Daan Westra
Biographic Data
| ID | 1731090 |
|---|---|
| NAME | Daan Westra |
| GIVEN NAMES | Daan |
| FAMILY NAME | Westra |
| SIGNATURE | WESTRA D |
| AFFILIATIONS | Maastricht University |
| ORCID | 0000-0003-1791-3626 |
| VERIFIED | Yes |
| TOTAL WORKS | 16 |
| TOTAL CITATIONS | 10 |
| AUTHOR COUNT | 16 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2014 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
The Reality of Vital Communities: A Multiple Case Study on Community-Based Initiatives
Background: Vital Communities (VCs) are emerging as innovative living arrangements within long-term care (LTC), designed to support individuals with complex care needs in leading meaningful lives while remaining connected to their communities. A VC seeks to integrate formal LTC with informal, community-based care, aiming to foster a more inclusive society for people requiring LTC. However, the conceptualization of VCs for people with LTC needs is…
Going in circles? - Identifying the dissemination process of healthcare networks within their member organizations
Purpose-oriented networks are the dominant organizational model for collaboratively addressing complex healthcare challenges. However, their impact on health outcomes remains limited, because organizations rarely adapt their practices based on network-level decisions. Using an in-depth multiple case study of three multi-hospital networks, we therefore developed a process model to understand the dissemination process from the network level to the …
Return to sender: Unraveling the role of structural and social network ties in patient sharing networks
Healthcare is increasingly delivered through networks of organizations. Well-structured patient sharing networks are known to have positive associations with the quality of delivered services. However, the drivers of patient sharing relations are rarely studied explicitly. In line with recent developments in network and integration theorizing, we hypothesize that structural and social network ties between organizations are uniquely associated wit…
A Social Network Analysis of Influences on Residents’ Value-Based Decisions
Two sides of the same coin? Absolute income and perceived income inadequacy as social determinants of health
Absolute income and perceived income inadequacy reflect conceptually different aspects of income and are independently associated with health outcomes. Perceived income inadequacy may be accounted for in health inequality studies, alongside measures of absolute income. In policy-making, targeting perceived income inadequacy might have potential to reduce health inequalities
Getting our hopes up: How actors perceive network effectiveness and why it matters
Health care's grand challenges, such as continuously increasing costs, challenge the sustainability of health systems. Purpose-oriented networks are considered a favorable mode of organization to address these grand challenges. Therefore, it is crucial that they are effective. While network effectiveness is a heavily theorized, multi-dimensional concept that is often measured as a perception of actors, little is known about how network actors per…
There and back again. Examining the development of employee commitment during a prolonged crisis
To effectively function and adapt in crises, healthcare organizations rely on the skills and commitment of their workforce. Yet, our current understanding of how employees' workplace commitment is affected by and evolves throughout the course of a crisis remains limited. In this paper, we explore the commitment of hospital staff to an important workplace target, the COVID-19 crisis response, and show how this commitment develops over time. We rep…
We’re Not Gonna Fall: Depressive Complaints, Personal Resilience, Team Social Climate, and Worries about Infections among Hospital Workers during a Pandemic
Maintaining hospital workers' psychological health is essential for hospitals' capacities to sustain organizational functioning during the COVID-19 pandemic. Workers' personal resilience can be an important factor in preserving psychological health, but how this exactly works in high stakes situations, such as the COVID-19 pandemic, requires further exploration. Similarly, the role of team social climate as contributor to individual psychological…
Is Loneliness an Undervalued Pathway between Socio-Economic Disadvantage and Health
Loneliness is a growing public health issue. It is more common in disadvantaged groups and has been associated with a range of poor health outcomes. Loneliness may also form an independent pathway between socio-economic disadvantage and poor health. Therefore, the aim of this study was to explore the contribution of loneliness to socio-economic health inequalities. These contributions were studied in a Dutch national sample ( n = 445,748 adults (…
Evaluating Primary Care Plus interventions in the Netherlands: Discussion of methods and results regarding the Quadruple Aim
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)
Coopetition in health care: A multi-level analysis of its individual and organizational determinants
Perspectives on Enabling Integration of Primary and Secondary Care
