Ronald Batenburg

Ronald Batenburg
Nivel – Research for better care | NIVEL

PhD

About

301
Publications
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2,706
Citations

Publications

Publications (301)
Chapter
What are skill-mix innovations and why are they relevant? This systemic analysis of health workforce skill-mix innovations provides an overview of the evidence and lessons for implementation across multiple countries. The authors focus on six core segments of health systems: health promotion and prevention, acute care, chronic care, long-term and p...
Article
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The first outbreak of the COVID-19 pandemic led to the introduction of the more extensive use of e-health in Dutch general practices. The objective of this study was to investigate the experiences of general practitioners (GPs) regarding this change. In addition, the necessary conditions for e-health technology to be of added value to general pract...
Article
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Huisartsenpraktijken pasten tijdens de coronapandemie hun organisatie aan, mede op basis van informatie en adviezen van hun beroepsorganisaties. De aanpassingen waren noodzakelijk om de zorg voor patiënten zo veel en zo veilig mogelijk doorgang te laten vinden, vaak op afstand. De pandemie zelf, de zorg op afstand en de strakkere geleiding van de p...
Article
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The COVID-19 pandemic has forced general practices to search for possibilities to provide healthcare remotely (e.g., e-health). In this study, the impact of the pandemic on the use of e-health in general practices in the Netherlands was investigated. In addition, the intention of practices to continue using e-health more intensively and differences...
Article
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Aim To describe variation in task shifting from general practitioners (GPs) to practice assistants/nurses in 34 countries, and to explain differences by analysing associations with characteristics of the GPs, their practices and features of the health care systems. Background Redistribution of tasks and responsibilities in primary care are driven...
Article
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REDACTIONEEL Evenwicht op de arbeidsmarkt van de zorg: een urgente en complexe beleidsopgave Ronald Batenburg Nivel, Radboud Universiteit, redactielid Tijdschrift voor Arbeidsvraagstukken r.batenburg@nivel.nl In dit 'reguliere' nummer van het Tijdschrift voor Arbeidsvraagstukken is weer een groot aantal bijdragen opgenomen die divers van onderwerp...
Article
Task shifting in healthcare has mainly been initiated and studied as a way to react to/or mitigate workforce shortages. Here, we define task shifting as the structural redistribution of tasks, usually including responsibilities and competencies between different professions. As such, task shifting is commonly focused on highly specialised and train...
Preprint
Full-text available
Introduction: Governments, purchasers and healthcare organizations see task reallocation as part of the solution for the increasing demand for care, increasing healthcare costs, and workforce shortages. Internationally, many governments are implementing policies regarding deployment of nurse practitioners (NPs) and physician assistants (PAs). Thus...
Presentation
Full-text available
Europe needs stronger health workforce research The COVID-19 pandemic made the merit of the health workforce visible. Following WHO, "ability of health systems to perform well and respond appropriately to the new challenges they face is strongly influenced by the availability of health workers with relevant skills, in sufficient numbers, located wh...
Preprint
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Background Since 1999 the Advisory Committee on Medical Manpower Planning (ACMMP) advises the Dutch government on the medical workforce capacity and the intake in training programs, as to achieve or maintain a balance on the labour market. One of the key parameters the ACMMP uses when calculating the required intake in training programs, is the att...
Preprint
Full-text available
Background Since 1999 the Advisory Committee on Medical Manpower Planning (ACMMP) advises the Dutch government on the medical workforce capacity and the intake in training programs, as to achieve or maintain a balance on the labour market. One of the key parameters the ACMMP uses when calculating the required intake in training programs, is the att...
Article
Background The Netherlands, though being a relatively small and densely populated country, is faced with a similar challenge as other countries in terms of regional differences in access to care and attractiveness for care workers to build their careers. Both in primary care and hospital care new solutions are being sought which should help resolve...
Article
Background The importance of a sustainable health workforce is increasingly recognised. However, the building of a future health workforce that is responsive to diverse population needs and demographic and economic change remains challenging. There is a need to improve research and education to address these questions effectively and build capacity...
