Roland Bal

ORCID: 0000-0001-7202-5053
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Research Areas
  • Health Systems, Economic Evaluations, Quality of Life
  • Health Policy Implementation Science
  • Healthcare Quality and Management
  • Dutch Social and Cultural Studies
  • Mental Health and Patient Involvement
  • Healthcare cost, quality, practices
  • Primary Care and Health Outcomes
  • Electronic Health Records Systems
  • Healthcare innovation and challenges
  • Evaluation and Performance Assessment
  • Interprofessional Education and Collaboration
  • Healthcare Policy and Management
  • Chronic Disease Management Strategies
  • Medical Malpractice and Liability Issues
  • Management and Organizational Studies
  • Clinical practice guidelines implementation
  • Geriatric Care and Nursing Homes
  • Healthcare Systems and Technology
  • Disaster Response and Management
  • Occupational Health and Safety Research
  • Patient Safety and Medication Errors
  • Public Policy and Administration Research
  • Information Systems Theories and Implementation
  • Pharmaceutical Economics and Policy
  • Adolescent and Pediatric Healthcare

Erasmus University Rotterdam
2016-2025

University of Twente
2023

Creative Commons
2023

Ministry of Health Welfare and Sport
2023

Bohn Stafleu van Loghum (Netherlands)
2020

In-Q-Tel
2011

Marymount University
2011

Erasmus MC
2005-2010

Institute of Health Services and Policy Research
2010

Kinokuniya
2010

The rise of multi-morbidity constitutes a serious challenge in health and social care organisation that requires shift from disease- towards person-centred integrated care. aim the current study was to develop conceptual framework can aid development, implementation, description, evaluation programmes for multi-morbidity.A scoping review expert discussions were used identify structure concepts multi-morbidity. A search scientific grey literature conducted.meetings organised within SELFIE...

10.1016/j.healthpol.2017.06.002 article EN cc-by-nc-nd Health Policy 2017-06-21

This paper provides a deeper understanding of the mechanisms underlying implementation strategies for integrated care. As part SELFIE project, 17 care programmes addressing multi-morbidity from eight European countries were selected and studied. Data was extracted 'thick descriptions' analysed both inductively deductively using theory. The following ten successful identified. With regards to service delivery, implementers (1) commonly adopted an incremental growth model rather than...

10.1016/j.socscimed.2021.113728 article EN cc-by Social Science & Medicine 2021-02-05

Since the 1980s, regulated markets and New Public Management have been introduced in public sector across world. How they affected existing governance mechanisms such as self‐regulation state regulation has remained largely unexplored, however. This article examines origins consequences of institutional layering governing healthcare quality. Dutch health care, where a market‐based system introduced, is used case study. The results show that this did not replace but modified arrangements. As...

10.1111/padm.12052 article EN Public Administration 2013-10-10

Abstract Background Management, culture and systems for better quality patient safety in hospitals have been widely studied Norway. Nursing homes home care, however received much less attention. An increasing number of people need health services nursing at home, the are struggling with fragmentation discontinuity restricted resource availability. The aim study was to explore current challenges work as perceived by managers employees care services. Method is a multiple explorative case two...

10.1186/s12913-020-05149-x article EN cc-by BMC Health Services Research 2020-04-03

A just culture is regarded as vital for learning from errors and fostering patient safety. Key to a after incidents focus on rather than blaming. Existing research mostly theoretical in nature.This study aims explore requirements challenges within healthcare organizations.We examined initiatives foster the development of five organizations Netherlands. Data were collected through interviews with stakeholders observations project group meetings organizations.According professionals, open...

10.1186/s12913-022-08418-z article EN cc-by BMC Health Services Research 2022-08-13

The implementation of choice for patients over where and when they are seen by specialists in hospital outpatient clinics has been supported electronic referral systems England the Netherlands. This paper compares 'Choose Book' 'ZorgDomein' a region For analysis draws on national data published studies Book', patient surveys, qualitative based general practitioner (GP) focus groups. Netherlands collected during observational study as well survey among patients, GPs medical specialists. We...

10.1017/s1744133110000058 article EN Health Economics Policy and Law 2010-05-13

The Netherlands and England are near neighbours whose health care systems have much in common policy communities also usually been well aware of what is going on the other country. Nevertheless, for two decades from 1982, adopted repeatedly redeveloped performance indicator (PI) field while virtually shunned them. A broad institutional explanation this divergence provided by England’s majoritarian adversarial political system that leaves governments with fewer constraints compromises than...

10.1177/1356389009350026 article EN Evaluation 2010-01-01

In health care, many organizations are working on quality improvement and/or innovation of their care practices. Although the effectiveness processes has been studied extensively, little attention given to sustainability changed work practices after implementation. The objective this study is develop a theoretical framework and measurement instrument for sustainability. To end conceptualized with two dimensions: routinization institutionalization. exploratory methodological design consisted...

10.1186/1472-6963-11-314 article EN cc-by BMC Health Services Research 2011-11-16

Abstract In this article we analyse the process of multiple ways place and care shape each other are co‐produced co‐functioning. The resulting emerging assemblage co‐constituent call a carescape. Focusing on case study nursing home Dutch island, use as theoretical construct for analysing how current changes in healthcare governance interact with mundane practices care. order to make patterns our explicit, actor‐network theory ( ANT ) sensibilities especially concept assemblage. Our goal is...

10.1111/1467-9566.12477 article EN Sociology of Health & Illness 2016-08-31

Rankings have become ubiquitous in public service settings. Although there are high hopes that comparative analysis leads to improved processes and outcomes, is also a growing criticism of rankings as creating perverse effects. In this article, we analyze how governance affected by with special focus on how, what ways, extent organizations made into governable entities response rankings. The article based detailed ethnographic study three Dutch hospitals, using insights from actor–network...

10.1177/0095399716680054 article EN cc-by-nc Administration & Society 2016-11-30

Despite the introduction of Human papillomavirus (HPV) vaccination in national immunization programs (NIPs), rates most countries remain relatively low. An understanding reasons underlying decisions about whether to vaccinate is essential order promote wider spread HPV vaccination. This particularly important relation policies seeking address shortfalls current campaigns. The aim this study was explore prevailing perspectives concerning among girls, boys, and parents, so identify potential...

10.1186/s12889-017-4879-2 article EN cc-by BMC Public Health 2017-11-07

Institutional arrangements used to steer public policies have increasingly become layered. Inspired by the literature on institutional layering and work, this paper aims make a contribution our understanding of layering. We do so studying an interesting case layering: Dutch hospital sector. focus actors responsible for internal governance (Board Directors Supervisory Boards) external regulation (the Healthcare Inspectorate) hospitals. In paper, we explore work these actors, more specifically...

10.1177/0952076716652934 article EN cc-by-nc Public Policy and Administration 2016-06-15

Abstract Nursing shortages in the global north are soaring. Of particular concern is high turnover among bachelor‐trained nurses. Nurses tend to leave profession shortly after graduating, often citing a lack of appreciation and voice clinical organisational decision‐making. Healthcare organisations seek increase sustainability nursing workforce by enhancing roles nurses' positions. In Netherlands, hospitals have introduced pilots which nurses craft new roles. We followed two ethnographically...

10.1002/hpm.3780 article EN cc-by The International Journal of Health Planning and Management 2024-02-13
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