Context: Rising expenditures threaten the sustainability of many healthcare systems. In the Netherlands for example, health spending is predicted to rise from 13% of GDP in 2010, to 22% in 2040 [1], straining the affordability of the system [2]. In response, some governments have reformed their nation’s healthcare sector [3]. However, integrating the delivery of healthcare services could provide a more practical solution to curbing rising expendi…
Understanding specialist sharing: A mixed-method exploration in an increasingly price-competitive hospital market
Integrated health care delivery in Oncology using ‘Comprehensive Cancer Networks’
Introduction:In late 2013, 9 stakeholders, including the Dutch Federation of University Hospitals (NFU), the Dutch Hospital Federation (NVZ), and Top Clinical Hospitals (STZ), announced their plan to optimize delivery of oncology care in the Netherlands.In order to do so, cooperation among hospitals and between hospitals and primary care practices, in so-called 'Comprehensive Cancer Networks' (CCN), is to be intensified.The goal is to offer patie…
Understanding specialist sharing: A form of horizontal cooperation stimulating integrated care or an antitrust risk for competitive healthcare markets
Introduction: Mergers, market-entry of independent treatment centers, and new forms of collaboration and competition have surfaced since the introduction of price-competition in the Dutch specialized care sector in 2006. Such phenomena have the potential to modify competitive dynamics in healthcare markets with complex and long-term effects for integrated care, organizational performance, and patient outcomes
Price competitive policy reform and the influence on cooperative specialist networks
Literature is ambiguous towards the effect of price competition in healthcare. The year 2006 marked the introduction of several pro-competitive healthcare policy reforms in the Netherlands, in order to improve the price-quality ratios of delivered care. Currently, price is negotiable for 70% of hospital services. Although several new players have entered the market since 2006, it remains unclear to what extent healthcare providers actually compet…
Getting our hopes up: How actors perceive network effectiveness and why it matters
Health care's grand challenges, such as continuously increasing costs, challenge the sustainability of health systems. Purpose-oriented networks are considered a favorable mode of organization to address these grand challenges. Therefore, it is crucial that they are effective. While network effectiveness is a heavily theorized, multi-dimensional concept that is often measured as a perception of actors, little is known about how network actors per…
Understanding specialist sharing: A mixed-method exploration in an increasingly price-competitive hospital market
Coopetition in health care: A multi-level analysis of its individual and organizational determinants
Evaluating Primary Care Plus interventions in the Netherlands: Discussion of methods and results regarding the Quadruple Aim
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)
Price competitive policy reform and the influence on cooperative specialist networks
Literature is ambiguous towards the effect of price competition in healthcare. The year 2006 marked the introduction of several pro-competitive healthcare policy reforms in the Netherlands, in order to improve the price-quality ratios of delivered care. Currently, price is negotiable for 70% of hospital services. Although several new players have entered the market since 2006, it remains unclear to what extent healthcare providers actually compet…
Integrated health care delivery in Oncology using ‘Comprehensive Cancer Networks’
Introduction:In late 2013, 9 stakeholders, including the Dutch Federation of University Hospitals (NFU), the Dutch Hospital Federation (NVZ), and Top Clinical Hospitals (STZ), announced their plan to optimize delivery of oncology care in the Netherlands.In order to do so, cooperation among hospitals and between hospitals and primary care practices, in so-called 'Comprehensive Cancer Networks' (CCN), is to be intensified.The goal is to offer patie…
Understanding specialist sharing: A form of horizontal cooperation stimulating integrated care or an antitrust risk for competitive healthcare markets
Introduction: Mergers, market-entry of independent treatment centers, and new forms of collaboration and competition have surfaced since the introduction of price-competition in the Dutch specialized care sector in 2006. Such phenomena have the potential to modify competitive dynamics in healthcare markets with complex and long-term effects for integrated care, organizational performance, and patient outcomes
Perspectives on Enabling Integration of Primary and Secondary Care
Context: Rising expenditures threaten the sustainability of many healthcare systems. In the Netherlands for example, health spending is predicted to rise from 13% of GDP in 2010, to 22% in 2040 [1], straining the affordability of the system [2]. In response, some governments have reformed their nation’s healthcare sector [3]. However, integrating the delivery of healthcare services could provide a more practical solution to curbing rising expendi…
