Health service research projects

Health service research projects

1. Quality of addiction treatment programs
Goal of the study:
To find an empirical basis to evaluate the quality of addiction treatment programs. To specify the dimensions of quality in order to develop measurements.

Research questions:
The quality of an addiction treatment program is only partly determined by objective criteria. Most of the quality aspects are subjective. The subjective criteria depend on the role and position of the person. The research question is: how to specify the different subjective aspects of quality and how to reach consensus on the aspects.

Results:
Not available as yet.

References:
Not available as yet.

2. Evaluation of implementation of evidence-based treatment methods in Dutch addiction treatment centers
Goal of the study:
To evaluate the success of the implementation of evidence-based addiction treatment methods and assess the factors that stimulate and impede implementation by observing changes in behavior of treatment professionals.

Research questions:
Do treatment professionals change their helping behavior during the course of an reorganization (organizational redesign process) involving the introduction, training, and supervision of two new treatment methods for the cure and care of addicted patients? Which approach and which interpersonal, team, and organizational factors appear to stimulate or impede implementation?

Results:
Not available as yet.

References:
Not available as yet.

3. Development and use of an indicator system for an Addiction Treatment Center
Goal of the study:
To develop and implement an indicator system for the provision of concise, specific, and relevant information for the management of treatment departments. The results should be monitored on a quarterly basis and the purpose of the indicators formulated on an annual basis.

Research questions:
How should an indicator system for an addiction treatment department be structured and managed? What are the specific indicators and critical indicators? What is the best way to report and to set goals? What trends can be detected in the results attained by a treatment department across a five-year period?

Results:
Five critical indicators: Admissions, productivity, dropout, sick leave, and costs were identified as critical. In addition to these critical indicators, each department specified up to 60 indicators for their specific needs. A quarterly reporting cycle and a fixed format with trend information, targets, and prognoses was developed and used. The annual review was positive, and a final review by the 28 users of the monitoring system was favorable.
Several departments showed positive results with regard to the critical indicators across many years.

References:
Not available as yet.

4. Quality indicators for an addiction treatment center: Results of a Concept Mapping strategy
Goal of the study:
To determine a framework for quality indicators for addiction treatment programs by using the method of concept mapping to reach consensus among stakeholders.

Research questions:
Different theoretical frameworks exist for the concept of quality such as the model of Donabedian, the EFQM model, and accreditation. The models are not based on empirical research, however, and the question is just what the framework for an addiction treatment service looks like when generated by the stakeholders?

Results:
A two dimensional framework was obtained with Processes and Results as the poles for the first dimension and Efficient treatment and Prevention programs as the poles for the second dimension. Eight clusters within the two-dimensional framework were identified. The most important clusters were efficient treatment network, Effective service, Target group, and Quality of life. The most important of the 73 statements was Patient satisfaction. The implications of the results for various theoretical models are discussed.

References:
Not available as yet.

5. Job satisfaction of the personnel at the Jellinek addiction treatment center
Goal of the study:
Job satisfaction and the satisfaction of clients are related. It is therefore important for an addiction treatment center to gain insight into the job satisfaction, motivation, and other personnel-related factors. The results of such study should be used to monitor trends and specify areas for improvement of job satisfaction.

Research questions:
Hackman and Oldham have formulated a job satisfaction model and this model hat has been used by Biessen and De Gilder to develop the BASAM questionnaire, which consists of 21 scales and 100 questions. The scales of the questionnaire are intended to answer the following questions: How are the characteristics of a job perceived? What are the needs of personnel? For which job characteristics is satisfaction high or low? And how is workload perceived?

Results:
A BASAM profile of the Jellinek Center and each team was generated. The profile reflects the four main questions outlined above and 21 scales. The general results for the Jellinek Center are as follows. The personnel feels responsible and perceives its work as meaningful and important. The personnel is autonomous. The leaders (management) are perceived positively. There is a lack of structure and regulations. The personnel perceives a high workload. And no change in the profile across a period of four years could be seen.

References:
Not available as yet.

6. The opinion of the Dutch people on mental health and addiction treatment services
Goal of the study:
There are no statistics on the opinions of the Dutch public with regard to current mental health and addiction treatment services. The purpose of this study is therefore to determine what the Dutch population thinks about these services.

Research questions:
The following research questions are addressed. Does the Dutch population have confidence in current mental health services? How are most mental health professionals perceived? What is the image of the mental health services? How does the population judge (i.e., grade) the relevant services?

Results:
The Dutch people give the mental health and addiction services an average grade of 5.8on a scale of 1 to 10, with a 6 being passing. Some 45% to 70% of the population has confidence in the different services and would seek help if needed. Some 55% to 75% of the population has confidence in the professionals. The image of the services is positive. The majority of the population is of the opinion that the personnel is friendly, flexible, and innovative.

References:
Not available as yet.

7. EFQM quality assessment for addiction treatment centers
Goal of the study:
There are currently no instruments available to assess the quality of an addiction service. The goal of the present study was therefore to develop such an instrument on the basis of the EFQM Excellence Model. The instrument was then put to use in the Jellinek center and two German addiction services.

Research questions:
What are the results based on the nine criteria from the EFQM (European Foundation for Quality Management) Model for the Jellinek Center and the two German addiction treatment services? Which improvements are suggested by the quality assessment?

Results:
The results for the Jellinek Center are as follows. Policy and Strategy are strong (50%). Leadership, Personnel, and Resources are evaluated positively. Processes are very strong (60%). Customer satisfaction is low (10%). People, society, and organizational results are fair (40%). A total of 42 improvement projects have been formulated.

References:
Not available as yet.

8. Evaluation and implementation of guidelines for matching and referral in Dutch regional addiction treatment centers
Goal of the study:
To evaluate the success of the implementation of evidence-based guidelines for matching and referral in Dutch regional addiction treatment centers by relating patient intake characteristics, adherence to the guidelines, and treatment outcome at follow-up.

Research questions:
Does the implementation of evidence-based guidelines lead to feasible and clinically-relevant matching and referral decisions in regional Dutch addiction treatment centers? Can implementation be further stimulated by: 1) automatic data processing; 2) feedback to intake professionals with regard to the effectiveness of their referrals, and/or 3) feedback from experts hoe are not directly participating in the research. What factors appear to stimulate or impede the implementation of evidence-based guidelines for matching and referral?

Results:
Not available as yet.

References:
Not available as yet.