Article
Background It is increasingly recognised that there is ‘no health without a workforce’ and that action has to be taken to develop an integrated and sustainable future health workforce. However, training and education opportunities are lacking for all those engaged in health workforce development. There is an urgent need for health systems and polic...
Article
Full-text available
Background: Research into the interventions of multidisciplinary collaboration within primary care often show limited effects on outcomes for patients. However, a feeling of urgency, involvement and perceived (dis-) advantages of professionals seem essential intermediates for success. This paper focuses on the relatively unexplored relationship bet...
Presentation
Full-text available
Universal coverage and people-centered health services require a workforce that is sufficient numerically, and that has the competencies and motivation to provide the services that correspond to the needs of European citizens. ...We urge future parliamentarians and future commissioners to consider supporting Member States’ efforts to build a health...
Article
Introduction Diseases such as periodontal disease and halitosis have a negative impact on both the economy and the quality of life worldwide; thus, poor oral health has become a public health concern. The aim of this study was to characterise the oral health status of visitors to a public health consumer's exhibition using demographic and social ch...
Book
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A people-centred health workforce in Europe: how to make it happen? Special Issue, Health Policy, 2018, 122(10), 1053-1148; guest editors Kuhlmann E, Batenburg R, Dussault G. The articles presented in this Special Issue introduce new empirical data and knowledge on a wide range of health workforce issues with a focus on Europe; https://www.science...
Article
Full-text available
In order to aid health workforce planning, we measured the number of hours worked by general practitioners (GPs). The twofold aim of this study consisted of assessing the feasibility, validity and reliability of an innovative method to measure working time and, second, to analyse differences in hours worked between six types of GPs divided by the c...
Article
https://doi.org/10.1016/j.healthpolicy.2018.09.006 In 2015, a special issue of Health Policy addressed the question ‘where are we going in health workforce governance in Europe?’[1]. .... In our summary we argued for integrated approaches, which moved ‘the health workforce issues out of the shadow of interest strategies of professional and provide...
Article
Full-text available
Objective An important reason why general practitioners (GPs) are less inclined to work in rural areas is a perception of a higher workload. This study assesses the differences in the workloads of GPs in rural and urban areas. We used two definitions of rurality, one based on the number of addresses per square kilometre, and a second defined by the...
Article
Full-text available
Purpose: To explore the effect of medical clowns and its relevant actors and conditions. Method: Semi-structured interviews were conducted with fourteen parents who had experiences with medical clowns in the Netherlands. Four focus groups were held with seven medical clowns and 25 healthcare professionals. The interviews and focus groups were audio...
Article
Background: An increasing number of countries are introducing new health professions, such as Nurse Practitioners (NPs) and Physician Assistants (PAs). There is however limited evidence, on whether these new professions are included in countries' workforce planning. Methods: A cross-country comparison of workforce planning methods. Countries wit...
Article
With many European countries facing health workforce shortages, especially in nursing, and an increasing demand for healthcare, the importance of healthcare assistants (HCAs) in modern healthcare systems is expected to grow. Yet HCAs' knowledge, skills, competences and education are largely unexplored. The study 'Support for the definition of core...
Article
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Background: The need for organisational development in primary care has increased as it is accepted as a means of curbing rising costs and responding to demographic transitions. It is only within such inter-organisational networks that small-scale practices can offer treatment to complex patients and continuity of care. The aim of this paper is to...
Research Proposal
Full-text available
Consultation for the next EU Research and Innovation Programme Statement on behalf of the European Public Health Association (EUPHA) section ‘Health Workforce Research’ Why Europe needs stronger health workforce research Changing patterns of health and illness with growing multimorbidity and ageing societies create new demand for health and soci...
Article
Full-text available
Background Measuring the working hours of general practitioners (GPs) is an important but complex task due to the effects of bias related to self-reporting, recall, and stress. In this paper we describe the deployment, feasibility, and implementation of an innovative method for measuring, in real time, GPs’ working time, plus the response to the st...
Article
Health workforce (HWF) planning and forecasting is faced with a number of challenges, most notably a lack of consistent terminology, a lack of data, limited model-, demand-based- and future-based planning, and limited inter-country collaboration. The Joint Action on Health Workforce Planning and Forecasting (JAHWF, 2013-2016) aimed to move forward...
