title: Public Health Triangulation to inform decision-making in Belgium.
abstract: We assessed the impact of a nation-wide ambulatory care complex intervention (the "care trajectory program") on quality of care in Belgium. We used the three-step public health triangulation method described in this paper and data from four different data sources: a national reimbursement database, an electronic patient record-based general practitioner network, the Belgian general practitioner sentinel network, and a new national registry for care trajectory patients. By applying our method and using the available evidence, we identified key findings that have been accepted by experts and stakeholders. We also produced timely recommendations for the decision-making process, four years after the start of the care trajectory program.
authors.affiliation: Scientific Institute of Public Health (IPH), Operational Directorate Public Health and Surveillance, Brussels, Belgium.
authors.forename: N
authors.initials: N
authors.lastname: Bossuyt
authors.affiliation: Scientific Institute of Public Health (IPH), Operational Directorate Public Health and Surveillance, Brussels, Belgium.
authors.forename: V
authors.initials: V
authors.lastname: Van Casteren
authors.affiliation: Academisch Centrum voor Huisartsgeneeskunde, KU Leuven, Belgium.
authors.forename: G
authors.initials: G
authors.lastname: Goderis
authors.affiliation: Centrum voor Huisartsgeneeskunde, Universiteit Antwerpen, Belgium.
authors.forename: J
authors.initials: J
authors.lastname: Wens
authors.affiliation: Scientific Institute of Public Health (IPH), Operational Directorate Public Health and Surveillance, Brussels, Belgium.
authors.forename: S
authors.initials: S
authors.lastname: Moreels
authors.affiliation: Scientific Institute of Public Health (IPH), Operational Directorate Public Health and Surveillance, Brussels, Belgium.
authors.forename: K
authors.initials: K
authors.lastname: Vanthomme
authors.affiliation: Research Institute for Health and Society (IRSS), UCL, Belgium.
authors.forename: E
authors.initials: E
authors.lastname: De Clercq
mesh_terms: D000553:Ambulatory Care / Q000706:statistics & numerical data*; D001530:Belgium / Q000453:epidemiology; D000066491:Clinical Decision-Making / Q000379:methods; D057225:Data Mining / Q000379:methods; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D008498:Medical Record Linkage / Q000379:methods; D017063:Outcome Assessment, Health Care / Q000379:methods*; D012042:Registries / Q000706:statistics & numerical data*