Considering the full care pathway in regional variation in paediatric otitis media treatment in the Netherlands: an observational study
Regional variation is observed in GP contact rates for POM and is larger in referrals and surgeries. Adjusting for the proportion of frequent AOM/persistent OME significantly reduces regional variation in POM treatment. Future A&F should adjust for prior care processes and develop tailored interventions for quality improvement.
Authors
- Sjoerd Repping (ORCID: https://orcid.org/0000-0002-6959-149X)
- Vera de Weerdt (ORCID: https://orcid.org/0000-0003-3644-620X)
- Krisztián Gáspár (ORCID: https://orcid.org/0000-0001-6530-7052)
- Jako Burgers (ORCID: https://orcid.org/0000-0002-6040-4221)
- Karin Hek (ORCID: https://orcid.org/0000-0001-9551-1564)
- Eric van der Hijden (ORCID: https://orcid.org/0000-0003-3359-2711)
- Xander Koolman (ORCID: https://orcid.org/0000-0003-4225-8854)
- Robert Verheij (ORCID: https://orcid.org/0000-0003-2234-4819)
- Raphael J. B. Hemler
- Hanna C. Willems (ORCID: https://orcid.org/0000-0002-3166-6951)
- Christel van Dijk
Institutions
- Tilburg University (NL)
- CPB Netherlands Bureau for Economic Policy Analysis (NL)
- Gelre Hospitals (NL)
- Maastricht University (NL)
- National Health Care Institute (NL)
- Netherlands Institute for Health Services Research (NL)
- Huisarts en Wetenschap (NL)
- Department of Health (TW)
- Amsterdam University Medical Centers (NL)
- Dutch College of General Practitioners (NL)
- Vrije Universiteit Amsterdam (NL)
- University of Amsterdam (NL)
Publication Details
- Journal
- BMJ Open
- Published
- 2025-08-01
- DOI
- https://doi.org/10.1136/bmjopen-2025-101692
- Primary Topic
- Healthcare Systems and Technology
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Zorginstituut Nederland
- Nederlandse Federatie van Universitair Medische Centra