The influence of policy, labor market and decision-making processes within healthcare organizations on the deployment of Nurse Practitioners and Physician Assistants

Contact: Ellen Dankers-deMari,
Duration of project: 2019-....
Reserach team:

Prof. dr. Patrick Jeurissen, prof. dr. Ronald Batenburg, dr. Anneke van Vught

Project description & Reseacht question(s):

The healthcare system is confronted with new challenges: increasing healthcare costs, increasing demand for healthcare, shortages in healthcare professionals and higher expectations from politicians and society with regard to the accessibility and quality of healthcare.

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Complex Governance Does Increase Both the Real and Perceived Registration Burden: The Case of the Netherlands

Comment on “Perceived Burden Due to Registrations for Quality Monitoring and Improvement in Hospitals: A Mixed Methods Study'

The burden of registrations for care professionals should be more firmly on the policy agenda. In a rigorous study, Marieke Zegers and colleagues make a compelling argument why that should be the case. In Dutch hospitals, the average professional spends 52.3 minutes a day on quality registries and monitoring instruments. The issue at hand is very complex and more operational efficiency alone will not solve this problem...

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How the logics of the market, bureaucracy, professionalism and care are reconciled in practice:

an empirical ethics approach

Florien M. Kruse, Wieke M. R. Ligtenberg, Anke J. M. Oerlemans, Stef Groenewoud and Patrick P. T. Jeurissen
BMC Health Services Research volume 20, Article number: 1024 (2020)

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Effective and affordable care for patients with multimorbidity

Contact:Toine Remers,
Duration of project: 2019-....
Research team: Prof. dr. Patrick Jeurissen,prof. dr. Marcel Olde Rikkert , dr. Simone van Dulmen
Project description & research question(s):

This project focusses on more effective and affordable care for patients with multimorbidity.

Quantitative and action-oriented research are applied on existing initiatives to identify success factors, obstacles and overarching mechanisms for more effective care.

Extensive literature research in the form of a 'systematic review' must also provide insight into other mechanisms and / or systems that are necessary to organize care for this patient group in a more effective and affordable manner.

Identifying and de-implementing low-value care in primary care: the GP’s perspective—a cross-sectional survey

General practitioners have an important role in reducing low-value care as gatekeepers of the health system in The Netherlands. The aim of this study was to assess the experiences of Dutch general practitioners regarding low-value care and to identify their needs to decrease low-value primary care.

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Affordable and sustainable organization of healthcare providers

Contact: Erik Wackers
Duration of project:2018 - ....
Research team: Prof. dr. Patrick Jeurissen, prof. dr. Bart Berden, dr. Simone van Dulmen, dr. Niek Stadhouders
project description & research question(s):

The central focus of this PhD research is affordable and sustainable organization of healthcare providers. This theme is studied in several projects.

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How can the transition of inpatient care to patients’ homes support the sustainability of our healthcare system?

Contact: Stefan Auener;
Duration of project:2018 - ....
Research team: Prof. dr. Patrick Jeurissen, Prof. dr. Gert Westert, Dr. Simone van Dulmen, Dr. Niek Stadhouders
project description & research question(s):

Stefan Auener focuses on the transition from inpatient care to homecare. The leading question is: How can moving inpatient care to patients’ homes support the sustainability of our healthcare system?

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Market dynamics, performance and ethics of commercially-oriented healthcare providers

Contact:Florien Kruse,
Duration of project: 2015-....
Research team: Prof. dr. Patrick Jeurissen
Dr. Eddy Adang
Prof. Jonathan Skinner
Dr. Stef Groenewoud
project description & research question(s):

Many healthcare systems have witnessed the rise of commercially-oriented healthcare providers in recent decades. Inspired by the ideology of New Public Management (NPM), policymakers have embraced market-based incentives to enhance the efficiency of healthcare systems. The NPM prescribed a more commercially-oriented role for healthcare providers. This project examines how Dutch healthcare providers took on this "new" role and how they have carved out from the traditional sector certain niche markets. The aim of this research project is to assess whether these providers contribute to a financially sustainable healthcare system.

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Sustainable healthcare for all citizens

All Dutch citizens have access to healthcare. High quality access at that. Some studies even claim that it is the best healthcare worldwide. Even so good, sustainable healthcare is not a matter of course, not even in our Western world. Why is that? Because care comes at a price. Healthcare in the United States is the most expensive in the world, with us finishing second. We spend twelve percent of all the money earned in our country on healthcare. Plus costs are continuously increasing: five percent every year, which amounts to seven billion Euros for just this cabinet period.

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