Hubertus J M Vrijhoef
Biographic Data
| ID | 1268576 |
|---|---|
| NAME | Hubertus J M Vrijhoef |
| GIVEN NAMES | Hubertus J M |
| FAMILY NAME | Vrijhoef |
| SIGNATURE | VRIJHOEF H J M |
| AFFILIATIONS | National University of Singapore |
| ORCID | 0000-0002-5539-4671 |
| VERIFIED | Yes |
| TOTAL WORKS | 64 |
| TOTAL CITATIONS | 87 |
| AUTHOR COUNT | 64 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2002 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 5 |
Towards a generic conceptual framework for the evaluation of task shifting in healthcare
BACKGROUND: Healthcare systems face urgent pressures, and task shifting offers potential solutions. However, measuring, interpreting, and comparing its effects is challenging, as outcomes depend on implementation level and context, highlighting the need for a context-sensitive and implementation-oriented framework in which different perspectives are considered. OBJECTIVE: To develop a conceptual framework enabling comprehensive evaluation of task…
Actionable policies for high-quality integrated long-term care
Introduction: The EU subsidised LAUREL-project (actionable policies for adopting high-quality integrated long-term care) aims to understand the regional differences in integrated long-term care (I-LTC) provisions in Europe, along with the associated support solutions. LTC services are often funded and organized across various levels and services and pose challenges to care coordination and continuity. However, reforms are underway to integrate th…
Governing Integrated Health and Social Care
This study highlights that governance is relatively neglected as a focus of attention in this context but addressing governance challenges is key for successful collaboration
Realist Evaluation of Home-Based Palliative Care Programme for Non-Cancer Patients
Introduction: Disproportionately higher deaths attributed to non-cancer causes in Singapore highlight the need for palliative beyond those with cancers. The Violet Program (ViP) was developed to provide home-based palliative to non-cancer patients residing in the Eastern region of Singapore. VIP aims to (i) reduce unnecessary acute hospital utilization (ii) improve symptoms management (iii) reduce caregiver burden through caregiver support (iv) h…
A Patient-Centred Medical Home Care Model for Community-Dwelling Older Adults in Singapore
Patient-Centred Medical Home (PCMH) is a strategy to enhance patient-centredness to improve care experience. We aimed to understand patient experience of an integrated PCMH model for complex community-dwelling older adults in Singapore. We used a mixed-method design with a prospective single-group pre-post quantitative component and a concurrent qualitative component. Participants were administered the validated Consumer Assessment of Health Prov…
Person‐centred care in primary care
This rapid realist review aims to explain how and why person-centred care (PCC) in primary care works (or not) among others for people with low health literacy skills and for people with a diverse ethnic and socioeconomic background, and to construct a middle-range programme theory (PT). Peered reviewed- and non-peer-reviewed literature (Jan 2013-Feb 2021) reporting on PCC in primary care was included. Selection and appraisal of documents were ba…
A Study Protocol of Realist Evaluation of Palliative Home Care Program for Non-Cancer Patients in Singapore
This study will be conducted in three phases: 1. development of initial program theory (IPT), 2. testing of programme theory, and 3. refinement of IPT. First, IPT will be elicited through review of programme documents, scoping review of reviews and in-depth interviews with stakeholders involved in the conceptualization of ViP. Then, a convergent mixed method study will be conducted to assess contexts (C), mechanisms (M) and outcomes (O) to test t…
Early Implementation of a Patient-Centered Medical Home in Singapore
Patient-Centered Medical Home (PCMH) has been found to improve care for complex needs patients in some countries but has not yet been widely adopted in Singapore. This study explored the ground-up implementation of a PCMH in Singapore by describing change strategies and unpacking initial experience and perception. In-depth interviews were conducted for twenty-two key informants from three groups: the implementers, their implementation partners, a…
Optimising Integrated Stroke Care in Regional Networks
This long-term analyses of stroke service development in the Netherlands, showed that between 2012 and 2019, integrated care activities within the regional stroke networks increased. Experience in collaboration between organisations within a network benefits the uptake of integrated care activities
Consensus on Integrated Care for Older People Among Dutch Experts
The initial PT was refined for the Dutch setting. Items on which no consensus was found, need to be further investigated on the reason behind it
Interacting with place and mapping community needs to context
