University of Twente Student Theses
Early health technology assessment of the Gezondheidsplein & Samen Kwiek
Jansen, Anouk (2024) Early health technology assessment of the Gezondheidsplein & Samen Kwiek.
Full text not available from this repository.
| Full Text Status: | Access to this publication is restricted |
| Abstract: | In the Netherlands, the growing demand for healthcare, rising costs, and workforce shortages highlight the need for innovative solutions. This study in the form of an early Health Technology Assessment (HTA), evaluates two interventions aimed at bridging healthcare and well-being: the Gezondheidsplein, a hospital-based service connecting patients to personalized health and well-being resources, and Samen Kwiek, a digital referral platform with an AI model to match users to local services. This study assesses the budget impact of these interventions compared to usual care for diabetes and chronic care patients. Additionally, we aim to identify the potential effects of Samen Kwiek on healthcare pathways from a societal perspective. In this study, a budget impact analysis (BIA) was conducted to evaluate two scenarios: first, the Gezondheidsplein versus usual care, and second, the Gezondheidsplein combined with Samen Kwiek versus usual care, focusing on diabetes and chronic care division patients at Rijnstate. A ten-year time horizon was used, and the BIA was conducted from the perspective of Rijnstate. Literature research informed the analysis and interview questions, exploring the effects of lifestyle interventions and referral systems on healthcare use and costs. Semi-structured interviews with healthcare professionals provided estimates for reductions in admissions, outpatient visits, and intervention uptake; these estimates were used in the BIA model and the sensitivity analysis. Additionally, a qualitative assessment explored the societal impact of Samen Kwiek through a scoping review and stakeholder interviews, identifying potential users, benefits, and effects on healthcare pathways. For diabetes patients, the Gezondheidsplein alone resulted in a total budget impact of €52,879 over ten years, indicating higher costs than savings. By combining it with Samen Kwiek a cost-saving budget impact of €-167,123 was reached, driven by a broader uptake and a larger reduction in outpatient visits. For chronic care division patients, the Gezondheidsplein alone showed a cost-saving budget impact of €-1,170,497, while the combined interventions resulted in a budget impact of €-3,750,787 over ten years. Investing in preventive interventions such as the Gezondheidsplein and Samen Kwiek can be useful for hospitals. These interventions have the potential to reduce resource use in usual care, enabling hospitals to reallocate saved resources to areas with greater need. This is particularly valuable given the growing demand for healthcare and ongoing workforce shortages, as it supports hospitals in addressing these challenges. |
| Item Type: | Essay (Master) |
| Clients: | Rijnstate |
| Faculty: | TNW: Science and Technology |
| Subject: | 44 medicine |
| Programme: | Health Sciences MSc (66851) |
| Link to this item: | https://purl.utwente.nl/essays/104767 |
| Export this item as: | BibTeX EndNote HTML Citation Reference Manager |
Show download statistics for this publication
Show download statistics for this publicationRepository Staff Only: item control page