: Nature's contributions to human health (NCH) have gained increased attention internationally in scientific and policy arenas. However, little attention is given to the role of the health care sector in this discussion. Primary health care (PHC) is a ... ...

    Abstract Nature's contributions to human health (NCH) have gained increased attention internationally in scientific and policy arenas. However, little attention is given to the role of the health care sector in this discussion. Primary health care (PHC) is a vital backbone for linking knowledge and practice within the organization of health care. The objective of this scoping review is to evaluate how international overview reports and scientific literature on NCH address to PHC. More specifically, we extracted data on arguments, practice supporting tools and guidelines, challenges and constraints, and management approaches to integrate NCH and PHC. The scientific literature search was run in Web of Science. Two independent reviewers screened the scientific publications. Through the scientific literature search, we identified 1,995 articles of which 79 were eligible for analysis. We complemented the search with a selection of six international overview reports. Both the international overview reports and the scientific publications paid limited attention to the role of PHC regarding NCH. To cope with the current challenges and constraints to integrate NCH and PHC, more evidence on NCH, further development of PHC practice supporting tools, bottom–up integrated approaches, and closer interdisciplinary collaborations are required.
    Schlagwörter primary health care ; nature ; health ; infectious diseases ; natural disasters ; medicinal plants ; Public aspects of medicine ; RA1-1270
    Thema/Rubrik (Code) 306
    Sprache Englisch
    Erscheinungsdatum 2020-03-01T00:00:00Z
    Verlag Frontiers Media S.A.
    Dokumenttyp Artikel ; Online
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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  4. Artikel ; Online: Safety netting advice for respiratory tract infections in out-of-hours primary care

    Annelies Colliers / Hilde Philips / Katrien Bombeke / Roy Remmen / Samuel Coenen / Sibyl Anthierens

    European Journal of General Practice, Vol 28, Iss 1, Pp 87-

    A qualitative analysis of consultation videos

    2022  Band 94

    Abstract: Background General practitioners (GPs) use safety netting advice to communicate with patients when and how to seek further help when their condition fails to improve or deteriorate. Although many respiratory tract infections (RTI) during out-of-hours ( ... ...

    Abstract Background General practitioners (GPs) use safety netting advice to communicate with patients when and how to seek further help when their condition fails to improve or deteriorate. Although many respiratory tract infections (RTI) during out-of-hours (OOH) care are self-limiting, often antibiotics are prescribed. Providing safety netting advice could enable GPs to safely withhold an antibiotic prescription by dealing both with their uncertainty and the patients’ concerns.Objectives To explore how GPs use safety netting advice during consultations on RTIs in OOH primary care and how this advice is documented in the electronic health record.Methods We analysed video observations of 77 consultations on RTIs from 19 GPs during OOH care using qualitative framework analysis and reviewed the medical records. Videos were collected from August until November 2018 at the Antwerp city GP cooperative, Belgium.Results Safety netting advice on alarm symptoms, expected duration of illness and/or how and when to seek help is often lacking or vague. Communication of safety netting elements is scattered throughout the end phase of the consultation. The advice is seldom recorded in the medical health record. GPs give more safety netting advice when prescribing an antibiotic than when they do not prescribe an antibiotic.Conclusion We provided a better understanding of how safety netting is currently carried out in OOH primary care for RTIs. Safety netting advice during OOH primary care is limited, unspecific and not documented in the medical record.
    Schlagwörter Video observation ; respiratory tract infections ; safety netting advice ; communication ; out-of-hours primary care ; antibiotics ; Medicine (General) ; R5-920
    Thema/Rubrik (Code) 650
    Sprache Englisch
    Erscheinungsdatum 2022-12-01T00:00:00Z
    Verlag Taylor & Francis Group
    Dokumenttyp Artikel ; Online
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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  5. Artikel ; Online: Non-response bias in the analysis of the association between mental health and the urban environment

    Madeleine Guyot / Ingrid Pelgrims / Raf Aerts / Hans Keune / Roy Remmen / Eva M. De Clercq / Isabelle Thomas / Sophie O. Vanwambeke

    Archives of Public Health, Vol 81, Iss 1, Pp 1-

    a cross-sectional study in Brussels, Belgium

    2023  Band 10

    Abstract: Abstract Background This paper aims at analysing the impact of partial non-response in the association between urban environment and mental health in Brussels. The potential threats of the partial non-response are biases in survey estimates and ... ...