Geospatial-qualitative methods, which combine both observation and interpretative accounts during data collection through extended exposure and movement in place, have been increasingly used to explore "person-place" interactions and assess communities of place. Despite their increased use, there is a lack of reflexive discussion on how they differ in capturing person-place interactions and ways to combine them. Drawing on our experiences using t…
Exploring the Perceptions of the Ageing Experience in Singaporean Older Adults
Understanding older adults perceptions of health and adaptation processes to ageing can allow for more culturally aligned services and better targeted care. The aim of this exploratory qualitative study was to examine older adults perceptions of physical, psychological and social health and further understand the processes of adaptation and self-management of these health perceptions. Semi-structured in depth interviews (IDI) were conducted with …
Promoting BioPsychoSocial health of older adults using a Community for Successful Ageing program (ComSA) in Singapore
Evaluation of an Integrated Dementia Care Network in the Northern part of Singapore
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Reduction in Specialist Outpatient Clinic Visits with an Integrated Care Programme for Frequent Admitters in Singapore
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Implementation of Integrated Care in Singapore
Drawing on the two examples of integrated care networks, this paper highlights the significance of effective collaboration built on a common focus, responsiveness to emergent behaviours, simple rules, the ability to self-organize and adapt in response to unexpected situations in further development of integrated care in the Singapore context and beyond
An Instrument to Measure Maturity of Integrated Care
The B3-MM dimensions, maturity indicators and assessment scale showed satisfactory content validity. While the B3-MM is a unique instrument based on existing knowledge and experiences of regions in integrated care, further testing is needed to explore other measurement properties of B3-MM
Comparing the implementation of integrated care across countries
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Barriers and Facilitators to Workforce Changes in Integrated Care
The added value of the present study lies in its provision of information on which factors might mitigate the success of an intervention, which helps to prevent premature conclusions of ineffectiveness for complex interventions
Workshop on Realist Evaluation for Integrated Care
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Scaling-up strategies of integrated care initiatives
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Hospital-Led Integrated Care for High need-High Cost Patients
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Validating the Rainbow Model of Integrated Care Measurement Tool
Background: Integrated care is an important strategy for improving the process and outcome of healthcare delivery for patients with complex needs. Until now, there has been no universally accepted and validated measurement tool for integrated care. This study aimed to validate The Rainbow Model of Integrated Care Measurement Tool (RMIC-MT) which assesses, using a self-administered questionnaire, micro level (clinical), meso level (professional an…
The Development, Description and Appraisal of an Emergent Multimethod Research Design to Study Workforce Changes in Integrated Care Interventions
We argue that the terminology developed for the description of mixed methods designs should also be used for multimethod designs such as the one presented here
Measuring maturity of integrated care
Introduction: Lessons learned from an observational study and based on unstructured interviews with twelve European health regions are represented in a new instrument, the B3-Maturity Model (B3-MM). B3-MM aims to assess maturity along 12 dimensions (i.e. Breadth of Ambition, Capacity Building, Citizen Empowerment, Evaluation Methods, Finance & Funding, Information & eHealth services, Innovation Management, Population Approach, Readiness to Change…
Towards a taxonomy for integrated care
This study contributes to the ongoing debate of defining the concept and typology of integrated care. This taxonomy provides a development agenda for establishing an accepted scientific framework of integrated care from an end-user, professional, managerial and policy perspective
Explaining the continuum of social participation among older adults in Singapore
To promote inclusiveness, ageing programs should address preferences for social participation, overcoming barriers at the individual, ethnic culture and policy level
A Prospective Validation Study of a Rainbow Model of Integrated Care Measurement Tool in Singapore
If the measure is deemed to be valid, the study will provide the first opportunity to measure integrated care within Singapore Regional Health System with the results allowing insights in making recommendations for improving the Regional Health System and supporting international comparison
