Transforming towards sustainable health and wellbeing systems: Eight guiding principles based on the experiences of nine Dutch Population Health Management initiatives
•This study provides insights based on experiences of nine Dutch PHM initiatives.•PHM initiatives vary in their development progress due to different strategies used.•Eight guiding principles reveal when, why and how to implement strategies.•Commitment, trust and leadership of main importance in fir...
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| Veröffentlicht in: | Health policy (Amsterdam) 2020-01, Vol.124 (1), p.37-43 |
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| creator | van Vooren, N.J.E Steenkamer, B.M. Baan, C.A. Drewes, H.W. |
| description | •This study provides insights based on experiences of nine Dutch PHM initiatives.•PHM initiatives vary in their development progress due to different strategies used.•Eight guiding principles reveal when, why and how to implement strategies.•Commitment, trust and leadership of main importance in first development phases.
Population Health Management initiatives are increasingly introduced, aiming to develop towards sustainable health and wellbeing systems. Yet, little is known about which strategies to implement during this development. This study provides insights into which strategies are used, why, and when, based on the experiences of nine Dutch Population Health Management initiatives.
The realist evaluation approach was used to gain an understanding of the relationships between context, mechanisms and outcomes when Population Health Management strategies were implemented. Data were retrieved from three interview rounds (n = 207) in 2014, 2016 and 2017. Data was clustered into guiding principles, underpinned with strategy-context-mechanism-outcome configurations.
The Dutch initiatives experienced different developments, varying between immediate large-scale collaborations with eventual relapse, and incremental growth towards cross-sector collaboration. Eight guiding principles for development towards health and wellbeing systems were identified, focusing on: 1. Shared commitment for a Population Health Management-vision; 2. Mutual understanding and trust; 3. Accountability; 4. Aligning politics and policy; 5. Financial incentives; 6. A learning cycle based on a data-infrastructure; 7. Community input and involvement; and 8. Stakeholder representation and leadership.
Development towards a sustainable health and wellbeing system is complex and time-consuming. Its success not only depends on the implementation of all eight guiding principles, but is also influenced by applying the right strategies at the right moment in the development. |
| doi_str_mv | 10.1016/j.healthpol.2019.11.003 |
| format | Article |
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Population Health Management initiatives are increasingly introduced, aiming to develop towards sustainable health and wellbeing systems. Yet, little is known about which strategies to implement during this development. This study provides insights into which strategies are used, why, and when, based on the experiences of nine Dutch Population Health Management initiatives.
The realist evaluation approach was used to gain an understanding of the relationships between context, mechanisms and outcomes when Population Health Management strategies were implemented. Data were retrieved from three interview rounds (n = 207) in 2014, 2016 and 2017. Data was clustered into guiding principles, underpinned with strategy-context-mechanism-outcome configurations.
The Dutch initiatives experienced different developments, varying between immediate large-scale collaborations with eventual relapse, and incremental growth towards cross-sector collaboration. Eight guiding principles for development towards health and wellbeing systems were identified, focusing on: 1. Shared commitment for a Population Health Management-vision; 2. Mutual understanding and trust; 3. Accountability; 4. Aligning politics and policy; 5. Financial incentives; 6. A learning cycle based on a data-infrastructure; 7. Community input and involvement; and 8. Stakeholder representation and leadership.
Development towards a sustainable health and wellbeing system is complex and time-consuming. Its success not only depends on the implementation of all eight guiding principles, but is also influenced by applying the right strategies at the right moment in the development.</description><identifier>ISSN: 0168-8510</identifier><identifier>EISSN: 1872-6054</identifier><identifier>DOI: 10.1016/j.healthpol.2019.11.003</identifier><identifier>PMID: 31806356</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Accountability ; Cross-sector collaboration ; Data ; Delivery of Health Care, Integrated ; Disease management ; Financial incentives ; Health administration ; Health Care Reform ; Health initiatives ; Health Policy ; Health status ; Humans ; Infrastructure ; Interviews as Topic ; Leadership ; Management ; Motivation ; Netherlands ; Politics ; Population ; Population Health Management ; Realist evaluation ; Relapse ; Social Responsibility ; Stakeholder Participation ; Sustainability ; Triple Aim ; Well being</subject><ispartof>Health policy (Amsterdam), 2020-01, Vol.124 (1), p.37-43</ispartof><rights>2019 The Authors</rights><rights>Copyright © 2019 The Authors. Published by Elsevier B.V. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Jan 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c448t-31d7048918a245e9afe8613d66cbb49355b5480fa929baec01f5d44f112c8cbc3</citedby><cites>FETCH-LOGICAL-c448t-31d7048918a245e9afe8613d66cbb49355b5480fa929baec01f5d44f112c8cbc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S016885101930260X$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3536,27845,27903,27904,30978,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31806356$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Vooren, N.J.E</creatorcontrib><creatorcontrib>Steenkamer, B.M.</creatorcontrib><creatorcontrib>Baan, C.A.</creatorcontrib><creatorcontrib>Drewes, H.W.</creatorcontrib><title>Transforming towards sustainable health and wellbeing systems: Eight guiding principles based on the experiences of nine Dutch Population Health Management initiatives</title><title>Health policy (Amsterdam)</title><addtitle>Health Policy</addtitle><description>•This study provides insights based on experiences of nine Dutch PHM initiatives.•PHM initiatives vary in their development progress due to different strategies used.•Eight guiding principles reveal when, why and how to implement strategies.•Commitment, trust and leadership of main importance in first development phases.
