HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Purchase Article View Shopping Cart Alert me when this article is cited Alert me if a correction is posted Citation Map Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by van Binsbergen, J. J Articles by Drenthen, A. J. Search for Related Content PubMed PubMed Citation Articles by van Binsbergen, J. J Articles by Drenthen, A. J. Agricola Articles by van Binsbergen, J. J Articles by Drenthen, A. J.

Patient information letters on nutrition: development and implementation^1,2,3,4

¹ From the Department of Family Medicine, University Medical Center Nijmegen, Nijmegen, the Netherlands (JJvB); and Dutch College of General Practitioners, Utrecht, the Netherlands (AJMD).

Correspondence: Reprints not available. Address correspondence to AJM Drenthen, Dutch College of General Practitioners, PO Box 3231, 3502 GE Utrecht, the Netherlands. E-mail: t.drenthen{at}nhg-nl.org.

Background: In 1998 the Dutch College of General Practitioners (NHG) began developing patient information letters (PILs), based on the practice guidelines for family physicians (FPs) (NHG standards). Five nutritional guidance letters have since been developed with the Dutch Nutrition Center.

Methods: In August–September 2001 a survey was done among a random sample of 200 FPs who subscribe to the PILs. They received a questionnaire about the use and implementation of the PILs in general, and about the nutrition letters specifically.

Results: Responses were received from 133 FPs (67%). Of these FPs, 89% use the PILs in their practice. Only 5% of FPs say that they use the PILs on nutrition sufficiently; 32% think they should use them a bit more, whereas 63% make much too little use of the nutrition letters. The most important barriers for using the letters are that FPs do not think about them at the right moment (66%), do not know the content enough (32%), find that using them is too time-consuming (29%), have computer problems (17%), and have too little knowledge about nutritional advice (11%); only 6% do not see dietary advice as an FP’s task. The most important reason for not using the nutrition letters is the fact that the letters are not integrated into their FP information system (23%).

Conclusions: Implementation of PILs takes time, and there are great advantages to integrating them into the existing Family Practice Information Systems.

Key Words: Nutrition • general practitioners • family physician • patient information letters • electronic medical registration • ICPC-diagnostic code

This article has been cited by other articles:

				A J M Drenthen and J J Van Binsbergen Nutrition guidance in The Netherlands: the role of the GP in the translation from population strategy to individual approach Fam. Pract., December 1, 2008; 25(suppl_1): i56 - i59. [Abstract] [Full Text] [PDF]

				A S. Truswell, G. J Hiddink, and J. Blom Nutrition guidance by family doctors in a changing world: problems, opportunities, and future possibilities Am. J. Clinical Nutrition, April 1, 2003; 77(4): 1089S - 1092. [Abstract] [Full Text] [PDF]