Promoting BioPsychoSocial health of older adults using a Community for Successful Ageing program (ComSA) in Singapore
Barriers and Facilitators to Workforce Changes in Integrated Care
The added value of the present study lies in its provision of information on which factors might mitigate the success of an intervention, which helps to prevent premature conclusions of ineffectiveness for complex interventions
Effectiveness of Teamwork in an Integrated Care Setting for Patients with COPD
The conceptual framework Integrated Team Effectiveness Model is relevant in developing a practical full-spectrum instrument to facilitate discussing teamwork effectiveness. The Integrated Team Effectiveness Instrument provides a well-founded basis to self-evaluate teamwork effectiveness in integrated COPD care by healthcare providers. Recommendations are provided for the improvement of the instrument
A sociological focus on 'expert patients
The increase of chronic illness as a leading cause of death has given rise to self-care and expert patient initiatives. Caring for chronically ill people places a tremendous economic burden on the health care system, informal carers, the labour market and benefit system (Department of Health 2001, 2004, 2005). Thus, in many countries health policy encourages patients to become ‘experts’ in the self-management of their conditions in the belief tha…
Exploring the Perceptions of the Ageing Experience in Singaporean Older Adults
Understanding older adults perceptions of health and adaptation processes to ageing can allow for more culturally aligned services and better targeted care. The aim of this exploratory qualitative study was to examine older adults perceptions of physical, psychological and social health and further understand the processes of adaptation and self-management of these health perceptions. Semi-structured in depth interviews (IDI) were conducted with …
Optimising Integrated Stroke Care in Regional Networks
This long-term analyses of stroke service development in the Netherlands, showed that between 2012 and 2019, integrated care activities within the regional stroke networks increased. Experience in collaboration between organisations within a network benefits the uptake of integrated care activities
An Instrument to Measure Maturity of Integrated Care
The B3-MM dimensions, maturity indicators and assessment scale showed satisfactory content validity. While the B3-MM is a unique instrument based on existing knowledge and experiences of regions in integrated care, further testing is needed to explore other measurement properties of B3-MM
A multidisciplinary and multi-method research framework for studying integrated care in Flanders (Belgium)
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Implementation of Integrated Care in Singapore
Drawing on the two examples of integrated care networks, this paper highlights the significance of effective collaboration built on a common focus, responsiveness to emergent behaviours, simple rules, the ability to self-organize and adapt in response to unexpected situations in further development of integrated care in the Singapore context and beyond
Governing Integrated Health and Social Care
This study highlights that governance is relatively neglected as a focus of attention in this context but addressing governance challenges is key for successful collaboration
A Study Protocol of Realist Evaluation of Palliative Home Care Program for Non-Cancer Patients in Singapore
This study will be conducted in three phases: 1. development of initial program theory (IPT), 2. testing of programme theory, and 3. refinement of IPT. First, IPT will be elicited through review of programme documents, scoping review of reviews and in-depth interviews with stakeholders involved in the conceptualization of ViP. Then, a convergent mixed method study will be conducted to assess contexts (C), mechanisms (M) and outcomes (O) to test t…
Validating the Rainbow Model of Integrated Care Measurement Tool
Background: Integrated care is an important strategy for improving the process and outcome of healthcare delivery for patients with complex needs. Until now, there has been no universally accepted and validated measurement tool for integrated care. This study aimed to validate The Rainbow Model of Integrated Care Measurement Tool (RMIC-MT) which assesses, using a self-administered questionnaire, micro level (clinical), meso level (professional an…
Value-based integrated care
There is a growing recognition that implementing integrated service models for people with chronic diseases are an essential strategy to improve outcomes in terms of the Triple Aim goals patients’ experience of care, population health and costs per capita. In various countries, there has been a need for more social investment in health and the promotion of value-based approaches within care systems to achieve this.Despite the increasing popularit…
