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2. Destination Unknown: Parents and Healthcare Professionals' Perspectives on Transition from Paediatric to Adult Care in Down Syndrome

Author

Peters, Vincent J. T., Bok, Levinus A., de Beer, Lieke, Rooij, Joyce J. M., Meijboom, Bert R., and Bunt, Jan Erik H.

Abstract

Background: Transitioning from paediatric medical care to adult care is a challenging process for children, parents and healthcare professionals. The aim of this study was to explore the experiences, concerns and needs of parents of children with Down syndrome and of professionals regarding this transition. Method: A qualitative study was performed using semi-structured interviews with 20 parents of children with Down syndrome and six healthcare professionals. Results: We showed that parents and professionals have concerns during each of the three distinct phases of transition (preparation, transfer and integration). Data disclose specific concerns regarding communication, continuity of care and rebuilding trust. We propose a framework for the transition to adult care. Conclusions: The transition in medical care for children with Down syndrome should be flexible, patient-centred and coordinated together with patients and parents. Only in ensuring continuity of care will individuals with Down syndrome not get lost in transition.

Published
2022
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6. Speak up! Factors that influence involvement of nurses in oncological multidisciplinary team meetings

Author

Boesten, Nadine, De Regge, Melissa, Eeckloo, Kristof, Leys, Mark, Gemmel, Paul, Meijboom, Bert, Boesten, Nadine, De Regge, Melissa, Eeckloo, Kristof, Leys, Mark, Gemmel, Paul, and Meijboom, Bert

Abstract

Purpose – Nurses are capable of acting as advocates for patients since they hold valuable knowledge on patient preferences and their psychosocial needs. Yet, in practice they tend to contribute little to multidisciplinary team meetings (MDTMs). This study analyses the factors that influence whether or not nurses will speak up and increase patient-centred decision-making in MDTMs. Design/methodology/approach – A multiple case study with cross-case comparison of twelve tumour groups across two Belgian hospitals was conducted. Data collection involved fifty structured non-participant observations and 41 semi-structured interviews with participants from the twelve tumour groups. Originality/value – This study yields factors that increase the opportunities for nurses to speak up in MDTMs to enhance patient-centred decision-making. The findings help in the design of future interventions concerning multidisciplinary teamwork, that address nurses’ contributions to augment patient-centred care.

Published
2024

12. Healthcare utilization patterns for knee or hip osteoarthritis before and after changes in national health insurance coverage: a data linkage study

Author

Dros, Jesper T., primary, van Dijk, Christel E., additional, Bos, Isabelle, additional, Meijer, Willemijn M., additional, Chorus, Astrid, additional, Miedema, Harald, additional, Veenhof, Cindy, additional, Arslan, Ilgin G., additional, Meijboom, Bert R., additional, and Verheij, Robert A., additional

Published
2023
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13. The never-ending patient journey of chronically ill patients: A qualitative case study on touchpoints in relation to patient-centered care

Author

Maas, Vera K., Dibbets, Frederik H., Peters, Vincent J. T., Meijboom, Bert R., Bijnen, Daniëlle van, Maas, Vera K., Dibbets, Frederik H., Peters, Vincent J. T., Meijboom, Bert R., and Bijnen, Daniëlle van

Abstract

Background: Healthcare professionals caring for chronically ill patients increasingly want to provide patient-centered care (PCC). By understanding each individual patient journey, they can significantly improve the quality of PCC. A patient journey consists of patient interactions, so-called touchpoints, with healthcare professionals distributed over three periods: pre-service, service, and post-service period. The aim of this study was to ascertain chronically ill patients' needs for digital alternatives for touchpoints. Specifically, we aimed to explore which digital alternatives patients would like to see implemented into their patient journey to help healthcare professionals providing PCC. Methods: Eight semi-structured interviews were conducted either face-to-face or via Zoom. Participants were included if they had visited the department of internal medicine and had received treatment for either arteriosclerosis, diabetes, HIV, or kidney failure. The interviews were analyzed utilizing a thematic analysis approach. Results: The results suggest that the patient journey of chronically ill patients is a continuous cycle. Furthermore, the results showed that chronically ill patients would like to see digital alternatives for touchpoints implemented into their patient journey. These digital alternatives consisted of video calls, digitally checking in before a physical appointment, digitally self-monitoring one's medical condition and personally uploading monitoring results into the patient portal, and viewing their own medical status in a digital format. Particularly, patients who were familiar with their healthcare professional(s) and were in a stable condition mostly opted for digital alternatives. Conclusion: In the cyclical patient journey, digitalization can help put the wishes and needs of the chronically ill patients at the center of care. It is recommended that healthcare professionals implement digital alternat