    Abstract Abstract Background This paper aims at analysing the impact of partial non-response in the association between urban environment and mental health in Brussels. The potential threats of the partial non-response are biases in survey estimates and statistics. The effect of non-response on statistical associations is often overlooked and evidence in the research literature is lacking. Methods Data from the Belgian Health Interview Survey 2008 and 2013 were used. The association between non-response and potential determinants was explored through logistic regressions. Results Participants with low income, low educational levels, lower or higher age or in households with children were less likely to respond. When adjusting for socio-economic variables, non-response was higher in areas which are less vegetated, more polluted or more urbanised. Because the determinants of non-response and depressive disorders were similar, it is reasonable to assume that there will be more people with mental health problems among the non-respondents. And because more non-responses were found in low vegetation areas, the protective association between green spaces and mental health may be underestimated. Conclusion Our capacity to measure the association between the urban environment and health is affected by non-response in surveys. The non-random spatial and socio-economic distribution of this bias affects the research findings.
    Schlagwörter Mental Health ; Non-response ; Urban Environment ; Brussels ; Public aspects of medicine ; RA1-1270
    Thema/Rubrik (Code) 310
    Sprache Englisch
    Erscheinungsdatum 2023-07-01T00:00:00Z
    Verlag BMC
    Dokumenttyp Artikel ; Online
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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  6. Artikel ; Online: iPSYcare

    Eva Rens / Joris Michielsen / Geert Dom / Roy Remmen / Kris Van den Broeck

    BMC Research Notes, Vol 14, Iss 1, Pp 1-

    the development of a linked electronic medical records database to study and optimize psychiatric care in Antwerp

    2021  Band 4

    Abstract: Abstract Objective The study of care trajectories of psychiatric patients across hospitals was previously not possible in Belgium as each hospital stores its data autonomously, and government-related registrations do not contain a unique identifier or ... ...

    Abstract Abstract Objective The study of care trajectories of psychiatric patients across hospitals was previously not possible in Belgium as each hospital stores its data autonomously, and government-related registrations do not contain a unique identifier or are incomplete. A new longitudinal database called iPSYcare (Improved Psychiatric Care and Research) was therefore constructed in 2021, and links the electronic medical records of patients in psychiatric units of eight hospitals in the Antwerp Province, Belgium. The database provides a wide range of information on patients, care trajectories and delivered care in the region. In a first phase, the database will only contain information about adult patients who were admitted to a hospital or treated by an outreach team and who gave explicit consent. In the future, the database may be expanded to other regions and additional data on outpatient care may be added. Results IPSYcare is a close collaboration between the University of Antwerp and hospitals in the province of Antwerp. This paper describes the development of the database, how privacy and ethical issues will be handled, and how the governance of the database will be organized.
    Schlagwörter Psychiatry ; Care trajectories ; Hospital data ; Mental health ; Data registry ; Medicine ; R ; Biology (General) ; QH301-705.5 ; Science (General) ; Q1-390
    Thema/Rubrik (Code) 170
    Sprache Englisch
    Erscheinungsdatum 2021-09-01T00:00:00Z
    Verlag BMC
    Dokumenttyp Artikel ; Online
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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  7. Artikel ; Online: Antibiotic Prescribing and Doctor-Patient Communication During Consultations for Respiratory Tract Infections

    Annelies Colliers / Katrien Bombeke / Hilde Philips / Roy Remmen / Samuel Coenen / Sibyl Anthierens

    Frontiers in Medicine, Vol

    A Video Observation Study in Out-of-Hours Primary Care

    2021  Band 8

    Abstract: Objective: Communication skills can reduce inappropriate antibiotic prescribing, which could help to tackle antibiotic resistance. General practitioners often overestimate patient expectations for an antibiotic. In this study, we describe how general ... ...

