Paul Robben
Biographic Data
| ID | 4405119 |
|---|---|
| NAME | Paul Robben |
| GIVEN NAMES | Paul |
| FAMILY NAME | Robben |
| SIGNATURE | ROBBEN P |
| AFFILIATIONS | Erasmus University Rotterdam |
| VERIFIED | No |
| TOTAL WORKS | 10 |
| TOTAL CITATIONS | 36 |
| WORKS AS AUTHOR | 10 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2013 |
| LATEST PUBLICATION YEAR | 2020 |
| H-INDEX | 2 |
Transparency about internal audit results to reduce the supervisory burden
Many working hours of healthcare professionals are spent on administrative tasks. Administrative burden is caused by political choices, legislation, the requirements of health insurers and supervisors. Coordination between the parties involved, is lacking. Therefore, we studied to what extent sharing internal audit results of hospitals with external supervisors is possible and the necessary preconditions. We interviewed 42 individuals from six ho…
Care and support for older adults in The Netherlands living independently
The growth in the numbers of older adults needing long-term care has resulted in rising costs which have forced the Dutch government to change its long-term care system. Now, the local authorities have greater responsibility for supporting older adults and in prolonging independent living with increased support provided by the social network. However, it is unclear whether these older adults have such a network to rely upon. The objective of this…
Enhancing responsiveness and consistency
Discretion used to be considered a feature of individuals, but growing literature shows that it has collective features as well. To develop an understanding of the individual and cooperative work of inspectors in using discretion and the discretionary room granted to them, we compared two inspectorates: theCareQualityCommission (CQC) inEngland and theJointInspectorate forYouth (JIY) in theNetherlands. Our analysis reveals that inspectors engage w…
Patients' perspectives on the role of their complaints in the regulatory process
BACKGROUND: Governments in several countries are facing problems concerning the accountability of regulators in health care. Questions have been raised about how patients' complaints should be valued in the regulatory process. However, it is not known what patients who made complaints expect to achieve in the process of health-care quality regulation. OBJECTIVE: To assess expectations and experiences of patients who complained to the regulator. D…
Reconceptualizing regulation
The Dutch Healthcare Inspectorate has recently tried out a new form of inspection: System-Based Regulation (SBR). This article explores how SBR was situated in the healthcare context through a process of ‘experimentalist governance’. A qualitative formative evaluation was undertaken involving two years of participative observation, numerous iterations between data gathering and feedback in order to orient the next steps of the process. The evalua…
Framing and reframing critical incidents in hospitals
In healthcare systems in high-income countries, critical incidents are increasingly seen as an important indicator of the quality of care. Based on the rationale that there are important lessons to be learnt from mistakes and that insights into critical incidents will help to prevent them from happening again, there is a widespread assumption that conducting inquiries will contribute to improvements in patient safety. In this article, we draw on …
Including citizens in institutional reviews
BACKGROUND: Recent changes in the structure and policy context of Dutch health care have placed the issue of citizen participation high on the agenda of the Dutch Healthcare Inspectorate (IGZ), which conducts quality and safety reviews in medical practices and health-care institutions. With a few exceptions, the potential role that citizens can play in the regulation of health-care institutions is overlooked in research on patient/citizen partici…
Effects of Government Supervision on Quality of Integrated Diabetes Care
OBJECTIVES: The quality of integrated diabetes care is important for reducing the burden of diabetes. Therefore, we have evaluated the effect of a supervision program on the quality of integrated diabetes care in the Netherlands in the 2011-2012 period. METHODS: In this cluster RCT, the supervision program was assigned to randomly selected care groups providing care to diabetes patients. The supervision program included announcements of inspectio…
Children's journeys through organizations
Inspectorates have been criticized for assessing compliance with the rules rather than outcomes for children. In the N etherlands, inspectorates have developed a ‘journey tool’ to reconstruct children's travels through all the organizations providing care. Using document analysis and semi‐structured interviews, we evaluated how inspectors use this tool in practice. We applied an ontological theoretical framework to the coordination of care to ana…
Hiding complexity, uncertainty and ambiguity
As governmental tasks are decentralised (transferred from central government to administrative agencies and local governments), inspectorates are expected to strengthen their regulatory role and tackle social problems. This is difficult, however, when they must assess complex, uncertain or ambiguous situations in which the pre-defined assessment criteria that inspectorates normally use are either unavailable or contested by the actors involved. I…
Enhancing responsiveness and consistency
Discretion used to be considered a feature of individuals, but growing literature shows that it has collective features as well. To develop an understanding of the individual and cooperative work of inspectors in using discretion and the discretionary room granted to them, we compared two inspectorates: theCareQualityCommission (CQC) inEngland and theJointInspectorate forYouth (JIY) in theNetherlands. Our analysis reveals that inspectors engage w…
Care and support for older adults in The Netherlands living independently
The growth in the numbers of older adults needing long-term care has resulted in rising costs which have forced the Dutch government to change its long-term care system. Now, the local authorities have greater responsibility for supporting older adults and in prolonging independent living with increased support provided by the social network. However, it is unclear whether these older adults have such a network to rely upon. The objective of this…