Published
2023

23. The impact of temporal structures on the temporal schemata of students during Covid-19

Author

Vancaillie, Selien, Gemmel, Paul, De Regge, Melissa, and Meijboom, Bert

Subjects
Business and Economics, Temporal structures, Temporal schemata, Temporal Cognitive-Affective Processing System, Covid-19
Abstract

This study uses a mixed method approach to explore the impact of imposed Covid-19 measures on the temporal schemata of students. Surveys and interviews were conducted during the first and second Covid-19 wave in Belgium to explore how behavioral responses change over time. The study is based on the Temporal Cognitive-Affective Processing System developed by Shipp and Richardson (2021). The results indicate that restrictions on social contact have high impact on the daily lives of students and are not sustainable over time.

Published
2022

35. Improving customisation in clinical pathways by using a modular perspective

Author

Van Dam, Anne, Metz, Margot, Meijboom, Bert, Van Dam, Anne, Metz, Margot, and Meijboom, Bert

Abstract

A standardised system of clinical pathways often conflicts with providing patient-centred heterogeneous care. Mental health care organisations are searching for new methods to become responsive towards unique treatment needs. Modularity is a method increasingly suggested to reconcile standardisation and customisation. The aim is to investigate the extent to which modularity can be applied to make clinical pathways in specialist mental health care more flexible in order to stimulate shared decision making (SDM) and thereby customise care processes to patient contexts while maintaining evidence-based standards. Methods consist of literature research and a theory-based case study including document analysis and semi-structured interviews, which were performed at a Dutch specialist mental health care organisation. The results show that in current literature two modularity-based structures are proposed that support flexibility and customisation, i.e., 'Prototype' and 'Menu-based'. This study reveals that departments tend to use the prototype method if they have predictable patient needs, evidence-based methods are available and there is sequency in treatment components. The menu-based method is preferred if there are unpredictable needs, or the evidence needed to create interconnectedness in treatment is lacking. In conclusion, prototype or menu-based methods are both suitable for applying SDM and reaching customisation in practice. The choice is determined by three characteristics: predictability of needs, availability of evidence and the interconnectedness of treatment components.

Published
2021

37. Connecting with customers: The role of modular interfaces

Author

Peters, Vincent, Meijboom, Bert, Bok, Vinus, Bunt, Jan Erik, van Steenbergn, Marianne, de Winter, Peter, de Vries, Esther, Department of Management, Tranzo, Scientific center for care and wellbeing, and Huisarts & Ziekenhuis

Published
2020

38. Tactical coordination in a multi-location and multi-stage operations structure: a model and a pharmaceutical company case **

Author

Meijboom, Bert and Obel, Borge

Subjects
International trade -- Research -- Analysis -- Models, Logistics -- Models -- Analysis -- Research, Business, general, Business, International trade, Analysis, Models, Research
Abstract

In this paper, we look at the internal supply chain of an internationally operating firm characterized by a multi-location and multi-stage operations structure. We address problems at three levels, namely the strategic, tactical, and operational levels. Our approach goes beyond the operational literature, and focuses primarily on the tactical level. We specify a model and a case that capture strategic and tactical issues and relate the tactical issues to organizational issues. We simulate coordination in different organizational forms pertaining to the 'tactical control' of the firm. Our analysis suggests that a functionally organized multi-location and multi-stage operations structure using traditional planning will not work. The choice is between a strongly IT-based, centralized organization or a more decentralized organization using transfer prices as the coordination device. Keywords: Supply chain coordination; Transfer prices; Targets; Centralization; Decentralization; Simulation experiment, I. Introduction Economic globalization has forced and is still forcing companies to develop new global manufacturing and distribution concepts (e.g., [1-4]). A growing number of products, from garments to automobiles, [...]

