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Expertisecentrum HealthwiseOnderdeel van Rijksuniversiteit Groningen

Expertisecentrum Healthwise

Faculteit Economie en Bedrijfskunde
Expertisecentrum HealthwiseEventsCongressen

2014 - Quality of Life


Recap

On Friday 31 October 2014, the second annual Healthwise conference took place. Managers, professionals and researchers from healthcare, academia and administration met around the theme ‘Quality of Life’. Keynote speakers were Prof. Arie Kapteyn and Prof. Diana Delnoij. Academics and professionals from the field conducted workshops on themes such as ‘transition and decentralisation in healthcare’ and ‘chains in healthcare’.

Cooperation Agreement between the Faculty of Economics and Business and the UMCG:

The UMCG and the Faculty of Economics and Business (FEB) signed a cooperation agreement at the opening of the Healthwise conference. Both parties have been combining their respective expertise in healthcare and economics and business for years in, for example, The National Care for the Elderly Programme (NPO) in the northern Netherlands.

The cooperation agreement was signed by Prof. Folkert Kuipers, Member of the Board of Management of the UMCG and Dean of the Faculty of Medical Sciences, and Prof. Harry Garretsen, Dean of the Faculty of Economics and Business. In addition, they jointly introduced Bernard van den Berg, who will assume the chair as Full professor of the joint department of Health Economics on 1 February 2015.


Looking back (keynotes)

Keynote Lecture by Arie Kapteyn

Prof. Arie Kapteyn's lecture, entitled ‘Well-being and comparisons’, shed light on the different ways that wellbeing can be measured. Today, researchers are more open to using self-report measures, allowing for outcomes to go beyond, for example, ‘employment’ and for a more subjective measurement of wellbeing. However, as much as we would like this to be a robust measurement method, we have not reached that point yet.

Kapteyn compared three methods of measuring (subjective) wellbeing: 1. evaluative wellbeing, i.e. the evaluation of life satisfaction/dissatisfaction; 2. experienced wellbeing, i.e. the combination of positive and negative effects experienced; and 3. eudemonic wellbeing, referring to the existence of underlying psychological needs and incorporating different dimensions of wellbeing, such as autonomy, personal growth or a sense of purpose in life. He showed furthermore that differences in wellbeing can be explained by income and age and that people are generally least satisfied with their life between the ages of 45-54.

In order to further explain the levels of happiness and satisfaction people experience in different areas of life, such as income, friends, family life, job and health, Kapteyn's study asked three questions: 1) Who do you compare yourself with? 2) Where do you stand? 3) Where do others stand, i.e. friends, neighbours, etc.? The results show that people mainly compare themselves with family, friends and acquaintances, people their own age and colleagues. Those who compare themselves most frequently, tend to estimate other people’s incomes as higher while describing their own position as worse.

Prof. Arie Kapteyn is an international expert at measuring individual wellbeing and Director of the Dornsife Center for Economic and Social Research at the University of Southern California. He founded the center in 2012.

Presentation Arie Kapteyn (only available in Dutch)

Keynote Lecture of Diana Delnoij

The lecture given by Prof. Diana Delnoij was entitled ‘Measuring and Comparing the Outcomes of Care as Experienced by Patients: the Vision of the Quality Institute’ and discussed the rise of Patient-Reported Outcome Measures (PROM). When measuring quality, it is important to focus on the experiences and outcomes that are relevant to patients. The role of the Quality Institute in this is procedural in nature: it provides a Testing Framework, setting the requirements for standards and measurement instruments, like PROM.

Any standard, together with its relevant measurement instrument, can be offered to the Quality Institute for testing. The Institute assesses the completeness of a standard, and the availability of the proper work instructions for the measurement instrument. Once approved, both are entered in the register, to make them visible and accessible to all.

Delnoij's wish list includes patient input in determining which outcomes are relevant for measuring and how to measure them, as well as in developing and testing the intelligibility of questions.

Together with Bianca Wiering and Dolf de Boer, Delnoij studied patient orientation in practice in the development of 196 PROM. In only 11% of the PROM were patients involved in determining the outcomes, although later in the process, in item development and intelligibility testing, patients did become involved more often, in approximately 50% of cases.

The conclusions of this lecture include: ‘Measuring less but better’ and looking abroad for the development of PROM. ‘Not reinventing the wheel and looking more across the border’.

Prof. Diana Delnoij is the Head of the Quality Institute at the National Health Care Institute (Zorginstituut Nederland) and professor by special appointment of Healthcare Transparency from a Patient Perspective at Tranzo, Tilburg University.

Presentation Diana Delnoij (only available in Dutch)


Workshops

13.45-14.45 Academia and Practice Workshops

Pilot of a new medical job description: the hospital doctor (Dutch)

Abe Meininger, MSc, UMCG
The concept of the ‘hospital doctor’ (ziekenhuisarts): the importance of having generalists in the hospital

Dr Marjolein van Offenbeek, UG
Evaluatie van 'de ziekenhuisarts'-pilot: implementatiedilemma's

Decentralisation and transition in healthcare (Dutch)

Aukje van Kalsbeek, MSc, Noorderbreedte
Transition and transformation in practice

Prof. Maarten Allers , UG
Sense and nonsense in decentralisation

Lean in healthcare (Dutch)

Ms Suzanne Kars, MSc, Martini Hospital
Lean (Six Sigma) stands for connecting people energetically!

Oskar Roemeling , MSc, UG
Lean interventions in healthcare: what is the focus?

Economic evaluation

Dr Victor Verrijp (UMCG), Dr Gerdien Regts , UG
Economic impact evaluation of the UMCG

Dr Elena Pizzo , University College London
The economic evaluation of some innovative healthcare interventions in London

Chain integration in acute healthcare (Dutch)

Jaap Hatenboer, MSc, UMCG Ambulance Services & Tef Jansma, MSc
Integration of ambulance services and volunteer networks in the treatment of heart failure

Dr Maarten Lahr , UMCG
Simulation models for acute seizure care: barriers and solutions


Round table discussion

The end of the conference was marked by a round table discussion about the ‘Tantalising Dilemmas of Quality of Life and Expenses’. Its participants were Aukje van Kalsbeek, Director of Noorderbreedte; Els Maeckelberghe, ethicist, UMCG; Harry Nienhuis, strategy and policy advisor, Menzis; and Wolter Paans, lecturer in Nursing Diagnostics, Hanze University of Applied Sciences.

The dilemmas discussed included: 1) Professional care or informal care?; 2) Remote care versus distant care; 3) Prevent or cure? 4) Doing more with less across the board.

Posters: 5 new Healthwise PhD graduates presented their research:
Anne Bonvanie | Lydia de Jong | Maxim Laurijssen | Bart Noort | Laura Viluma (only available in Dutch)


Photos
Laatst gewijzigd:18 december 2017 10:26
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