VP/2013/0362
With financial support from the European Union
Start-up meeting
King’s College London, February 6th
Eva Knies & Peter Leisink

Outline of presentation
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User involvement in the Netherlands: highly institutionalized
Hospitals
Secondary education
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Stakeholder organizations – interviews phase 2
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Selection of case studies – phase 3
April 16, 2020

User involvement in hospitals (1)
• Patient participation: making use of the unique expertise of patients aimed at increasing the quality of
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• care
Explicit focus on needs of individual patients
Balance between standardization and flexibility
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Increased patient participation since mid 1990s as a result of laws and regulations, increasing number of chronically ill patients and the introduction of market mechanisms
April 16, 2020

User involvement in hospitals (2)
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Law ‘Participation healthcare clients’ (1996)
Aim: a client council for each healthcare institution
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Programme ‘Seven rights for healthcare clients: investing in the care relationship’ (2008)
Ministry of Health, Welfare & Sport, client organisations, healthcare providers, insurance companies
Right for quality & safety, information, privacy, etc.
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Results of patient participation: balanced scorecard
Clinical results
Patient satisfaction
Organisation satisfaction
Compliance & efficiency
April 16, 2020

User involvement in hospitals (3)
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Five forms of patient participation: dependent on level of interaction (individual, process, organisation, system)
+ 5. Patient in the lead
4. Partnership
3. Advice
2. Consultation
1. Information
+ Influence professional -
April 16, 2020

User involvement in secundary education (1)
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Law ‘Participation in schools’ (1992, 2007)
Council composed of employees and students/parents is mandatory
Consultation and codetermination: Right to advise and approve
(some topics: right of initiative)
The ministry of Education, Culture & Science provides a budget for council members to take courses
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Involvement of students and parents is considered important for two reasons:
Successful school results for students (individual level)
Improving quality of education (macro level)
April 16, 2020

User involvement in secundary education (2)
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Forms of student and teacher involvement in secondary education
All schools: teacher-parent meetings, parent/student council
Optional: student satisfaction survey, thematic meetings for parents, home visits, involvement of parents in career orientation activities, …
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Bottom-up approach
Regulations and covenants are not sufficient – good practices must be shared and implemented
Network of involved stakeholders: share good practices to stimulate parent and student involvement (vocational orientation involving parents, parent involvement in student graduation projects, …)
April 16, 2020

National stakeholder organizations – interviews phase 2
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Hospitals
Ministry of Health, Welfare & Sport
Dutch Association of Hospitals (NVZ)
Trade unions: ABVAKABO FNV, CNV Publieke Zaak, FBZ Federatie van Beroepsorganisaties in de Zorg, NU’91
Federation of Patients and Consumer Organisations in the
Netherlands (NPCF)
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Secondary education
Ministry of Education, Culture & Science
Dutch council for secondary education (VO-raad)
Trade unions: AOb, ABVAKABO FNV, FvOv Federatie van
Onderwijsvakorganisaties, CNV Onderwijs
National Action Committee Students (LAKS)
April 16, 2020

Selection of case studies – phase 3
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Hospitals: www.kiesbeter.nl
Performance indicators determined by patient organisations, hospitals and insurance companies (example of indicator: ‘input from patients’)
Consumer quality index
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Secundary education: www.schoolvo.nl
Objective performance indicators: exam scores, graduation rate, …
Subjective performance indicators: student and parent satisfaction, …
April 16, 2020