Published
2007

39. Providing person-centered care for patients with complex healthcare needs: A qualitative study

Author

Peters, Vincent, Meijboom, Bert, Bunt, Jan Erik, Bok, Vinus, van Steenbergen, M., de Winter, Peter, de Vries, Esther, Peters, Vincent, Meijboom, Bert, Bunt, Jan Erik, Bok, Vinus, van Steenbergen, M., de Winter, Peter, and de Vries, Esther

Abstract

Background People with chronic conditions have complex healthcare needs that lead to challenges for adequate healthcare provision. Current healthcare services do not always respond adequately to their needs. A modular perspective, in particular providing visualization of the modular service architecture, is promising for improving the responsiveness of healthcare services to the complex healthcare needs of people with chronic conditions. The modular service architecture provides a comprehensive representation of the components and modules of healthcare provision. In this study, we explore this further in a qualitative multiple case study on healthcare provision for children with Down syndrome in the Netherlands. Methods Data collection for four cases involved 53 semi-structured interviews with healthcare professionals and 21 semi-structured interviews with patients (the parents of children with Down syndrome as proxy). In addition, we gathered data by means of practice observations and analysis of relevant documents. The interviews were audio-recorded, transcribed verbatim and analyzed utilizing the Miles and Huberman approach. Results Our study shows that the perspectives on healthcare provision of professionals and patients differ substantially. The visualization of the modular service architecture that was based on the healthcare professionals’ perspective provided a complete representation of (para)medical outcomes relevant to the professionals’ own discipline. In contrast, the modular service architecture based on the patients’ perspective, which we define as a person-centered modular service architecture, provided a representation of the healthcare service that was primarily based on functional outcomes and the overall wellbeing of the patients. Conclusion Our study shows that visualization of the modular service architecture can be a useful tool to better address the complex needs and requirements of people with a ch

Published
2020

49. Do employees benefit from collaborations between out of hours general practitioners?

Author

Gils- van Rooij, E.S., Broekman, Sjoerd, de Bakker, Dinny, Meijboom, Bert, Yzermans, C.J., Tranzo, Scientific center for care and wellbeing, Research Group: Information & Supply Chain Management, and Department of Management

Abstract

Background In an attempt to redirect patients who are inappropriately attending hospital emergency departments (ED) and in doing so provide the right care at the right place, out-of-hours GP (General Practitioner) services and EDs increasingly collaborate in Urgent Care Collaborations (UCCs). Work satisfaction is an important factor in analysing the impact of this organisational change. The objective of this study is, firstly, to discover if there is a difference in the employee experiences between those working in UCCs and those in traditional out-of-hours services in which EDs and out-of-hours GP services operate separately (i.e. “usual care”). Secondly, we would like to identify which factors affect employees’ experiences in these settings. Methods This study followed a cross-sectional study design, comparing usual care with UCCs. Data regarding employee experiences were collected from physicians, nurses, nurse practitioners, medical assistants and front desk personnel, by means of a questionnaire with scales regarding quality, workload and co-operation between the out-of-hours GP service and ED. Independent samples t-tests were used to determine mean differences between the settings. Multiple linear regression analyses were performed to test which items affected the perceived quality, workload and co-operation. Results The results showed that mutual co-operation alone was perceived as significantly better in UCCs compared to usual care. If divided between employers, no differences were found in the employee experiences working in out-of-hours GP services. ED employees in UCCs experienced a significantly better co-operation with their GP colleagues than their peers in the usual care setting, but also a higher workload. Remarkably, ED employees were less satisfied in general. The multiple regression model showed that perceived quality, workload and co-operation were interrelated. Co-operation was the only aspect that was rated higher in the UCC setting. Conclusion While perceived quality is equal and co-operation between out-of-hours GP service and ED is better, the objective and perceived ED workload was higher in UCCs compared to usual care. Though UCCs relieve the pressure on EDs concerning the number of patients, they seem to aggravate the workload. EDs need to be careful not to excessively adjust staff capacity when responding to lower numbers of patients.

Published
2018

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