Lessen geleerd van de implementatie van Zorgstandaard Obesitas voor kinderen: zorgstandaard in huidige vorm onuitvoerbaar in Amsterdam-West

AAH Schalkwijk, MGAAM Nijpels, SDM Bot, MJM Chinapaw, CM Renders, PJM Elders

Research output: Contribution to journalArticleProfessional

Abstract

Lessons learned from the implementation of Dutch national healthcare guidelines on childhood obesity

Objective
To describe the implementation and feasibility of the national healthcare guidelines on childhood obesity in a region with a high prevalence of overweight and obesity in children.

Design
Descriptive, implementation study.

Method
The implementation of the guidelines took place in the borough Amsterdam West. In total, 17 general practitioners (GP) from the Academic General Practice Network (ANH) of the VU University Medical Center, Amsterdam, participated in the study, along with 19 child healthcare practitioners and 3 paediatricians. A number of measures were taken to promote implementation. Feasibility was evaluated using both qualitative and quantitative methods.

Results
The participating healthcare providers found the training in application of the guidelines and case study discussions useful. GPs found that their role as central caregiver was not feasible. All participants expressed a preference for child healthcare practitioners as the central caregiver. A total of 327 obese children were invited to attend the GP’s surgery; only 65 of them participated in the study and only 28 children were monitored for a whole year. Collaboration agreements between involved healthcare providers were rarely fulfilled.

Conclusion
Implementation of the national healthcare guidelines on childhood obesity in the current form appears not to be feasible in Amsterdam West, despite the many implementation-enhancing measures that were applied. It is questionable whether the national healthcare guidelines on childhood obesity in its current form can contribute to addressing the societal problem of overweight and obesity in children.

Conflict of interest and financial support: none declared.
Original languageDutch
Article numberD525
JournalNederlands Tijdschrift voor Geneeskunde
Volume160
Issue number45
Publication statusPublished - 6 Oct 2016

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