Improving homeless persons' utilisation of primary care
Elissen AMJ, Van Raak AJA, Derckx EWCC, Vrijhoef HJM. Improving homeless persons' utilisation of primary care: lessons to be learned from an outreach programme in The Netherlands Faced with rising homelessness, countries around the world are in need of innovative approaches to caring for those without shelter, who, more often than not, suffer from severe health problems. We conducted a case study of an innovative Dutch Primary Care for the Homele…
Participation of general practitioners in disease management
The factors predicting a negative attitude of Dutch GPs towards disease management dominate the factors predicting a positive attitude. The arguments in favour of disease management are matters of belief, for example concerning improvements in the quality of care, while arguments against are more concrete barriers e.g. high workload and financial reimbursement. Placed on the innovation timeline, the 10.4% participation might be taken to represent…
Towards managed primary care
Quality of integrated chronic care measured by patient survey
Objective To identify the most appropriate generic instrument to measure experience and/or satisfaction of people receiving integrated chronic care. Background Health care is becoming more user‐centred and, as a result, the experience of users of care and evaluation of their experience and/or satisfaction is taken more seriously. It is unclear to what extent existing instruments are appropriate in measuring the experience and/or satisfaction of p…
Fragmentation of chronic care
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Improving quality of chronic care by integrating the primary care setting
Purpose: One of the main barriers for further improving the quality of chronic care was the absence of performance-based financing. With the introduction of a Diagnosis-Based Costing method (DBC) within primary care, a new organisational model is implemented in the region Maastricht. This integrated care model includes all relevant stakeholders, such as GPs, district nurses, dieticians, nurse practitioners, practice assistants, physiotherapists a…
A sociological focus on 'expert patients
The increase of chronic illness as a leading cause of death has given rise to self-care and expert patient initiatives. Caring for chronically ill people places a tremendous economic burden on the health care system, informal carers, the labour market and benefit system (Department of Health 2001, 2004, 2005). Thus, in many countries health policy encourages patients to become ‘experts’ in the self-management of their conditions in the belief tha…
Author Response
The Patients Assessment of Chronic Illness Care (PACIC) questionnaire assesses the extent to which patients with chronic illness receive care that aligns with the Chronic Care Model: measuring care that is patient-centred, proactive, planned and includes collaborative goal setting, problem-solving and follow-up support.1 In contrast to the setting in the study by Wensing et al.,2 i.e. rural general practice in the Netherlands, we applied the PACI…
Improving homeless persons' utilisation of primary care
Elissen AMJ, Van Raak AJA, Derckx EWCC, Vrijhoef HJM. Improving homeless persons' utilisation of primary care: lessons to be learned from an outreach programme in The Netherlands Faced with rising homelessness, countries around the world are in need of innovative approaches to caring for those without shelter, who, more often than not, suffer from severe health problems. We conducted a case study of an innovative Dutch Primary Care for the Homele…
Improving sexual health for HIV patients by providing a combination of integrated public health and hospital care services; a one-group pre- and post test intervention comparison
The HIV patients in our study generally considered sexual health important, but the regular counselling and testing at the HIV care visit was insufficient. The integration of public health and hospital services benefited both care sectors and their patients by addressing sexual health questions, detecting STIs, and conducting partner notification. Successful sexual health care uptake requires increased awareness among patients about their care op…
Tailored Telemonitoring in patients with heart failure
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Barriers to implementation of a redesign of information transfer and feedback in acute care
Background: Accurate information transfer is an important element of continuity of care and patient safety Despite the demonstrated urge for improvement of communication in acute care, there is a lack of data on improvements of communication This study aims to describe the barriers to implementation of a redesign of information transfer and feedback
Unraveling the concept of Integrated Care
Purpose: To systematically study scientific articles that provide a description and/or a refinement of an integrated care model or program, and to identify the relations between objects and components in a taxonomy of integrated care