    Abstract Objective: Communication skills can reduce inappropriate antibiotic prescribing, which could help to tackle antibiotic resistance. General practitioners often overestimate patient expectations for an antibiotic. In this study, we describe how general practitioners and patients with respiratory tract infections (RTI) communicate about their problem, including the reason for encounter and ideas, concerns, and expectations (ICE), and how this relates to (non-)antibiotic prescribing in out-of-hours (OOH) primary care.Methods: A qualitative descriptive framework analysis of video-recorded consultations during OOH primary care focusing on doctor-patient communication.Results: We analyzed 77 videos from 19 general practitioners. General practitioners using patient-centered communication skills received more information on the perspective of the patients on the illness period. For some patients, the reason for the encounter was motivated by their belief that a general practitioner (GP) visit will alter the course of their illness. The ideas, concerns, and expectations often remained implicit, but the concerns were expressed by the choice of words, tone of voice, repetition of words, etc. Delayed prescribing was sometimes used to respond to implicit patient expectations for an antibiotic. Patients accepted a non-antibiotic management plan well.Conclusion: Not addressing the ICE of patients, or their reason to consult the GP OOH, could drive assumptions about patient expectations for antibiotics early on and antibiotic prescribing later in the consultation.
    Schlagwörter antibiotics ; respiratory tract infections ; video observation ; reason for encounter ; communication ; primary care ; Medicine (General) ; R5-920
    Sprache Englisch
    Erscheinungsdatum 2021-12-01T00:00:00Z
    Verlag Frontiers Media S.A.
    Dokumenttyp Artikel ; Online
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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  8. Artikel ; Online: The impact of COVID-19 on the well-being, education and clinical practice of general practice trainees and trainers

    Lotta Coenen / Louise Vanden Poel / Birgitte Schoenmakers / Arne Van Renterghem / Guy Gielis / Roy Remmen / Nele R. Michels

    BMC Medical Education, Vol 22, Iss 1, Pp 1-

    a national cross-sectional study

    2022  Band 12

    Abstract: Abstract Background COVID-19 has changed General Practice (GP) education as well as GP clinical activities. These changes have had an impact on the well-being of medical trainees and the role of GP plays in the society. We have therefore aimed to ... ...

    Abstract Abstract Background COVID-19 has changed General Practice (GP) education as well as GP clinical activities. These changes have had an impact on the well-being of medical trainees and the role of GP plays in the society. We have therefore aimed to investigate the impact that COVID-19 has had on GP trainees and trainers in four domains: education, workload, practice organization and the role of GP in society. Design: a cross-sectional study design was used. Methods The Interuniversity Centre for the Education of General Practitioners sent an online survey with close-ended and open-ended questions to all GP trainees and trainers in Flanders, active in the period March – September 2020. Descriptive statistics were performed to analyze the quantitative data and thematic analysis for the qualitative data. Results 216 (response 25%) GP trainees and 311 (response 26%) trainers participated. GP trainees (63%, N = 136) and trainers (76%, N = 236) reported new learning opportunities since the COVID-19 pandemic. The introduction of telehealth consulting and changing guidelines required new communication and organizational skills. Most of the GP trainees (75%, n = 162) and trainers (71%, n = 221) experienced more stress at work and an overload of administrative work. The unfamiliarity with a new infectious disease and the fact that COVID-19 care compromised general GP clinical activities, created insecurity among GP trainers and trainees. Moreover, GP trainees felt that general GP activities were insufficiently covered during the COVID-19 pandemic for their training in GP. GP trainers and trainees experienced mutual support, and secondary support came from other direct colleagues. Measures such as reducing the writing of medical certificates and financial support for administrative and (para) medical support can help to reprioritize the core of GP care. COVID-19 has enhanced the use of digital learning over peer-to-peer learning and lectures. However, GP trainees and trainers preferred blended learning educational ...
    Schlagwörter COVID-19 ; General Practice ; Medical education ; Workplace learning ; Mental health ; Health care organization ; Special aspects of education ; LC8-6691 ; Medicine ; R
    Thema/Rubrik (Code) 370
    Sprache Englisch
    Erscheinungsdatum 2022-02-01T00:00:00Z
    Verlag BMC
    Dokumenttyp Artikel ; Online
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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  9. Artikel ; Online: Looking Inside the Out-of-Hours Primary Care Consultation

    Annelies Colliers / Samuel Coenen / Roy Remmen / Hilde Philips / Sibyl Anthierens

    International Journal of Qualitative Methods, Vol

    General Practitioners’ and Researchers’ Experiences of Using Video Observations as a Method

    2019  Band 18

    Abstract: Video recording primary care consultations is a promising and valuable method to provide rich data on actual patient–doctor interactions. Video recording for research purposes has not yet been used in out-of-hours (OOH) primary care. To obtain a high ... ...

