Regionale landbouwcijfers in beeld Regio Noord : periode 1997-2007

Het LEI en het CBS publiceren al jaren de zogenaamde Land- en tuinbouwcijfers. De Directie Regionale Zaken van LNV heeft LEI gevraagd om regionale landbouwcijfers in beeld te brengen. Dat heeft geleid tot vier publicaties. De onderhavige is die van de regio Noord (Friesland, Groningen, Drenthe). Deze publicaties geven de stand van zaken weer in de verschillende sectoren en de belangrijkste trends in de afgelopen 10 jaar. Ook is per provincie steeds het relatieve belang van een sector te zien ten opzichte van geheel Nederland. De cijfers zijn geïllustreerd met grafieken en kaartjes die aangeven hoe de verschillende sectoren ruimtelijk zijn verdeel

Regionale landbouwcijfers in beeld Regio West : periode 1997-2007

Het LEI en het CBS publiceren al jaren de zogenaamde Land- en tuinbouwcijfers. De Directie Regionale Zaken van LNV heeft LEI gevraagd om regionale landbouwcijfers in beeld te brengen. Dat heeft geleid tot vier publicaties. De onderhavige is die van de regio West (Noord-Holland, Zuid-Holland, Utrecht, Flevoland). Deze publicatie geeft de stand van zaken weer in de verschillende sectoren en de belangrijkste trends in de afgelopen 10 jaar. Ook is per provincie steeds het relatieve belang van een sector te zien ten opzichte van geheel Nederland. De cijfers zijn geïllustreerd met grafieken en kaartjes die aangeven hoe de verschillende sectoren ruimtelijk zijn verdeel

De melkprijs in beweging; Gevolgen van Europese zuivelhervorming voor de melkveehouderij

Dit rapport geeft zicht op de mogelijke gevolgen van de veranderingen in het Europese landbouwbeleid voor de melkveehouderij. Het betreft de in januari 2003 gepresenteerde Europese voorstellen en de in juni 2003 door de Europese landbouwministers genomen besluiten op het gebied van de zuivel voor de prijsvorming van melk en de inkomensontwikkeling van de melkveehouders in Nederland. Deze gevolgen worden vergeleken met de te verwachten ontwikkelingen in enkele andere EU-landen

[Evidence-based guideline development in the Netherlands: the EBRO platform]

Item does not contain fulltextIn the Netherlands many institutes, associations and professional organisations are active in the development of guidelines for clinical practice. In 1997, the Dutch Cochrane Centre and the Dutch Institute for Healthcare Improvement (CBO) took the initiative and set up a national platform of guideline organisations (currently 28 in number) with the aim of harmonising methodology and promoting evidence-based guideline development. In 2003 the Guidelines International Network (G-I-N) was founded with similar goals but at international level. The Dutch platform (EBRO) offers the opportunity to establish a network that will plan and execute guideline development and updating. This will prevent duplication of efforts and controversy between stakeholders. Another task will be the promotion and transfer of knowledge on evidence-based guideline development by organising conferences and educational programmes. The ultimate goal is to support health-care providers in improving quality of patient care

Beyond the evidence in clinical guidelines.

Contains fulltext : 57864.pdf (publisher's version ) (Closed access

[Tomorrow it will happen. Reaction to standards through health inspection],[Tomorrow it will happen. Reaction to standards through health inspection]

Item does not contain fulltex

Factors that influence the stroke care team's effectiveness in reducing the length of hospital stay.

Contains fulltext : 70267.pdf (publisher's version ) (Open Access)BACKGROUND AND PURPOSE: The purpose of this study was to explore the effects of a quality improvement program for improving stroke care and the determinants of success at the team and hospital levels. Method- For 16 months, 23 multidisciplinary stroke service teams participated in a quality improvement collaborative designed to set up stroke services and reduce the length of hospital stay (LOHS). We monitored the LOHS and the discharge delay during the project and measured indicators of well organized stroke services at baseline and after the intervention. A multiple and multilevel regression model was used to relate the outcome variables to the team and hospital characteristics. National LOHS figures served as reference data. RESULTS: Data regarding 4549 stroke patients were included in the analyses. The LOHS decreased significantly from 18.3 to 13.3 days. The mean LOHS varied substantially (9.2 to 20.9 days) after the intervention. Teams with higher team functioning scores showed lower LOHS scores and higher scores for the indicators of well organized stroke services. Team characteristics explain almost 40% of the variance in LOHS and 53% in the indicators of well organized stroke care. CONCLUSIONS: Participation in a national quality improvement collaborative effected a significant decrease of the LOHS and a significant increase in the presence of key features of stroke services. Variation in ability to reduce the LOHS and increase key features of stroke services were related to team functioning. The data suggest that the composite of team functioning is pivotal in quality-of-care improvement and may need specific attention in any quality improvement program

Prioritizing dermatoses: rationally selecting guideline topics

BACKGROUND: Clinical practice guideline (CPG) development starts with selecting appropriate topics, as resources to develop a guideline are limited. However, a standardized method for topic selection is commonly missing and the way different criteria are used to prioritize is not clear. OBJECTIVES: To select and prioritize dermatological topics for CPG development and elucidate criteria dermatologists find important in selecting guideline topics. METHODS: All 410 dermatologists in the Netherlands were asked to create a top 20 of dermatological topics for which a guideline would be desirable, regardless of existing guidelines. They also rated, on a 5-point Likert scale, 10 determinative criteria derived from a combined search in literature and across (inter)national guideline developers. Top 20 topics received scores ranging from 0.01 to 0.2 and combined scores yielded a total score. RESULTS: The 118 surveys (response 29%) identified 157 different topics. Melanoma, squamous cell carcinoma, basal cell carcinoma, psoriasis and atopic dermatitis are top priority guideline topics. Venous leg ulcer, vasculitis, varicose veins, urticaria, acne, Lyme borreliosis, cutaneous lupus erythematosus, pruritus, syphilis, lymphoedema, decubitus ulcer, hidradenitis suppurativa, androgenic alopecia and bullous pemphigoid complete the top 20. A further 15 topics have overlapping confidence intervals. Mortality and healthcare costs are regarded as less important criteria in topic selection (P < 0.04), than other criteria like the potential to reduce unwanted variation in practice. CONCLUSION: Dermatological professional organizations worldwide succeeded in developing guidelines for all top 20 topics. Respondents mostly agree with (inter)national guideline programmes and literature concerning the criteria important to selecting guideline topics