title: Implementation of complementary interventions in the Netherlands: experiences of pioneers.
abstract: OBJECTIVE
  Although many Dutch patients desire integration of complementary interventions in conventional healthcare, implementation is in its infancy in the Netherlands. The objective of this study was to describe the implementation process of complementary interventions in Dutch healthcare organizations.
  
  
  METHODS
  Data in this qualitative study were collected in two steps: by questionnaires and by interviews. In five organizations the project leader and a professional who provides the interventions participated in the study.
  
  
  RESULTS
  Main facilitators for implementation are: enthusiasm and support of colleagues; appreciation of patients; effectiveness of the interventions; positive publications in media; possibility to link the project to objectives of the organization; and accessibility of the interventions. Main barriers for implementation are: ignorance and skepticism of professionals; lack of research; lack of budget; lack of integration of the interventions in daily practice. Participants developed strategies to overcome barriers and to exploit facilitators.
  
  
  CONCLUSIONS
  Professionals play a leading role in the implementation of complementary interventions in Dutch healthcare organizations. They use several methods to deal with facilitators and barriers.
  
  
  CONCLUSIONS
  Organizations and professionals that aim to implement complementary interventions in their service may learn from experiences of pioneer organizations.
authors.affiliation: Rotterdam University of Applied Sciences, Centre of Expertise Innovations in Care, Rotterdam, The Netherlands. s.h.a.hupkens@hr.nl
authors.forename: Susan
authors.initials: S
authors.lastname: Hupkens
mesh_terms: D000529:Complementary Therapies / Q000458:organization & administration*; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D006284:Health Plan Implementation / Q000458:organization & administration*; D006801:Humans; D007407:Interviews as Topic; D009426:Netherlands; D009936:Organizational Innovation; D016730:Program Development / Q000379:methods; D036301:Qualitative Research; D011795:Surveys and Questionnaires