Creating Value-Based Health Care
The Research Line Creating Value-Based Health Care provides high-quality multidisciplinary research and teaching, aiming to contribute to the improvement of population health and individual well-being. Through better health systems, services and products, the research focuses on driving innovation and generating value across the entire health care continuum, addressing the broad spectrum from prevention to palliative care.
In a reality of scarcity, we carefully balance societal, organisational and personal values at the macro, meso and micro levels. To achieve these goals, the research line is strategically organised into three specialised units focusing on Health Economics and Health Technology Assessment, Redesigning and Sustainable Health Care, and Comparative Health.
Research and impact
We provide high-quality multidisciplinary research and teaching focusing on innovations in health services; its goal is to improve the quality of life of citizens and patients, as well as the quality, efficiency, and sustainability of health care. We aim to achieve this by studying interventions in an innovative way addressing the broad spectrum from prevention to palliative care.
News and research stories
Case studies
Showcasing the impact and societal relevance of the research within the Creating Value-Based Health Care research line.
Ik Snap Je Zorg: Healthcare Of The Future Starts With Understanding Each Other Better Today
Imagine solving the future of healthcare over a serving of fries. It might sound unconventional, but sitting down together in a local neighbourhood setting is exactly where the solution begins.
Bridging Science, Policy and Society CAPHRI’s Global Impact through WHO Collaborating Centres
The World Health Organisation has officially designated two research hubs within the CAPHRI as WHO Collaborating Centres. This recognition underscores their crucial role in supporting the WHO European Region.
Something Old, Something New: Measuring the Real Labour Cost of Healthcare Innovation
CAPHRI researchers are redefining how we assess the true workforce impact of new healthcare technologies, moving beyond simple time measurements to ensure innovations genuinely support a sustainable workforce.
Reablement in Action: Shifting Long-Term Care Focus
Demographic shifts force a rethink on aging. Many stay active, yet health changes can impact autonomy and purpose, values central to older adults.
Better evaluations of European health care systems through a standardised methodology
Health economists from various European countries are working closely together on three-year EU project PECUNIA to arrive at a standardised method for the economic assessment of health and health care interventions.
Improved patient care and increased job satisfaction among GPs
General practice must change due to an ageing population, staff shortages and growing GP workloads, says researcher Arianne Elissen. Rowan Smeets' PhD research suggests solutions: an innovative data tool, person-centred conversations and targetted follow-up actions.
Real-world data helps to improve patient care, decision-making and health policy
Digitisation in healthcare has led to an increase in health data. Electronic patient records, billing data, data from administrative and regulatory agencies, and data collected by medical devices and wearables provide a wealth of information.
South Limburg aims to reduce health gap by 25% in ten year
There is a persistent health gap between South Limburg and the rest of the Netherlands. By 2030, the region aims to have reduced this gap by 25 per cent.
'Primary care plus' is a strong alternative to hospital
A major reduction in health care costs per patient and shorter waiting lists, plus an increase in patient satisfaction with no detrimental effects on health outcomes. These are the key results of a multi-year trial of an alternative to regular hospital care dubbed 'primary care plus'.
VHC Projects
KANS - Kosteneffectieve toepassing van aanvalsdetectie hulpmiddelen voor risicovolle, nachtelijke epileptische aanvallen
Epileptic seizures occur unexpectedly and have a significant impact on the lives of people with epilepsy. In approximately 30% of all people with epilepsy, seizures cannot be adequately controlled with medication. Particularly when major seizures occur at night, they bring certain risks.
For people with epilepsy, medical devices are available that can detect seizures. When a major seizure occurs, these medical devices send an alarm to healthcare professionals or caregivers, so they can provide help if needed. However, these devices are currently only being used to a limited extent. This is partly due to insufficient evidence that detecting seizures leads to a better quality of life for people with epilepsy and to reduced healthcare and societal costs.
To determine the added value of seizure detection devices, more research is needed. In the KANS study, we will follow people living in a care facility who experience nocturnal epileptic seizures, first without and then with a seizure detection device (NightWatch or Epi-Care Free). We will investigate the impact of seizure detection devices on the percentage of correct and missed visits by caregivers after a seizure, quality of life, and healthcare and societal costs.
Read more about KANS
Research into the societal impact of Parkinson's disease
Parkinson’s disease has profound consequences — not only for those directly living with the condition, but also for their relatives and society as a whole. Due to the growing number of people with Parkinson’s, the pressure on healthcare is increasing. This entails rising societal costs, such as healthcare expenditures and a loss of labor potential for both patients and informal caregivers.
To ensure that healthcare remains of high quality and affordable for everyone in the future, we need to know exactly what a disease costs society. In this study, we look at the bigger picture. We do this by gathering information from professional practice: ranging from the costs of doctors and medication to the impact on daily work.
