A5073979515- Healthcare Policy and Management
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare cost, quality, practices
- Chronic Disease Management Strategies
- Primary Care and Health Outcomes
- Global Health Care Issues
- Healthcare innovation and challenges
- Health and Wellbeing Research
- Health Policy Implementation Science
- Dutch Social and Cultural Studies
- Economic and Financial Impacts of Cancer
- Healthcare Quality and Management
- Heart Failure Treatment and Management
- Patient Satisfaction in Healthcare
- Global Public Health Policies and Epidemiology
- Geriatric Care and Nursing Homes
- Interprofessional Education and Collaboration
- Healthcare Systems and Technology
- Healthcare Systems and Reforms
- Global Cancer Incidence and Screening
- Advances in Oncology and Radiotherapy
- Global Health Workforce Issues
- Cardiac Health and Mental Health
- Palliative Care and End-of-Life Issues
- Medical Research and Practices
Radboud University Nijmegen
2016-2025
Radboud University Medical Center
2016-2025
Ministry of Health Welfare and Sport
2015-2024
TropIQ Health Sciences
2016-2024
University Medical Center
2015-2024
Bohn Stafleu van Loghum (Netherlands)
2019
Celsus Therapeutics (United Kingdom)
2016
Novartis Foundation
2014
A few studies have noted the outsize administrative costs of US hospitals, but no research has compared these across multiple nations with various types health care systems. We assembled a team international policy experts to conduct just such challenging analysis hospital eight nations: Canada, England, Scotland, Wales, France, Germany, Netherlands, and United States. found that accounted for 25.3 percent total expenditures—a percentage is increasing. Next highest were Netherlands (19.8...
As of 2015 a major reform in LTC is taking place the Netherlands. An important objective to reign expenditure growth safeguard fiscal sustainability LTC. Other objectives are improve quality by making it more client-tailored. The consists four interrelated pillars: normative reorientation, shift from residential non-residential care, decentralization care and cuts. article gives brief overview these pillars their underlying assumptions. Furthermore, attention paid political decision-making...
ParkinsonNet, a low-cost innovation to optimize care for patients with Parkinson disease, was developed in 2004 as network of physical therapists several regions the Netherlands. Since that time, has achieved full national reach, 70 regional networks and around 3,000 specifically trained professionals from 12 disciplines. Key elements include empowerment who are highly specialized by education consultation, integrated multidisciplinary teams better address manage disease. Studies have found...
Background The sustainability of long-term care (LTC) is a prominent policy priority in many Western countries. LTC one the most pressing fiscal issues for growing population elderly people European Union (EU) Member States. Country recommendations regarding are under EU's Semester. Methods This paper examines challenges related to financial- and organizational systems EU. We combined targeted literature review descriptive selected country analysis of: (1) public- private funding; (2)...
The concept of overdiagnosis is a dominant topic in medical literature and discussions. In research that targets overdiagnosis, medicalisation often presented as the societal individual burden unnecessary expansion. this way, focus lies on influence medicine society, neglecting possible society medicine. perspective, we aim to provide novel insight into context medicine, particularly with regard overdiagnosis.
In the 2012 International Health Policy Survey by Commonwealth Fund, 57% of Dutch GPs indicated that patients receive too much health care. This is an unexpected finding, given clear gatekeeper role and recent efforts strengthening this role. The study aims to explore where perceived overuse care prevails identify factors associated with at entry point An American survey exploring perceptions amount among primary providers was modified for relevance system. We further included additional...
Abstract New technologies may displace existing, higher‐value care under a fixed budget. Countries aim to curtail adoption of low‐value technologies, for example, by installing cost‐effectiveness thresholds. Our objective is estimate the opportunity cost hospital identify threshold value Netherlands. To this aim, we combine claims data, mortality data and quality life questionnaires from 2012 2014 11,000 patient groups obtain quality‐adjusted life‐year (QALY) outcomes spending. Using effects...
For-profit hospitals’ market share has increased in many nations over recent decades. Previous studies suggest that their growth is not attributable to superior performance on access, quality of care, or efficiency. We analyzed other factors we hypothesized may contribute the increasing role for-profit hospitals. studied historical development hospital sector across 4 with contrasting trends share: United States, Kingdom, Germany, and Netherlands. focused 3 believed might help explain why...
The Covid-19 pandemic has put policy systems to the test. In this paper, we unmask institutionalized resilience of Dutch health care system crisis. Building on logics crisis decision-making and notion 'tact', reveal how government initially succeeded in orchestrating collective action through aligning public purposes installing socio-economic policies soften societal impact. However, when evolved into a more enduring one, contested arena emerged which decision-makers had hard time composing...
Introduction: Despite increasing dental expenditures, the burden of oral diseases has not decreased. The room for improving quality health care (OH) remains large. purpose this study was to explore current understanding, needs, efforts, and actions in European global policy making improvement. Methods: Drawing from qualitative methodology comprising desk research semi-structured interviews, a situational analysis carried out. Interviews with experts international were recorded, transcribed,...
Abstract Background The Netherlands has reformed its long-term care (LTC) system to improve financial sustainability by reducing access in-kind nursing-home and stimulating within the home setting. This reform led rise of small-scale homelike nursing homes (SHNH) that are publicly financed home-care packages. Small-scale may require additional resources personnel. Our aim is compare total healthcare costs institutional deinstitutionalized home-like homes. Methods We conducted an instrumental...
Introduction: This study aimed to assess the effect of integrated palliative care (IPC) on potentially inappropriate end- of-life and healthcare-costs in last 30 days life Netherlands. Methods: Nationwide health-insurance claims data were used end-of-life (≥2 emergency room visits; ≥2 hospital admissions; >14 hospitalization; chemotherapy; ICU admission; death) all deceased adults IPC regions pre- post- implementation those receiving compared a 1:2 matched control group. Results: In...
A higher out-of-pocket price for mental health care may lead not only to cost savings but also negative downstream consequences.To examine the association of patient sharing with use and effects, such as involuntary commitment acute use.This difference-in-differences study compared changes in by adults, who experienced an increase sharing, youths, did experience thus formed a control group. The examined all 2 780 558 treatment records opened from January 1, 2010, through December 31, 2012,...