The implementation of national action program XXXX in the Netherlands: lessons learned.

@entity1 @entity102 @entity283 @entity6
BACKGROUND: Over the past decade, the National Action program @entity6 (NAD) was implemented in the Netherlands. Its aim was to introduce the Care Standard (CS) for @entity6 by means of a specific implementation plan and piloting in several regions. This study aimed to provide insight into the implementation of the NAD as, coupled with the introduction of the CS, it may function as an example for similar approaches in other countries. METHODS: A series of quantitative studies ( @entity1 2010: N   =   1726, @entity1 2013: N   =   1370 _ @entity1 pilot regions 2013: N   =   168) and qualitative studies ( @entity1 2010: N   =   18 and @entity1 2013: N   =   4) was conducted among @entity283 ( @entity283 ). In addition, two quantitative studies were conducted among type 1 and 2 @entity1 ( @entity1 2010: N   =   573; @entity1 2013: N   =   5056). RESULTS: Overall, positive changes in @entity6 care were detected in the period 2010 - 2013. In 2013 significantly more @entity283 were familiar with the CS (43.7 versus 37.6  %) and more @entity283 perceived themselves to be working largely or completely in accordance with the CS (89.2 versus 79.0  %) than in 2010. A comparison of the results in specific pilot regions with the rest of the country revealed that @entity283 in these regions scored significantly more positively on implementation and appreciation of the CS. This positive trend was reflected by the high levels of reported @entity1 satisfaction and involvement in treatment. @entity283 who were in possession of the CS had significantly better scores on the implementation of several elements of the CS than @entity283 who were not in possession of the CS. CONCLUSION: The CS has become more prominent and embedded in daily health care practice. In retrospect the CS has provided momentum for the realization of various processes relating to the wider implementation of standards to improve the care for @entity1 with other @entity102 in the Netherlands. Experiences with the NAD and CS underline the need to move towards an integrated multidisciplinary approach of @entity6 care worldwide.