Reconceptualizing regulation
The Dutch Healthcare Inspectorate has recently tried out a new form of inspection: System-Based Regulation (SBR). This article explores how SBR was situated in the healthcare context through a process of ‘experimentalist governance’. A qualitative formative evaluation was undertaken involving two years of participative observation, numerous iterations between data gathering and feedback in order to orient the next steps of the process. The evalua…
Children's journeys through organizations
Inspectorates have been criticized for assessing compliance with the rules rather than outcomes for children. In the N etherlands, inspectorates have developed a ‘journey tool’ to reconstruct children's travels through all the organizations providing care. Using document analysis and semi‐structured interviews, we evaluated how inspectors use this tool in practice. We applied an ontological theoretical framework to the coordination of care to ana…
Hiding complexity, uncertainty and ambiguity
As governmental tasks are decentralised (transferred from central government to administrative agencies and local governments), inspectorates are expected to strengthen their regulatory role and tackle social problems. This is difficult, however, when they must assess complex, uncertain or ambiguous situations in which the pre-defined assessment criteria that inspectorates normally use are either unavailable or contested by the actors involved. I…
Children's journeys through organizations
Inspectorates have been criticized for assessing compliance with the rules rather than outcomes for children. In the N etherlands, inspectorates have developed a ‘journey tool’ to reconstruct children's travels through all the organizations providing care. Using document analysis and semi‐structured interviews, we evaluated how inspectors use this tool in practice. We applied an ontological theoretical framework to the coordination of care to ana…
Framing and reframing critical incidents in hospitals
In healthcare systems in high-income countries, critical incidents are increasingly seen as an important indicator of the quality of care. Based on the rationale that there are important lessons to be learnt from mistakes and that insights into critical incidents will help to prevent them from happening again, there is a widespread assumption that conducting inquiries will contribute to improvements in patient safety. In this article, we draw on …
Including citizens in institutional reviews
BACKGROUND: Recent changes in the structure and policy context of Dutch health care have placed the issue of citizen participation high on the agenda of the Dutch Healthcare Inspectorate (IGZ), which conducts quality and safety reviews in medical practices and health-care institutions. With a few exceptions, the potential role that citizens can play in the regulation of health-care institutions is overlooked in research on patient/citizen partici…
Effects of Government Supervision on Quality of Integrated Diabetes Care
OBJECTIVES: The quality of integrated diabetes care is important for reducing the burden of diabetes. Therefore, we have evaluated the effect of a supervision program on the quality of integrated diabetes care in the Netherlands in the 2011-2012 period. METHODS: In this cluster RCT, the supervision program was assigned to randomly selected care groups providing care to diabetes patients. The supervision program included announcements of inspectio…
Patients' perspectives on the role of their complaints in the regulatory process
BACKGROUND: Governments in several countries are facing problems concerning the accountability of regulators in health care. Questions have been raised about how patients' complaints should be valued in the regulatory process. However, it is not known what patients who made complaints expect to achieve in the process of health-care quality regulation. OBJECTIVE: To assess expectations and experiences of patients who complained to the regulator. D…
Reconceptualizing regulation
The Dutch Healthcare Inspectorate has recently tried out a new form of inspection: System-Based Regulation (SBR). This article explores how SBR was situated in the healthcare context through a process of ‘experimentalist governance’. A qualitative formative evaluation was undertaken involving two years of participative observation, numerous iterations between data gathering and feedback in order to orient the next steps of the process. The evalua…
Enhancing responsiveness and consistency
Discretion used to be considered a feature of individuals, but growing literature shows that it has collective features as well. To develop an understanding of the individual and cooperative work of inspectors in using discretion and the discretionary room granted to them, we compared two inspectorates: theCareQualityCommission (CQC) inEngland and theJointInspectorate forYouth (JIY) in theNetherlands. Our analysis reveals that inspectors engage w…
Care and support for older adults in The Netherlands living independently
The growth in the numbers of older adults needing long-term care has resulted in rising costs which have forced the Dutch government to change its long-term care system. Now, the local authorities have greater responsibility for supporting older adults and in prolonging independent living with increased support provided by the social network. However, it is unclear whether these older adults have such a network to rely upon. The objective of this…
Transparency about internal audit results to reduce the supervisory burden
Many working hours of healthcare professionals are spent on administrative tasks. Administrative burden is caused by political choices, legislation, the requirements of health insurers and supervisors. Coordination between the parties involved, is lacking. Therefore, we studied to what extent sharing internal audit results of hospitals with external supervisors is possible and the necessary preconditions. We interviewed 42 individuals from six ho…
Political science (8 works) · Public relations (6 works) · Computer Science (5 works) · Health care (5 works) · Psychology (5 works) · Business (4 works) · Healthcare Quality and Management (4 works) · Law (4 works) · Medicine (4 works) · Nursing (4 works)