According to Jan Swinkels, professor of guideline development in health care, University of Amsterdam", assessing the statistical findings of scientific research is often very complex, which is why this is no longer left to clinicians, but is conducted by epidemiologists. It’s just one example of the continued efforts made by the Trimbos Institute and the CBO towards further professionalization of guideline development." |
Further professionalization of guideline developmentRelevant knowledge is weighed up by all stakeholders when new guidelines are being developed. The Trimbos Institute plays an important role in coordinating and monitoring this process. In 2008 the process was refined further, enabling information to be gathered in a more systematic and objective way. |
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For years the Trimbos Institute has been using a recognised methodology for evidence-based guideline development (EBGD) in its formulation of new guidelines. Over the past year the Trimbos Institute, in collaboration with the Dutch Institute for Healthcare Improvement CBO, has started to perform the necessary literature reviews itself when developing new guidelines. This additional professionalization guarantees maximum objectivity, especially at the start of the guideline process.read more >> |
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In this new approach, epidemiologists draw up a list of conclusions based on the literature review. They present these conclusions to the study group working on a particular guideline. The members of the study group then make a number of recommendations. Following this, all the conclusions, considerations and recommendations are passed on to the relevant professional associations for further commentary. After the comments have been processed, the professional associations finally establish an authorized guideline. In 2008 the Breakthrough projects of the Multidisciplinary Guidelines for Schizophrenia, Anxiety Disorders and Depression were completed. 25 Breakthrough teams from primary health care and 50 Breakthrough teams from the specialist mental health services (GGZ) were involved in the implementation of these guidelines. In order to encourage health workers to (continue to) work according to the guidelines, the Trimbos Institute initiated a quality assurance project. The initiative included a new website providing instruments to promote working in accordance with the current guidelines. Recently Trimbos also set up a helpdesk (IDé GGZ’) to support the implementation of the guidelines. Guidelines published in 2008: Guidelines started in 2008:
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'Guidelines essential to ensure good health care'"Senior researcher, Harriët van Wetten, explains that in guideline development the primary focus is on health care professionals, helping them to make well-considered and professional decisions together with their client. Undoubtedly this support will lead to better health care for clients, which is what it’s all about."
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