Understanding specialist sharing: A mixed-method exploration in an increasingly price-competitive hospital market
Coopetition in health care: A multi-level analysis of its individual and organizational determinants
Evaluating Primary Care Plus interventions in the Netherlands: Discussion of methods and results regarding the Quadruple Aim
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)
We’re Not Gonna Fall: Depressive Complaints, Personal Resilience, Team Social Climate, and Worries about Infections among Hospital Workers during a Pandemic
Maintaining hospital workers' psychological health is essential for hospitals' capacities to sustain organizational functioning during the COVID-19 pandemic. Workers' personal resilience can be an important factor in preserving psychological health, but how this exactly works in high stakes situations, such as the COVID-19 pandemic, requires further exploration. Similarly, the role of team social climate as contributor to individual psychological…
Is Loneliness an Undervalued Pathway between Socio-Economic Disadvantage and Health
Loneliness is a growing public health issue. It is more common in disadvantaged groups and has been associated with a range of poor health outcomes. Loneliness may also form an independent pathway between socio-economic disadvantage and poor health. Therefore, the aim of this study was to explore the contribution of loneliness to socio-economic health inequalities. These contributions were studied in a Dutch national sample ( n = 445,748 adults (…
There and back again. Examining the development of employee commitment during a prolonged crisis
To effectively function and adapt in crises, healthcare organizations rely on the skills and commitment of their workforce. Yet, our current understanding of how employees' workplace commitment is affected by and evolves throughout the course of a crisis remains limited. In this paper, we explore the commitment of hospital staff to an important workplace target, the COVID-19 crisis response, and show how this commitment develops over time. We rep…
A Social Network Analysis of Influences on Residents’ Value-Based Decisions
Two sides of the same coin? Absolute income and perceived income inadequacy as social determinants of health
Absolute income and perceived income inadequacy reflect conceptually different aspects of income and are independently associated with health outcomes. Perceived income inadequacy may be accounted for in health inequality studies, alongside measures of absolute income. In policy-making, targeting perceived income inadequacy might have potential to reduce health inequalities
Getting our hopes up: How actors perceive network effectiveness and why it matters
Health care's grand challenges, such as continuously increasing costs, challenge the sustainability of health systems. Purpose-oriented networks are considered a favorable mode of organization to address these grand challenges. Therefore, it is crucial that they are effective. While network effectiveness is a heavily theorized, multi-dimensional concept that is often measured as a perception of actors, little is known about how network actors per…
Return to sender: Unraveling the role of structural and social network ties in patient sharing networks
Healthcare is increasingly delivered through networks of organizations. Well-structured patient sharing networks are known to have positive associations with the quality of delivered services. However, the drivers of patient sharing relations are rarely studied explicitly. In line with recent developments in network and integration theorizing, we hypothesize that structural and social network ties between organizations are uniquely associated wit…
Going in circles? - Identifying the dissemination process of healthcare networks within their member organizations
Purpose-oriented networks are the dominant organizational model for collaboratively addressing complex healthcare challenges. However, their impact on health outcomes remains limited, because organizations rarely adapt their practices based on network-level decisions. Using an in-depth multiple case study of three multi-hospital networks, we therefore developed a process model to understand the dissemination process from the network level to the …
The Reality of Vital Communities: A Multiple Case Study on Community-Based Initiatives
Background: Vital Communities (VCs) are emerging as innovative living arrangements within long-term care (LTC), designed to support individuals with complex care needs in leading meaningful lives while remaining connected to their communities. A VC seeks to integrate formal LTC with informal, community-based care, aiming to foster a more inclusive society for people requiring LTC. However, the conceptualization of VCs for people with LTC needs is…
Business (10 works) · Political science (10 works) · Health care (9 works) · Medicine (9 works) · Psychology (8 works) · Public relations (7 works) · Economics (6 works) · Nursing (6 works) · Computer Science (5 works) · Integrated care (5 works)