Evaluating staff satisfaction in the Patient Centered Medical Home pilot project in Singapore
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
A multidisciplinary and multi-method research framework for studying integrated care in Flanders (Belgium)
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Towards an integrated care measurement
Although a shift towards care that is more integrated is required, the concept of integrated care is ambiguous. Consequently, an instrument to systematically describe and measure integrated care is not yet available. The objective of this study was to develop a preliminary version of this instrument. We performed a systematic literature review and a 2-round Delphi study among Dutch scientific and field experts on integrated care. Based on this st…
Is Europe putting theory into practice? A study of the level of Self-Management Support in coordinated care approaches for chronically ill
Objectives: This study explores whether and how self-management support (SMS), a key element of well-coordinated chronic care, is integrated into existing chronic care approaches in 13 European countries
Factors influencing acceptance of technology for aging in place
Identification of mechanisms enabling integrated care for patients with chronic diseases
INTRODUCTION: Notwithstanding care for chronically ill patients requires a shift towards care that is well coordinated and focused on prevention and self-care, the concept of integrated care lacks specificity and clarity. This article presents a literature review to identify mechanisms for achieving integrated care objectives. THEORY AND METHODS: Existing models often present a large variety of dimensions, archetypes and categories of integration…
Analysing hydra-headed integrated care
Given that integrated care includes many different aspects, a study of how integration of care can be best be developed calls for an equally integrated research approach. The CORTEXS research project on integrated care in Flanders (Belgium) has developed a research design that takes (part of) this multi-facetedness and complexity into account. The research design involves multiple disciplines, levels of analysis, and methods. (1) The multidiscipl…
More black box to explore
Background: Forming collaborative partnerships is a prominent strategy that is used to promote integrated service delivery across health and social service systems. Evidence on the underlying collaboration process dynamics through which partnerships evolve in an integrated care setting lacks. This study explores the longitudinal relationship of collaboration process dynamics (shared ambition, insight in mutual gains, relationship dynamics, organi…
Cortexs
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Opening the black box of integrated care; an exploratory study of a large scale integrated care program in the Netherlands
Background: Designed to enhance the integration of services in a primary care (outpatient) setting, the Primary focus program funds 70 integrated care projects (ICP). Main objective of this study was to determine the patterns of integrated care among the ICP. An evaluation framework was developed to assess the focus (person vs. population), level (clinical, professional, organisational and system) and enablers (functional vs. normative) of integr…
Measurement of Integrated Care on the level of Regional Health System in Singapore
In response to the rapidly aging population of Singapore and the increasing demands on healthcare, the Singapore healthcare system was reorganized into six regional health systems (RHS) according to geographic locations to provide a better integrated health system. In each of the RHS, an acute hospital works closely with the community hospital, nursing homes, homecare providers, general practitioners and polyclinics to deliver seamless and holist…
Bringing order out of chaos
Background: Integrated care is promoted in many high income countries as a means to address staff shortages, complex health needs and the fragmentation of care. Interpretation and comparison of integrated care approaches have been compromised by the lack of a common taxonomy and understanding of the concepts involved. The objective of this study was to develop a taxonomy of determinants based on a consensus building process
Implementation of integrated care for type 2 diabetes
The implementation of integrated care for diabetes type 2 is an under-researched area. Insights from this study could be applied to other settings as well as other chronic conditions to strengthen the evidence on the implementation of integrated care
Medicine (49 works) · Health care (44 works) · Computer Science (37 works) · Nursing (37 works) · Interprofessional Education and Collaboration (31 works) · Political science (31 works) · Integrated care (30 works) · Psychology (24 works) · Business (21 works) · Process management (18 works)