Verantwoordelijkheden voor goede zorg van bestuur, stafconvent en afdelingshoofden in een UMC

In this PhD research, the central question is how the responsibilities of the board and medical professionals for quality of care in a UMC should be established in the board regulation. A UMC is a collaboration between an academic hospital and the faculty of medicine. The WHW does not mention the UMC as such and is outdated in this regard. Heads of departments within a UMC should be professors and bear legal responsibility for the medical treatment and care of patients as well as scientific medical education and research. The position of the staff assembly is unclear due to the legal text allowing for different composition and function. At many UMCs, not only heads of departments and other professors in charge of patient care, as described in parliamentary history, but all hundreds of staff members are members of the staff assembly. This diminishes its effectiveness and dilutes the influence of those legally responsible. The law requires the staff assembly to ‘cooperate’ in the governance. What cooperation entails is unclear, but with members with legal responsibility for patient care and for scientific medical education and research, it is more than participation. The staff assembly can best fulfil its function if only the heads of departments and potentially other professors involved in patient care are members. The composition and working procedures are included by the board of directors in the board regulation, thus enabling it to determine the influence of the staff assembly. Due to a shared legal responsibility for the quality of care of the board of directors and heads of departments, a clear governance structure in the UMC is crucial. This research aligns itself with regulations and shared governance.

Dissertation: https://hdl.handle.net/11370/8e1d7fcc-9006-4fa3-8f81-8e321471ea7c