Chapter
Polypharmic patients are patients who chronically use five or more medicines. The number of polypharmacy patients continues to increase even though it is a risk factor for morbidity and mortality. A medication review is an important measure to mitigate medication risks. It is known to effectively reduce the number of drug related problems per (poly...
Article
Full-text available
Background In several countries, the number of hours worked by general practitioners (GPs) has decreased, raising concern about current and impending workforce shortages. This shorter working week has been ascribed both to the feminisation of the workforce and to a younger generation of GPs who prefer more flexible working arrangements. There is, h...
Article
Full-text available
Background Our research is based on a technique for time sampling, an innovative method for measuring the working hours of Dutch general practitioners (GPs), which was deployed in an earlier study. In this study, 1051 GPs were questioned about their activities in real time by sending them one SMS text message every 3 h during 1 week. The required s...
Article
Ook voor statistieken geldt dat resultaten in het verleden geen garantie bieden voor de toekomst. Toch kunnen historische trends helpen de visie op de komende jaren beter te onderbouwen dan alleen met gevoel.
Article
Full-text available
De zorgsector is steeds meer in beweging. De sector wordt gekenmerkt door een stijgende vraag naar zorg (mede als gevolg van de vergrijzing), meer marktwerking, bezuinigingen, en technologische en medische innovaties. Daarnaast worden kwaliteitsnormen, in het kader van transparantie, steeds belangrijker en strenger gehandhaafd. Voor werknemers in d...
Article
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Background To examine the preferences for comprehensive services and facilities in a new proposed birth center which will be established in a large Dutch city, specifically among pregnant women from different ethnic backgrounds. Methods The analyses of this study were based on a survey among 200 pregnant women living in The Hague, the Netherlands i...
Article
In dit nummer van het Tijdschrift voor Arbeidsvraagstukken is een divers palet van artikelen opgenomen. Het demonstreert daarmee weer goed de lenigheid van een schijnbaar specialistisch tijdschrift. De arbeidsvraagstukken in dit nummer gaan over zelfstandigen zonder personeel, mantelzorgers, bijna-gepensioneerden, ouderen en jongere werklozen, en d...
Conference Paper
Full-text available
General practitioners (GPs) have to professionally manage their practice. Studies on the quality of GP educational programs revealed that the majority of GP students are dissatisfied with what they learn about running an own general practice. They learn mostly theory from textbooks as opposed to hands-on experience. The new-generation GPs are raise...
Research
Full-text available
Evaluation of home therapy with immunoglobulins provided by Sanquin Home Service. The perspective of patients, spouses and caregivers on the benefits and impact of this home therapy on the patients' quality of life.
Article
A deficit of one million healthcare workers forecasted in the European Union by 2020 turns the ‘universal truth’ that there is ‘no health without a workforce’ into the perhaps biggest challenge for future healthcare systems and services management. We argue that effective healthcare management needs systematic connections with health workforce macr...
Article
Full-text available
Van Hassel DTP, Van der Velden LFJ, Batenburg RS. Differences in general practitioner working hours. Huisarts Wet 2016;59(4):150-4. Background In the context of manpower planning, the number of hours worked by general practitioners was measured using a new and innovative method. The method was based on multiple point observations and made use of te...
Article
Full-text available
Van Hassel DTP, Van der Velden LFJ, Batenburg RS. Career changes among general practitioners. Huisarts Wet 2016;59(1):6-8. Background From both a training and a workforce perspective, it is important to know how the careers of general practitioners have evolved over time. Methods The NIVEL database of GPs registered between 1981 and 2011 was access...
Chapter
Polypharmic patients are patients who chronically use five or more medicines. The number of polypharmacy patients continues to increase even though it is a risk factor for morbidity and mortality. A medication review is an important measure to mitigate medication risks. It is known to effectively reduce the number of drug related problems per (poly...
Article
In this article, the different dimensions and determinants of health workforce planning (HWF) are investigated to improve context-sensitivity and mutual learning among groups of countries with similar HWF characteristics. A novel approach to scoring countries according to their HFW characteristics and type of planning is introduced using data colle...
