University of Twente Student Theses


Service designs for Rijnstate@home

Stoker, N.H. (2019) Service designs for Rijnstate@home.

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Abstract:Healthcare in the Netherlands faces several challenges, such as the growth of healthcare expenses and technological developments. Solutions are developed around the world to limit expenses, increase capacity, prevent admissions, or shorten admissions.[1] Rijnstate has started the project Rijnstate@home with the aim to move clinical care from the hospital to the home of the patient. The aim of this study was to give insight on how to organize hospital care at home and describe multiple alternative designs with their facilitators and barriers. These facilitators and barriers can be used to make decisions during the implementation of Rijnstate@home. A literature study was performed to give insight on the current state of the literature. Stakeholders were interviewed to investigate their views on how hospital care at home should be organised. No clear definitions were found for hospital care at home. The motivation for choosing a certain service design is often not mentioned in the literature. Another observed problem during this research was the scale of the available programs. Stakeholders of Rijnstate could not decide about which service design is favourable. Costs were seen as an important factor in the decision for a service design. Collaboration between departments was considered as an important factor for the success of the service. Barriers and facilitators were collected to be able to give advice on how to make a decision for a service design. Recommendations for choosing a service design were given as well as recommendations on how to scale up.
Item Type:Essay (Master)
Rijnstate, Arnhem, Nederland
Faculty:TNW: Science and Technology
Subject:44 medicine
Programme:Health Sciences MSc (66851)
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