Sietse WieringaUniversity of Oslo · Department of Health Sciences
Sietse Wieringa
About
34
Publications
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Introduction
Additional affiliations
March 2016 - present
September 2012 - September 2014
Publications
Publications (34)
Background: Following a pandemic-driven shift to remote service provision, UK general practices offer telephone, video or online consultation options alongside face-to-face. This study explores practices’ varied experiences over time as they seek to establish remote forms of accessing and delivering care.
Methods: This protocol is for a mixed-metho...
Background: Accessing and receiving care remotely (by telephone, video or online) became the default option during the coronavirus disease 2019 (COVID-19) pandemic, but in-person care has unique benefits in some circumstances. We are studying UK general practices as they try to balance remote and in-person care, with recurrent waves of COVID-19 and...
Background:
The Covid-19 pandemic-related rise in remote consulting raises questions about the nature and type of risks in remote general practice AIM: To develop an empirically-based and theory-informed taxonomy of risks associated with remote consultations.
Design and setting:
Qualitative sub-study of data selected from the wider datasets of t...
Background
The introduction of remote triage and assessment early in the pandemic raised questions about patient safety. We sought to capture patients and clinicians’ experiences of the management of suspected acute COVID-19 and generate wider lessons to inform safer care.
Setting and sample
UK primary healthcare. A subset of relevant data was dra...
Background:
Fewer than 1% of UK general practice consultations occur by video.
Aim:
To explain why video consultations are not more widely used in general practice.
Design and setting:
Analysis of a sub-sample of data from three mixed-method case studies of remote consultation services in various UK settings from 2019-2021.
Method:
The datas...
Background:
At the start of the COVID-19 pandemic, guidance was needed more than ever to direct frontline healthcare and national containment strategies. Rigorous guidance based on robust research was compromised by the emergence of the pandemic and the urgency of need for guidance. Rather than aiming to "get guidance right", guidance developers n...
Establishing and running remote consultation services is challenging politically (interest groups may gain or lose), organizationally (remote consulting requires implementation work and new roles and workflows), economically (costs and benefits are unevenly distributed across the system), technically (excellent care needs dependable links and high-...
Callard and Perego depict long Covid as the first illness to be defined by patients who came together on social media. Responding to their call to address why patients were so effective in making long Covid visible and igniting action to improve its care, we use narrative inquiry – a field of research that investigates the place and power of storie...
Purpose
To explore, from a philosophy of knowledge perspective, the contribution of the guideline development process to reducing epistemic uncertainty in clinical decision-making – defined as the challenge of applying evidence to patients, dealing with conflicting information and determining the level of confidence in a medical conclusion.
Method...
Persistent symptoms lasting longer than 3 weeks are thought to affect 10-20% of patients following SARS-CoV-2 infection. No formal guidelines exist in the UK for treating patients with long COVID and services are sporadic and variable, although additional funding is promised for their development.In this study, narrative interviews and focus groups...
Background
Approximately 10% of patients with Covid-19 experience symptoms beyond 3–4 weeks. Patients call this “long Covid”. We sought to document such patients’ lived experience, including accessing and receiving healthcare and ideas for improving services.
Methods
We held 55 individual interviews and 8 focus groups (n = 59) with people recruite...
Persistent symptoms lasting longer than 3 weeks are thought to affect 10-20% of patients following Covid 19 infection. No formal guidelines exist in the United Kingdom for treating ‘long Covid’ patients and services are sporadic and variable, although additional funding is promised for their development.
In this study narrative interviews and focus...
Background
Approximately 10% of patients with Covid-19 experience symptoms beyond 3-4 weeks. Patients call this “long Covid”. We sought to document the lived experience of such patients, their accounts of accessing and receiving healthcare, and their ideas for improving services.
Method
We held 55 individual interviews and 8 focus groups (n = 59)...
Background: The concept of medical leadership (ML) can enhance physicians’
inclusion in efforts for higher quality healthcare. Despite ML’s spiking popularity, only a
few countries have built a national taxonomy to facilitate ML competency education
and training. In this paper we discuss the development of the Dutch ML competency
framework with two...