Read more about the societal impact of Parkinson's disease
PREVENT IT | Risk Management and Prevention of Antibiotics Resistance
PREVENT IT | Risk Management and Prevention of Antibiotics Resistance is a four-year project (2019-2022) co-funded by the Erasmus+ Programme of the European Union. With super-expertise in different health sciences fields and societal contexts, the project comprises 5 Indian universities, 4 European universities as well as 2 Non-Governmental Organizations from India. The vision of the project is a future where every individual is aware of antibiotic resistance (ABR) and empowered with the right education to address the issue of ABR. Therefore, PREVENT IT ABR Project aims to promote qualitative teaching activities in academia as well as in society.
Read more about PREVENT IT
Effectonderzoek Gezonde School aanpak: Doet de gezonde school ertoe en zo ja, onder welke condities?
To promote a healthy lifestyle among Dutch youth, the national Gezonde School (Healthy School) programme is being implemented. The objective is to foster health through education. To date, it remains unknown whether this approach is truly effective. Furthermore, if it does work, it is unclear which specific components contribute most to this success.
Read more about Effectonderzoek Gezonde School aanpak
Innovatie, implementatie en impact van de maatschappelijke beweging ‘Alles is Gezondheid…’ 2018-2021: een actiegerichte evaluatie
How can the partners, the Programme Council, and the Programme Office of ‘Alles is Gezondheid…’ (All is Health) secure and sustain the activities and outcomes resulting from the pledges, whilst simultaneously promoting the progress of the social movement and social innovations for the benefit of health?
Furthermore, how can the relationship between this social movement and health be operationalised and investigated, and what insights does this yield regarding the extent to which the movement contributes to the programme objectives?
Read more about Innovatie, implementatie en impact van de maatschappelijke beweging ‘Alles is Gezondheid…’ 2018-2021
PECUNIA - ProgrammE in Costing, resource use measurement and outcome valuation for Use in multi-sectoral National and International health economic evaluAtions.
PECUNIA will primarily address the unnecessary variations in the input cost and (health) outcome data of economic evaluations which limit the comparability, transferability and applicability of cost-effectiveness results within and across countries. It will address the scarcity of internationally standardised, generic tools for the assessment of both costs and outcomes focusing on the lack of harmonised multi-sectoral, multi-national and multi-person resource use measurement (RUM) instrument, harmonised reference unit cost information, and outcome assessment tools in the form of cross-national health utility value sets and guidance on broader wellbeing assessment, across many EU countries.
Read more about PECUNIA
ZMILE - Self Management Intervention in Epilepsy
In people with epilepsy, brain cells suddenly become overactive. As with all chronic conditions, the management and care surrounding these seizures take place primarily within the home environment. This requires both the individual with epilepsy and their immediate environment to possess the skills to manage this effectively. These are referred to as self-management skills.
In the ZMILE course, individuals with epilepsy learn to work on expanding their knowledge and skills to increase self-confidence and gain greater control over their condition.
Research indicates that this self-management course has the potential to be cost-effective, and patients, clinicians, and group leaders recommend embedding the course into usual care. Implementing a robust and well-structured self-management course may help to somewhat curb the ever-rising costs of healthcare.
Read more about ZMILE
CHEC list: Consensus Health Economic Criteria
Health care professionals, consumers, researchers, and policymakers can be overwhelmed by the sometimes unmanageably large number of studies on the efficacy and cost-effectiveness of health care interventions. Systematic reviews of these studies can help in making well-informed decisions on which intervention to adopt.
The Consensus Health Economic Criteria (CHEC) list is designed for conducting systematic reviews which are based on economic evaluation studies.
Read more about CHEC list
coOPERATOR: Developing a Country-Observatory for sharing best practices for vaccination promotion
European stakeholders face significant variability in addressing vaccination hesitancy and implementing COVID-19 vaccination campaigns among healthcare providers and the general population. Challenges include widespread hesitancy within the population and variations in the communication skills of healthcare providers. To address these issues, cross-country initiatives play a crucial role in knowledge-sharing, especially considering the observed differences in vaccine coverage during the COVID-19 pandemic.
The co-OPERATOR project seeks to capitalize on research findings by developing and piloting a knowledge hub, virtual observatory, and training system across participating countries and beyond. This proof-of-concept initiative aims to gather, structure, and disseminate knowledge, best practices, and resources related to stakeholders' strategies for COVID-19 vaccination and beyond. The primary focus lies in advancing communication and knowledge skills while addressing systemic barriers and facilitators for effectively promoting vaccination messages to the population.
Read more about coOPERATOR
