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Healthcare Services for Chronic Disease Prevention and Management

Special Issue Editors


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Guest Editor
Department of Health Services Management & Organisation, Erasmus School of Health Policy & Management, Erasmus University, 3062 PA Rotterdam, The Netherlands
Interests: value-based health care; alternative payment models; integrated care; health service operations management

E-Mail Website
Guest Editor
Department of Health Services Management & Organisation, Erasmus School of Health Policy & Management, Erasmus University, 3062 PA Rotterdam, The Netherlands
Interests: health service operations management; alternative payment models; aptake of big data and AI

Special Issue Information

Dear Colleagues,

How to manage or even prevent chronic diseases is a question that occupies scholars’, practitioners’, and policy-makers’ minds alike. Various academic professions—such as behavioral scientists, epidemiologists, and operations management scholars, to name a few—dwell on such questions related to intervention design, implementation, and evaluation of prevention initiatives and disease management strategies. While the widespread involvement of various research communities in prevention and disease management speaks to the relevance of the topic, there is a risk of fragmentation and knowledge being built within different communities but rarely transferring between them. Therefore, this Special Issue seeks papers fostering scholarly exchange between communities, combining insights from different disciplines and contributing to improved prevention and disease management decision making for chronic diseases. Following Bernell and Howard (2016), we consider chronic diseases in a broader sense as symptoms, conditions, and diseases that are ongoing or recurring.

We welcome multidisciplinary research focusing on aspects related to intervention design (including patient activation and self-management support, redesign of care pathways, and eHealth initiatives), implementation strategies (including scaling-up and sustaining efforts), and evaluation studies. The latter should report on how value-driven initiatives result in improved health outcomes at a lower cost (or fail to do so). Research can be empirical or analytical, and should rigorously apply state-of-the-art methods. We also welcome systematic/scoping reviews and replication studies.

Prof. Dr. Kees Ahaus
Dr. Sandra S Sülz
Guest Editors

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Keywords

  • chronic diseases
  • collaboration in prevention and disease management strategies
  • value-based health care
  • improvement in health outcomes and reduction in costs
  • alternative payment models
  • designing behavioral/ technological interventions
  • implementation strategies
  • (pilot) evaluation

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Published Papers (1 paper)

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Research

12 pages, 311 KiB  
Article
Towards Process-Oriented Hospital Structures; Drivers behind the Development of Hospital Designs
by Jeroen D. H. van Wijngaarden, Anoek Braam, Martina Buljac-Samardžić and Carina G. J. M. Hilders
Int. J. Environ. Res. Public Health 2023, 20(3), 1993; https://doi.org/10.3390/ijerph20031993 - 21 Jan 2023
Cited by 2 | Viewed by 1587
Abstract
Hospitals have been encouraged to develop more process-oriented designs, structured around patient needs, to better deal with patients suffering from multi-morbidity. However, most hospitals still have traditional designs built around medical specialties. We aimed to understand how hospital designs are currently developing and [...] Read more.
Hospitals have been encouraged to develop more process-oriented designs, structured around patient needs, to better deal with patients suffering from multi-morbidity. However, most hospitals still have traditional designs built around medical specialties. We aimed to understand how hospital designs are currently developing and what the important drivers are. We built a typology to categorize all Dutch general hospitals (61), and we interviewed hospital managers and staff. The inventory showed three types of hospital building blocks: units built around specific medical specialties, clusters housing different medical specialty units, and centers; multi-specialty entities provide the most suitable structure for a process-oriented approach. Only some Dutch hospitals (5) are mainly designed around centers. However, most hospitals are slowly developing towards hybrid designs. Competitive drivers are not important for stimulating these redesigns. Institutional pressures from within the health care sector and institutional ‘mimicking’ are the main drivers, but the specific path they take is dependent on their ‘heritage’. We found that hospital structures are more the result of incremental, path-dependent choices than ‘grand-designs’. Although the majority of the Dutch general hospitals still have a general design built around medical specialties, most hospitals are moving towards a more process-oriented design. Full article
(This article belongs to the Special Issue Healthcare Services for Chronic Disease Prevention and Management)
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