Dunja Dreesens

9 Propositions/Stellingen - By trying to solve the information overload of Dutch clinicians we inundate them with knowledge and decision support tools (this thesis). - National experts agreed that to support knowledge translation and (shared) decision- making five tool types should be sufficient: clinical practice guideline, summary, flowchart, patient information and patient decision aid (this thesis). - Next to be trained in GRADE (Grading of Recommendations Assessment, Development and Evaluation), guideline developers and members of guideline working groups should be trained in, or at least introduced to, the art of reasoning as well, to conceptualise and contextualise knowledge better (this thesis, also with a tip of the hat to Inez de Beaufort, professor Health ethics at ErasmusMC). - Shared-decision making involves more than (developing) tools; it requires training, skill, a supportive environment and according to some interviewed paediatricians it is part of the art of medicine (this thesis). - You gather more information, learn more by asking questions than by talking (all the time). - Healthcare knowledge translation ( ≈ implementation) should receive at least the same amount of attention and means as knowledge production. - Dutch clinical practice guidelines unfortunately seem to focus on one goal of knowledge translation (‘improve health’) instead of addressing the other goals as well: provide more effective health services and products, and strengthen the healthcare system. - As was done with clinical practice guidelines in the so-called Dutch AQUA committee, stakeholders managed to agree on quality criteria to ensure the development (and governance) of more uniform and trustworthy patient decision aids and patient information in the Netherlands. We need to integrate these quality criteria sets to increase impact. - Time to change GIN (Guidelines International Network) to Guidelines Implementation Network. - Dingen slecht benoemen, is de wereld nog slechter maken (Albert Camus) - The meaning of Corona will never be the same.