A Delphi consensus checklist helped assess the need to develop rapid guideline recommendations.

BACKGROUND AND OBJECTIVES: We aimed to develop a checklist to aid guideline developers in determining which scientific or societal cause ("triggers") are relevant when considering to initiate a rapid recommendation procedure. METHODS: We conducted a two-round modified Delphi procedure with a panel of Dutch guideline experts, clinicians, and patient representatives. A previously conducted systematic literature review and semistructured interviews with four science journalists were used to generate a list of potential items. This item list was submitted to the panel for discussion, reduction and refinement into a checklist. RESULTS: Thirteen experts took part. Two questionnaires were completed in which participants scored an initial list of 64 items based on relevance. During two online meetings, the scores were discussed, irrelevant items were removed, and relevant items were reformulated into seven questions. The final "quickscan assessment of the need for a rapid recommendation" covers user perspective, scientific evidence, clinical relevance, clinical practice variation, applicability, quality of care and public health outcomes, and ethical/legal considerations. CONCLUSION: The quickscan aids guideline developers in systematically assessing whether a trigger expresses a valid need for developing a rapid recommendation. Future research could focus on the applicability and validity of the checklist within guideline development programs.

Samen sterk door persoonsgerichte en digitale zorg

Samenvatting Digitale zorg voor chronische patiënten heeft zich in de huisartsenpraktijk de afgelopen jaren stormachtig ontwikkeld, mede door COVID-19. Past die ontwikkeling wel bij persoonsgerichte zorg? Het NHG-Standpunt E-health voor huisarts en patiënt uit 2015 is positief-kritisch en ook de auteurs van deze beschouwing denken dat het kan. Ze geven nieuwe voorbeelden uit de praktijk die dat bevestigen, maar stippen ook de randvoorwaarden aan: training, toegankelijkheid en verder onderzoek naar de effecten.

Practising person-centred care. Selected abstracts from the virtual 26th WONCA Europe conference, 6–10 July 2021

Background From 6 to 10 July 2021, WONCA Europe and the Dutch College of General Practitioners as host organiser welcomed 1,266 family physicians/general practitioners, teachers, researchers, and students from 66 countries interested in sharing knowledge, experience and innovations in primary healthcare. Methods In cohesive sets of plenary presentations, round table sessions, and research masterclasses, aspects of patient care, research, and education around Practicing Person-Centred Care were presented and discussed. Actual topics in primary care such as covid-19, e-health and professional health, were covered in oral presentation sessions, one slide 5-minutes presentations, case presentations by young doctors and the e-poster gallery. All sessions were recorded and available on-demand for registrants until three months after the conference. All accepted s have been published in the book [https://www.woncaeurope.org/page/past-conference--books]. For this Journal, we selected the top 20 s based on reviewers scores (mean of 3.5 or higher on a scale of 4) and consensus among members of the Scientific Committee. Results The selected s are divided into the following themes: (1) clinical topics often encountered in primary care, such as acute chest pain, urinary tract infections, dementia, and covid-19 (N = 5);(2) personalised care and related issues such as addressing multimorbidity (N = 2);shared decision making and patient empowerment (N = 4);(3) overdiagnosis and overtreatment, focusing on deprescribing (N = 2);(4) health promotion and prevention, including mental health (N = 2);(5) quality and safety (N = 2);(6) professional development and education (N = 1);(7) research and innovation, including teleconsultation (N = 2).

Emotional distress, occupational stress and burnout among Family Doctors in Europe: Monitoring and testing of interventions is required.

In recent years, the medical literature from a wide range of medical specialities has exploded with publications on the theme of emotional distress, stress and burnout in the practice of medicine. Improving the work-life of health care providers is necessary to optimise health system performance. COVID-19 has caused considerable additional pressure on health services across Europe and there have been calls for interventions to address the psychological and occupational stress caused by the pandemic. Although there is an ongoing need to monitor these factors among family physicians, and other staff working in primary care across Europe, we must also identify supports and promote them. Further research is needed to explore causative factors and provide convincing evidence in relation to effective interventions.