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Bos"},"authorAffiliation":{"typeName":"authorAffiliation","multiple":false,"typeClass":"primitive","value":"Trimbos Institute"}},{"authorName":{"typeName":"authorName","multiple":false,"typeClass":"primitive","value":"J. Boumans"},"authorAffiliation":{"typeName":"authorAffiliation","multiple":false,"typeClass":"primitive","value":"Trimbos Institute"}},{"authorName":{"typeName":"authorName","multiple":false,"typeClass":"primitive","value":"V. Schutjens"},"authorAffiliation":{"typeName":"authorAffiliation","multiple":false,"typeClass":"primitive","value":"Trimbos Institute"}},{"authorName":{"typeName":"authorName","multiple":false,"typeClass":"primitive","value":"A. van Jaarsveld"},"authorAffiliation":{"typeName":"authorAffiliation","multiple":false,"typeClass":"primitive","value":"Trimbos Institute"}},{"authorName":{"typeName":"authorName","multiple":false,"typeClass":"primitive","value":"J. Nuijen"},"authorAffiliation":{"typeName":"authorAffiliation","multiple":false,"typeClass":"primitive","value":"Trimbos Institute"}}]},{"typeName":"datasetContact","multiple":true,"typeClass":"compound","value":[{"datasetContactName":{"typeName":"datasetContactName","multiple":false,"typeClass":"primitive","value":"Vergeer, Mark"},"datasetContactAffiliation":{"typeName":"datasetContactAffiliation","multiple":false,"typeClass":"primitive","value":"Trimbos Institute"}}]},{"typeName":"dsDescription","multiple":true,"typeClass":"compound","value":[{"dsDescriptionValue":{"typeName":"dsDescriptionValue","multiple":false,"typeClass":"primitive","value":"Huisartsen en praktijkondersteuners (POH’s) spelen een cruciale rol in het ondersteunen van patiënten met psychosociale klachten. Vaak spelen\nonderliggende sociaal-maatschappelijke problemen hierbij een rol. Denk daarbij aan eenzaamheid, schulden, werkloosheid of zingevingsvraagstukken.\nEen puur medische aanpak is niet voldoende om deze patiënten te helpen. Om beter aan te sluiten bij de unieke situatie van elke patiënt, is een\npersoonsgerichte benadering via het voeren van ‘het brede gesprek’ van groot belang.\n\nIn de eerste fase van het project zijn drie modellen voor brede gespreksvoering (het Spinnenwebmodel, het 4Domeinen(4D)-model en het KOP-model)\nonderzocht om inzicht te krijgen in het gebruik en de ervaringen van professionals en patiënten, alsook om aanbevelingen te doen om het brede gesprek\nduurzaam in te bedden in de huisartsenzorg. Hiertoe is een literatuurstudie uitgevoerd naar bestaande kennis over de drie gespreksmodellen. Daarnaast\nzijn semigestructureerde interviews gehouden met experts (n=4), huisartsen (n=13), POH’s (n=13) en patiënten (n=9). Uit de resultaten komt een beeld\nvan een veld in transitie naar voren, waarbij het brede gesprek en het persoonsgericht werken al veel voet aan de grond hebben gekregen, maar er ook\nnog uitdagingen bestaan. Er worden drie conclusies getrokken:\n1. Ondanks draagvlak en ervaren meerwaarde, is persoonsgericht werken met het brede gesprek bij een deel van de huisartsen en POH’s nog niet ingebed in de\ndagelijkse routine.\n2. Een beweging naar persoonsgerichte zorg behoeft tijd, doorlopende aandacht en netwerksamenwerking.\n3. Diverse praktische en organisatorische randvoorwaarden voor een kanteling naar persoonsgericht werken behoeven nog aandacht.\nOp basis van de bevindingen en conclusies worden vijf, onderling samenhangende aanbevelingen geformuleerd voor een bredere en beter inbedding van\nhet brede gesprek in de huisartspraktijk. Deze aanbevelingen dienen allen, met oog voor de onderlinge wisselwerking, aandacht te krijgen:\n1. Meer en blijvende aandacht voor empowerment als kernconcept bij persoonsgerichte zorg.\n2. Verduidelijk ieders rol en verantwoordelijkheid in de kanteling naar persoonsgerichte zorg.