Article
Full-text available
Introduction: Due to the lack of a theoretically embedded overview of the recent literature on medical career decision-making, this study provides an outline of these dynamics. Since differences in educational routes to the medical degree likely affect career choice dynamics, this study focuses on medical career decision-making in educational syst...
Chapter
Full-text available
The financial and economic crisis has had a visible but varied impact on many health systems in Europe, eliciting a wide range of responses from governments faced with increased financial and other pressures. This book maps health system responses by country, providing a detailed analysis of policy changes in nine countries and shorter overviews of...
Article
Purpose - Strategic alignment is a theory-based state that is considered as crucial for organizations in order to realize performance gains from Information Technology (IT) investments and deployments. Within the domain of purchasing and supply chain management there has been a growing interest on how purchasing strategy can be effectively aligned...
Article
Full-text available
Research on collaboration in primary care focuses on specific diseases or types of collaboration. We investigate the effects of such collaboration by bringing together the results of scientific studies. We conducted a systematic literature review of PubMed, CINAHL, Cochrane and EMBASE. The review was restricted to publications that test outcomes of...
Article
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Software development projects in the pharmaceutical industry are highly regulated as software failures can have a direct impact on the quality of medicinal product and therefore patient safety. Regulation is imposed from a governmental level but is also employed in the form of comprehensive industry standards. The strive for regulatory compliancy i...
Article
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Agile software development methods have a high adoption rate due to their proven business benefits. Its success has not yet been identified in the pharmaceutical industry, due to the industry’s incompatibility with generic agile methods. Comprehensive research has been done to engineer a tailored agile method driven by the needs of the industry. 14...
Article
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This study uses a knowledge transfer perspective, focusing both on 'disruptive' and 'commiting' consequences of teleworking affecting organisational knowledge transfer, to understand variations in the adoption and formalisation of teleworking practices in organisations. It hypothesises the influence of a set of conditions related to the so-called '...
Chapter
Full-text available
Health human resources (HHR) policy across the world is challenged by workforce shortages and mal-distribution of skills. Yet Europe holds top posi- tions in both quantity and quality of the health professional workforce. Staffing levels of skilled professionals are on average higher than in other Organization for Economic Co-operation and Developm...
Article
In the European Union, better workforce governance is increasingly recognized as burning policy issue. The healthcare sector is confronted with growing shortage and imbalances in the skill-mix and the imbalanced geographical distribution of health professionals. The future health workforce needs to respond to new healthcare needs resulting from dem...
Chapter
Application portfolio management concerns the management of all technology and applications, and is a complex task under pressure of increasing collaboration among hospitals. Various approaches to application portfolio management are described in existing literature, but are directed at commercial enterprises rather than health care organizations....
Article
Full-text available
From 2010-2014 70 projects aiming at more organisational development for integrated primary health care have been evaluated by a research consortium. The main research question was: what are the drivers behind the success of organisation development in primary health care? Based on the Total Quality Management Model (INK) we distinguished 10 cluste...
Article
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In dit artikel presenteren wij een high-level model voor de integrale beheersing van cyberrisico’s. Het model is ontworpen om organisaties strategische ondersteuning te bieden op dit nieuwe en complexe terrein. Het is generiek opgezet zodat organisaties systematisch hun huidige situatie kunnen analyseren en de belangrijkste verbeteringen vast kunne...
Article
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Introduction: While trust is recognized as a key element for successful collaboration in primary care, little empirical research has been done on the management of trust problems. This study examined how trust problems in primary care are managed by investing in coordination activities.
Article
Full-text available
Background Health workforce governance is increasingly recognized as a burning policy issue and focused on workforce shortages. Yet the most pressing problem is to solve maldistributions through governance and integration. Poor management of health human resources is relevant on all levels and areas of governance. Including, for instance, regiona...
Article
Traditional machine-paced work shows adverse effects on worker health and learning. It is hardly known whether technological pacing shows the same effects in computer work. Hypotheses on work stress and learning were formulated regarding the effects of technological pacing, in the context of computer work performed during at least half of the worki...