Publications by authors named "D Delnoij"

Background: Research indicates suboptimal uptake and impact of clinical practice guidelines in Dutch healthcare. Dutch guideline organizations, i.e.

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Objectives: The sandbox approach, developed in the financial technologies sector, creates an environment to collaboratively develop and test innovative new products, methods and regulatory approaches, separated from business as usual. It has been used in health care to encourage innovation in response to emerging challenges, but, until recently, has not been used in health technology assessment (HTA). This article summarizes our learnings from using the sandbox approach to address three challenges facing HTA organizations and to identify implications for the use of this approach in HTA.

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Article Synopsis
  • Many European countries have established semi-autonomous health agencies to balance public interests, but they face challenges like regulatory capture and alignment with their parent ministries.
  • This paper uses q-methodology to explore the perspectives of various stakeholders regarding the National Health Care Institute (Zorginstituut Nederland) in the Dutch healthcare system, based on 41 q-interviews.
  • The study identifies three main viewpoints on the agency's focus: addressing societal issues, managing healthcare packages strictly, and ensuring efficient care organization, highlighting how conflicting expectations complicate the agency's role.
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Background: The uptake of guidelines in care is inconsistent. This review focuses on guideline implementation strategies used by guideline organizations (governmental agencies, scientific/professional societies and other umbrella organizations), experienced implementation barriers and facilitators and impact of their implementation efforts.

Methods: We searched PUBMED, EMBASE and CINAHL and conducted snowballing.

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In this article we examine the fragmented interpretation and implementation of a remarkably popular concept, value-based health care (VBHC). By building on a case study of a project team working on the development of value-based primary care services for elderly patients, we shed new light on the way in which VBHC transitions from theory to practice. The concept of 'translation' is used to theoretically frame our analysis.

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