    Abstract Video recording primary care consultations is a promising and valuable method to provide rich data on actual patient–doctor interactions. Video recording for research purposes has not yet been used in out-of-hours (OOH) primary care. To obtain a high grade of participation of general practitioners (GPs), a good understanding on how to organize such a study is essential. We performed qualitative research to explore in what way it would be acceptable to GPs to video record their consultations in OOH. We used semistructured interviews with 17 GPs before setting up video observations. Using this input, we then conducted video observations with an evaluation afterward. We reflected back on the video recordings through a written open-ended questionnaire and during face-to-face elicitation interviews with the 21 participating GPs in the video observations. In addition, we share our experiences from a researchers’ view, by describing experiences, advantages, and disadvantages of choices made during the video observations. The stakeholders were involved from the beginning of the setup of the study and it was codesigned with them. Taking into account, their suggestions and concerns led to a high level of participation and successful data collection. We learned that most GPs are willing to participate in a video observation study as they think it could be educational for themselves and research. Nevertheless, because their personal identity is often intertwined with their job as a GP, they feel a bit exposed to criticism but at the same time they are willing to overcome this fear for the purpose of the study. There is also a fear of being judged against a standard way of consulting. GPs describe certain conditions that must be addressed in order for them to participate such as no extra burden to the workload, discrete camera position, and a safe environment for themselves and patients.
    Schlagwörter Social sciences (General) ; H1-99
    Thema/Rubrik (Code) 420
    Sprache Englisch
    Erscheinungsdatum 2019-09-01T00:00:00Z
    Verlag SAGE Publishing
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    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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  10. Artikel ; Online: Unmet mental health needs in the general population

    Eva Rens / Geert Dom / Roy Remmen / Joris Michielsen / Kris Van den Broeck

    International Journal for Equity in Health, Vol 19, Iss 1, Pp 1-

    perspectives of Belgian health and social care professionals

    2020  Band 10

    Abstract: Abstract Background An unmet mental health need exists when someone has a mental health problem but doesn’t receive formal care, or when the care received is insufficient or inadequate. Epidemiological research has identified both structural and ... ...

    Abstract Abstract Background An unmet mental health need exists when someone has a mental health problem but doesn’t receive formal care, or when the care received is insufficient or inadequate. Epidemiological research has identified both structural and attitudinal barriers to care which lead to unmet mental health needs, but reviewed literature has shown gaps in qualitative research on unmet mental health needs. This study aimed to explore unmet mental health needs in the general population from the perspective of professionals working with vulnerable groups. Methods Four focus group discussions and two interviews with 34 participants were conducted from October 2019 to January 2020. Participants’ professional backgrounds encompassed social work, mental health care and primary care in one rural and one urban primary care zone in Antwerp, Belgium. A topic guide was used to prompt discussions about which groups have high unmet mental health needs and why. Transcripts were coded using thematic analysis. Results Five themes emerged, which are subdivided in several subthemes: (1) socio-demographic determinants and disorder characteristics associated with unmet mental health needs; (2) demand-side barriers; (3) supply-side barriers; (4) consequences of unmet mental health needs; and (5) suggested improvements for meeting unmet mental health needs. Conclusions Findings of epidemiological research were largely corroborated. Some additional groups with high unmet needs were identified. Professionals argued that they are often confronted with cases which are too complex for regular psychiatric care and highlighted the problem of care avoidance. Important system-level factors include waiting times of subsidized services and cost of non-subsidized services. Feelings of burden and powerlessness are common among professionals who are often confronted with unmet needs. Professionals discussed future directions for an equitable mental health care provision, which should be accessible and targeted at those in the greatest need. Further ...
    Schlagwörter Unmet needs ; Mental health care ; Primary care ; Social work ; Focus groups ; Treatment gap ; Public aspects of medicine ; RA1-1270
    Thema/Rubrik (Code) 360
    Sprache Englisch
    Erscheinungsdatum 2020-09-01T00:00:00Z
    Verlag BMC
    Dokumenttyp Artikel ; Online
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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