Controversies are part and parcel of the process of evidence-based interventions represent a problem for any notion of a ‘pure’ evidence-based intervention outside the purview of issues such as social norms, economic boundaries and moral dilemmas. This paper provides a detailed case-study of the recent debate and controversy regarding the roll out...
Objectives
Abstract In modern philosophy, the concept of truth has been problematized from different angles, yet in evidence-based health care (EBHC), it continues to operate hidden and almost undisputed through the linked concept of ‘bias.’ To prevent unwarranted relativism and make better inferences in clinical practice, clinicians may benefit fr...
The EBM Manifesto has been developed as a response to a growing body of evidence that “suggests that most published research is more likely to be false than true.” “Serious systematic bias, error and wastage” are to blame. 9 Steps have been suggested to solve these problems. But one major step is missing: a critical review of what is meant by ‘true...
In modern philosophy, the concept of truth has been problematized from different angles, yet in evidence‐based health care (EBHC), it continues to operate hidden and almost undisputed through the linked concept of “bias.” To prevent unwarranted relativism and make better inferences in clinical practice, clinicians may benefit from a closer analysis...
Background:
As a response to the criticisms evidence-based practice currently faces, groups of health care researchers and guideline makers have started to call for the appraisal and inclusion of different kinds of knowledge in guideline production (other than randomized controlled trials [RCTs]) to better link with the informal knowledge used in...
Evidence‐based health care (EBHC), previously evidence‐based medicine (EBM), is considered by many to have modernized health care and brought it from an authority‐based past to a more rationalist, scientific grounding. But recent concerns and criticisms pose serious challenges and urge us to look at the fundamentals of a changing EBHC.
In this pape...
The evidence-based practice and evidence-based medicine (EBM) movements have promoted standardization through guideline development methodologies based on systematic reviews and meta-analyses of best available research. EBM has challenged clinicians to question their reliance on practical reasoning and clinical judgement. In this paper, we argue th...
Purpose
It is assumed that the use of valid and reliable assessment methods can facilitate the development of medical residents’ management and leadership competencies. To justify this assertion, the perceptions of an expert panel of health care leaders were explored on assessment methods used for evaluating care management (CM) development in Dutc...
Glyn Elwyn and colleagues highlight the potential benefits of fast and frugal knowledge tools
Jan is a 42-year-old plumber, originally from Poland. He tells his family doctor that he’s had low back pain, going down the back of his leg and making it painful to walk. He takes drugs for psoriasis and high blood pressure. He smokes five cigarettes a...
As family doctors we should be thinking about how our healthcare system works and how we can shape it. We share responsibility for the distribution of limited resources not only as healthcare professionals, but also as patients and taxpaying citizens. But how much do we know about how the system works, and in particular how it is financed?
Background:
In 2004, Gabbay and le May showed that clinicians generally base their decisions on mindlines-internalised and collectively reinforced tacit guidelines-rather than consulting written clinical guidelines. We considered how the concept of mindlines has been taken forward since.
Methods:
We searched databases from 2004 to 2014 for the t...
https://prezi.com/81dfgn17bf5_/health-without-growth/
https://prezi.com/ists5mnugsna/the-good-the-bad-and-the-ugly-of-healthcare-reform/
https://prezi.com/ba6bcwlco-ge/from-beveridge-to-bismarck-a-whistle-stop-tour-of-european-health-systems/
The literature on 'knowledge translation' presents challenges for the reviewer because different terms have been used to describe the generation, sharing and application of knowledge and different research approaches embrace different philosophical positions on what knowledge is. We present a narrative review of this literature which deliberately s...
Projects
Project (1)
There is no unanimous and clear description for ' Medical leadership '. For some, it is synonymous with clinical leadership, for others it refers to driving healthcare organizations in excellence and transformation and yet there are those who see it as personal leadership. This Dutch Framework for Medical Leadership (FML, version 1.0) has been developed to seek consensus on the definition of this concept and hence define the guiding principles for developing and demonstrating medical leadership in physicians.