Population Health Management initiatives are increasingly introduced, aiming to develop towards sustainable health and wellbeing systems. Yet, little is known about which strategies to implement during this development. This study provides insights into which strategies are used, why, and when, based on the experiences of nine Dutch Population Health Management initiatives.
The realist evaluation approach was used to gain an understanding of the relationships between context, mechanisms and outcomes when Population Health Management strategies were implemented. Data were retrieved from three interview rounds (n = 207) in 2014, 2016 and 2017. Data was clustered into guiding principles, underpinned with strategy-context-mechanism-outcome configurations.
The Dutch initiatives experienced different developments, varying between immediate large-scale collaborations with eventual relapse, and incremental growth towards cross-sector collaboration. Eight guiding principles for development towards health and wellbeing systems were identified, focusing on: 1. Shared commitment for a Population Health Management-vision; 2. Mutual understanding and trust; 3. Accountability; 4. Aligning politics and policy; 5. Financial incentives; 6. A learning cycle based on a data-infrastructure; 7. Community input and involvement; and 8. Stakeholder representation and leadership.
Development towards a sustainable health and wellbeing system is complex and time-consuming. Its success not only depends on the implementation of all eight guiding principles, but is also influenced by applying the right strategies at the right moment in the development.</description><subject>Accountability</subject><subject>Cross-sector collaboration</subject><subject>Data</subject><subject>Delivery of Health Care, Integrated</subject><subject>Disease management</subject><subject>Financial incentives</subject><subject>Health administration</subject><subject>Health Care Reform</subject><subject>Health initiatives</subject><subject>Health Policy</subject><subject>Health status</subject><subject>Humans</subject><subject>Infrastructure</subject><subject>Interviews as Topic</subject><subject>Leadership</subject><subject>Management</subject><subject>Motivation</subject><subject>Netherlands</subject><subject>Politics</subject><subject>Population</subject><subject>Population Health Management</subject><subject>Realist evaluation</subject><subject>Relapse</subject><subject>Social Responsibility</subject><subject>Stakeholder Participation</subject><subject>Sustainability</subject><subject>Triple Aim</subject><subject>Well being</subject><issn>0168-8510</issn><issn>1872-6054</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><recordid>eNqFkcFu1TAQRS0Eoo_CL4AlNmwS7NhJHHZVWyhSESzK2nLsyYufEjvYTku_iN_Ej5Qu2LCy5Dkzd-ZehN5QUlJCm_eHcgQ1pXHxU1kR2pWUloSwJ2hHRVsVDan5U7TLpChETckJehHjgRDSMtY8RyeMCtKwutmhXzdBuTj4MFu3x8nfqWAijmtMyjrVT4A3IaycwXcwTT0cwXgfE8zxA760-zHh_WrN8XsJ1mm7TBBxryIY7B1OI2D4uUCw4HQu-AE76wBfrEmP-Jtf1kklm8GrTeiLcmoPM7iErbPJ5uItxJfo2aCmCK8e3lP0_ePlzflVcf310-fzs-tCcy5SwahpCRcdFariNXRqANFQZppG9z3vWF33NRdkUF3V9Qo0oUNtOB8orbTQvWan6N02dwn-xwoxydlGne9WDvwaZcWqquW0FW1G3_6DHvwaXN4uU22b96ioyFS7UTr4GAMMMps0q3AvKZHHLOVBPmYpj1lKSmXOMne-fpi_9jOYx76_4WXgbAMgG3JrIcio_5hsbACdpPH2vyK_ATJzuDo</recordid><startdate>202001</startdate><enddate>202001</enddate><creator>van Vooren, N.J.E</creator><creator>Steenkamer, B.M.</creator><creator>Baan, C.A.</creator><creator>Drewes, H.W.</creator><general>Elsevier B.V</general><general>Elsevier Science Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TQ</scope><scope>8BJ</scope><scope>DHY</scope><scope>DON</scope><scope>FQK</scope><scope>JBE</scope><scope>7X8</scope></search><sort><creationdate>202001</creationdate><title>Transforming towards sustainable health and wellbeing systems: Eight guiding principles based on the experiences of nine Dutch Population Health Management initiatives</title><author>van Vooren, N.J.E ; Steenkamer, B.M. ; Baan, C.A. ; Drewes, H.W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c448t-31d7048918a245e9afe8613d66cbb49355b5480fa929baec01f5d44f112c8cbc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Accountability</topic><topic>Cross-sector collaboration</topic><topic>Data</topic><topic>Delivery of Health Care, Integrated</topic><topic>Disease management</topic><topic>Financial incentives</topic><topic>Health administration</topic><topic>Health