Title
Implementation of a guideline for local health policy making by regional health services: exploring determinants of use by a web survey
Author
Kuunders, T.J.M.
Jacobs, M.A.M.
van de Goor, I.A.M.
van Bon-Martens, M.J.H.
van Oers, H.A.M.
Paulussen, T.G.W.M.
Publication year
2017
Abstract
Background. Previous evaluation showed insufficient use of a national guideline for integrated local health policy by Regional Health Services (RHS) in the Netherlands. The guideline focuses on five health topics and includes five checklists to support integrated municipal health policies. This study explores the determinants of guideline use by regional Dutch health professionals. Methods. A web survey was send to 304 RHS health professionals. The questionnaire was based on a theory- and research-based framework of determinants of public health innovations. Main outcomes were guideline use and completeness of use, defined as the number of health topics and checklists used. Associations between determinants and (completeness of) guideline use were explored by multivariate regression models. Results. The survey was started by 120 professionals (39%). Finally, results from 73 respondents (24%) were eligible for analyses. All 28 Dutch RHS organizations were represented in the final dataset. About half of the respondents (48%) used the guideline. The average score for completeness of use (potential range 1–10) was 2.37 (sd = 1.78; range 1–7). Knowledge, perceived task responsibility and usability were significantly related to guideline use in univariate analyses. Only usability remained significant in the multivariate model on guideline use. Only self-efficacy accounted for significant proportions of variance in completeness of use. Conclusions. The results imply that strategies to improve guideline use by RHSs should primarily target perceived usability. Self-efficacy appeared the primary target for improving completeness of guideline use. Methods for targeting these determinants in RHSs are discussed.
Subject
ELSS - Earth, Life and Social Sciences
Life
Healthy Living
Healthy for Life
Local health policy
Regional health service
Guideline use
Web based survey
Implementation determinants
Implementation strategy
Netherlands
Checklist
Female
Health care policy
Human
Major clinical study
Male
Organization
Practice guideline
Questionnaire
Responsibility
Self concept
Statistical model
Theoretical model
Univariate analysis
CH - Child Health
To reference this document use:
http://resolver.tudelft.nl/uuid:ca8ad935-8c71-49ef-a4cd-048ca161e736
DOI
https://doi.org/10.1186/s12913-017-2499-2
TNO identifier
779166
Source
BMC Health Services Research, 17 (17)
Document type
article