\n3. De uitgangspunten van persoonsgericht werken dienen integraal onderdeel te zijn van de opleidingen van huisartsen en POH’s.\n4. Het verbeteren van de samenwerking tussen huisartsenzorg en het sociaal domein verdient meer aandacht.\n5. De (mogelijke) opbrengsten (zoals betere uitkomsten van patiënten, betere domeinoverstijgende samenwerking en lagere zorgkosten) van het brede\ngesprek, en de vervolgstappen die hieruit voortvloeien, dienen beter te worden onderbouwd door onderzoek.\n\nAls vervolgstap is in de tweede projectfase een praktische, digitale handleiding ontwikkeld die professionals in de eerste lijn ondersteunt in het voeren van\nhet brede gesprek in de praktijk. In de handleiding wordt beknopte informatie gegeven over:\n- Wat het brede gesprek is.\n- Het belang van het voeren van het brede gesprek.\n- Voor wie het brede gesprek is bedoeld.\n- Wat het brede gesprek kan opleveren.\n- Belangrijke randvoorwaarden om het brede gesprek te voeren.\n- Hoe je het brede gesprek start.\n- Een beschrijving van de drie modellen (het Spinnenweb-, 4D- en KOP-model) om het brede gesprek te voeren.\nVerder zijn ook links opgenomen naar verdere uitleg, instructievideo’s en opleidingsaanbod."},"dsDescriptionDate":{"typeName":"dsDescriptionDate","multiple":false,"typeClass":"primitive","value":"2025-09-11"}}]},{"typeName":"subject","multiple":true,"typeClass":"controlledVocabulary","value":["Medicine, Health and Life Sciences","Social Sciences"]},{"typeName":"language","multiple":true,"typeClass":"controlledVocabulary","value":["Dutch"]},{"typeName":"grantNumber","multiple":true,"typeClass":"compound","value":[{"grantNumberAgency":{"typeName":"grantNumberAgency","multiple":false,"typeClass":"primitive","value":"ZonMw, onderzoeksprogramma ggz"},"grantNumberValue":{"typeName":"grantNumberValue","multiple":false,"typeClass":"primitive","value":"dossiernummer: 06360332210016"}}]},{"typeName":"distributionDate","multiple":false,"typeClass":"primitive","value":"2025-09-11"},{"typeName":"depositor","multiple":false,"typeClass":"primitive","value":"Vergeer, Mark"},{"typeName":"dateOfDeposit","multiple":false,"typeClass":"primitive","value":"2025-09-11"}]},"dansRights":{"displayName":"Rights Metadata","name":"dansRights","fields":[{"typeName":"dansRightsHolder","multiple":true,"typeClass":"primitive","value":["Trimbos Institute"]},{"typeName":"dansPersonalDataPresent","multiple":false,"typeClass":"controlledVocabulary","value":"No"},{"typeName":"dansMetadataLanguage","multiple":true,"typeClass":"controlledVocabulary","value":["Dutch"]}]},"dansRelationMetadata":{"displayName":"Relation Metadata","name":"dansRelationMetadata","fields":[{"typeName":"dansAudience","multiple":true,"typeClass":"primitive","value":["https://www.narcis.nl/classification/D60000"],"expandedvalue":[{"@id":"https://www.narcis.nl/classification/D60000","termName":[{"lang":"en","value":"Social sciences"},{"lang":"nl","value":"Sociale wetenschappen"}],"vocabularyUri":"https://www.narcis.nl/classification/"}]}]},"dansDataVaultMetadata":{"displayName":"Data Vault Metadata","name":"dansDataVaultMetadata","fields":[{"typeName":"dansDataversePid","multiple":false,"typeClass":"primitive","value":"doi:10.17026/SS/MDXXCA"},{"typeName":"dansDataversePidVersion","multiple":false,"typeClass":"primitive","value":"1.0"},{"typeName":"dansBagId","multiple":false,"typeClass":"primitive","value":"urn:uuid:c4dde1ba-39b4-4c61-b3a3-2a0b7e5f3420"},{"typeName":"dansNbn","multiple":false,"typeClass":"primitive","value":"urn:nbn:nl:ui:13-4802a821-409d-43db-8210-52b3a443f844"}]}},"files":[{"description":"Codeboom","label":"MAXQDA2022 Brede Gesprek final - Code System.docx","restricted":false,"directoryLabel":"2. 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