Care Reform</topic><topic>Health initiatives</topic><topic>Health Policy</topic><topic>Health status</topic><topic>Humans</topic><topic>Infrastructure</topic><topic>Interviews as Topic</topic><topic>Leadership</topic><topic>Management</topic><topic>Motivation</topic><topic>Netherlands</topic><topic>Politics</topic><topic>Population</topic><topic>Population Health Management</topic><topic>Realist evaluation</topic><topic>Relapse</topic><topic>Social Responsibility</topic><topic>Stakeholder Participation</topic><topic>Sustainability</topic><topic>Triple Aim</topic><topic>Well being</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Vooren, N.J.E</creatorcontrib><creatorcontrib>Steenkamer, B.M.</creatorcontrib><creatorcontrib>Baan, C.A.</creatorcontrib><creatorcontrib>Drewes, H.W.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>PAIS Index</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>MEDLINE - Academic</collection><jtitle>Health policy (Amsterdam)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Vooren, N.J.E</au><au>Steenkamer, B.M.</au><au>Baan, C.A.</au><au>Drewes, H.W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transforming towards sustainable health and wellbeing systems: Eight guiding principles based on the experiences of nine Dutch Population Health Management initiatives</atitle><jtitle>Health policy (Amsterdam)</jtitle><addtitle>Health Policy</addtitle><date>2020-01</date><risdate>2020</risdate><volume>124</volume><issue>1</issue><spage>37</spage><epage>43</epage><pages>37-43</pages><issn>0168-8510</issn><eissn>1872-6054</eissn><abstract>•This study provides insights based on experiences of nine Dutch PHM initiatives.•PHM initiatives vary in their development progress due to different strategies used.•Eight guiding principles reveal when, why and how to implement strategies.•Commitment, trust and leadership of main importance in first development phases.
Population Health Management initiatives are increasingly introduced, aiming to develop towards sustainable health and wellbeing systems. Yet, little is known about which strategies to implement during this development. This study provides insights into which strategies are used, why, and when, based on the experiences of nine Dutch Population Health Management initiatives.
The realist evaluation approach was used to gain an understanding of the relationships between context, mechanisms and outcomes when Population Health Management strategies were implemented. Data were retrieved from three interview rounds (n = 207) in 2014, 2016 and 2017. Data was clustered into guiding principles, underpinned with strategy-context-mechanism-outcome configurations.
The Dutch initiatives experienced different developments, varying between immediate large-scale collaborations with eventual relapse, and incremental growth towards cross-sector collaboration. Eight guiding principles for development towards health and wellbeing systems were identified, focusing on: 1. Shared commitment for a Population Health Management-vision; 2. Mutual understanding and trust; 3. Accountability; 4. Aligning politics and policy; 5. Financial incentives; 6. A learning cycle based on a data-infrastructure; 7. Community input and involvement; and 8. Stakeholder representation and leadership.
Development towards a sustainable health and wellbeing system is complex and time-consuming. Its success not only depends on the implementation of all eight guiding principles, but is also influenced by applying the right strategies at the right moment in the development.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>31806356</pmid><doi>10.1016/j.healthpol.2019.11.003</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Accountability Cross-sector collaboration Data Delivery of Health Care, Integrated Disease management Financial incentives Health administration Health Care Reform Health initiatives Health Policy Health status Humans Infrastructure Interviews as Topic Leadership Management Motivation Netherlands Politics Population Population Health Management Realist evaluation Relapse Social Responsibility Stakeholder Participation Sustainability Triple Aim Well being |
| title | Transforming towards sustainable health and wellbeing systems: Eight guiding principles based on the experiences of nine Dutch Population Health Management initiatives |
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