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8. Towards learning healthcare systems: Collaboration and boundary crossing in research and practice

Author

Vermond, Debbie, Wit, N.J. de, Zwart, D.L.M., Groot, E. de, and University Utrecht

Subjects
learning, collaboration, boundary crossing, healthcare, networks, transmural care, social network analysis, cultural historical activity theory
Abstract

The complex balance between scientific evidence, clinical expertise and the patient’s experience makes healthcare systems prone to inefficiency and fragmentation. This sparks the interest into a care system that aligns the input from researchers providing scientific evidence, healthcare professionals building their clinical expertise on that, and patients experiencing outcomes: a Learning Healthcare System (LHS). Yet, to build such a system requires insight into the role of, and interplay between, researchers, healthcare professionals and patients. In the first part of this thesis, we zoom in on the role of researchers. Using a Social Network Analysis (SNA) perspective, we explore with whom they collaborate, how, and why. The second part of this thesis focuses on the role of healthcare professionals and patients. We assess how the process of collaboration between them unfolds from a Cultural Historical Activity Theory (CHAT) perspective. We conclude that combining different units of analysis (researchers, healthcare professionals and patients) and theoretical frameworks (e.g. SNA and CHAT) is necessary to understand and develop a complex system as the LHS. We should increasingly think in, design and invest in healthcare networks and research communities – and, essentially, include herein the patient perspective as one on which developments and changes are based.

Published
2023

9. The evolution and co-evolution of a primary care cancer research network: From academic social connection to research collaboration

Author

Vermond, Debbie, De Groot, Esther, Sills, Valerie A, Lyratzopoulos, Georgios, Walter, Fiona M, De Wit, Niek J, Rubin, Greg, Vermond, Debbie [0000-0002-9552-2340], and Apollo - University of Cambridge Repository

Subjects
FOS: Computer and information sciences, Medicine and health sciences, Male, Computer and information sciences, Multidisciplinary, Biomedical Research, Biology and life sciences, Primary Health Care, FOS: Social sciences, Social sciences, Authorship, Research Personnel, Bibliometrics, Neoplasms, Humans, Female, Research Article
Abstract

Academic networks are expected to enhance scientific collaboration and thereby increase research outputs. However, little is known about whether and how the initial steps of getting to know other researchers translates into effective collaborations. In this paper, we investigate the evolution and co-evolution of an academic social network and a collaborative research network (using co-authorship as a proxy measure of the latter), and simultaneously examine the effect of individual researcher characteristics (e.g. gender, seniority or workplace) on their evolving relationships. We used longitudinal data from an international network in primary care cancer research: the CanTest Collaborative (CanTest). Surveys were distributed amongst CanTest researchers to map who knows who (the ‘academic social network’). Co-authorship relations were derived from Scopus (the ‘collaborative network’). Stochastic actor-oriented models were employed to investigate the evolution and co-evolution of both networks. Visualizing the development of the CanTest network revealed that researchers within CanTest get to know each other quickly and also start collaborating over time (evolution of the academic social network and collaborative network respectively). Results point to a stable and solid academic social network that is particularly encouraging towards more junior researchers; yet differing for male and female researchers (the effect of individual researcher characteristics). Moreover, although the academic social network and the research collaborations do not grow at the same pace, the benefit of creating academic social relationships to stimulate effective research collaboration is clearly demonstrated (co-evolution of both networks).

Published
2022

11. Factors determining development of researchers within a research network on cancer diagnosis in primary care (CanTest): an interview study

Author

De Groot, Esther, Vermond, Debbie, Sills, Valerie A, Mol, Saskia SL, Walter, Fiona M, Rubin, Greg, De Wit, Niek J, de Groot, Esther [0000-0003-0388-385X], Walter, Fiona M [0000-0002-7191-6476], Rubin, Greg [0000-0002-4967-0297], and Apollo - University of Cambridge Repository

Subjects
primary care, human resource management, Knowledge, Primary Health Care, medical education & training, Neoplasms, oncology, Humans, Learning, General Medicine, Qualitative Research, Research Personnel
Abstract

ObjectivesDeveloping connections with other researchers in a network, learning informally through these connections and using them to reach goals, is expected to increase research capacity and strengthen performance. So far, this has not been empirically demonstrated. We assessed what and how network collaboration adds to development of researchers.DesignExploratory qualitative study using semistructured online interviews, analysed by inductive and deductive methods. For the deductive analysis, an existing value creation framework to study informal learning in networks was used and adjusted to our context.SettingThe CanTest Collaborative—an international team of primary care cancer researchers working on early detection and diagnosis of cancer.ParticipantsSixteen primary care cancer researchers.ResultsConnections with other researchers in an international network created diverse value cycles, where most outcomes were in the potential value cycle, acquiring knowledge, skills, social capital, resources and ideas. Not all potential value will be applied but many interviewees described realised as well as transformational value. In our context, the transformational value from the framework appeared to be related to other perspectives on the research process. Advancement of the network depends on opportunities, timing, role models and connections between different perspectives.ConclusionsFocus on the factors that are relevant for network advancement will support researchers in early detection and diagnosis of cancer research patients who participate in an international network and bring sustainable change in this domain. When, subsequently, researchers in the CanTest network bring about more realised and transformational learning outcomes, this will contribute to capacity development.

Published
2022

12. Dealing with Discontinuity in Cancer Care Trajectories: Patients’ Solutions

Author

Onderwijs- en Studentzaken, Leerstoel Akkerman, Education and Learning: Development in Interaction, Vermond, Debbie, el Habhoubi, Souad, de Groot, Esther, Bronkhorst, Larike, de Wit, Niek, Zwart, Dorien, Onderwijs- en Studentzaken, Leerstoel Akkerman, Education and Learning: Development in Interaction, Vermond, Debbie, el Habhoubi, Souad, de Groot, Esther, Bronkhorst, Larike, de Wit, Niek, and Zwart, Dorien

Published
2022

13. A delicate balance: how physicians manage change towards collaborative care within their institutions

Author

HAG Zorginnovatieonderzoek, Huisartsopleiding, Julius Centrum, Child Health, Circulatory Health, Cancer, JC Overig onderzoek, General Practice & Nursing Science, Other research (not in main researchprogram), Vermond, Debbie, de Groot, Esther, de Wit, Niek, Zwart, Dorien, HAG Zorginnovatieonderzoek, Huisartsopleiding, Julius Centrum, Child Health, Circulatory Health, Cancer, JC Overig onderzoek, General Practice & Nursing Science, Other research (not in main researchprogram), Vermond, Debbie, de Groot, Esther, de Wit, Niek, and Zwart, Dorien

Published
2022

14. The evolution and co-evolution of a primary care cancer research network: From academic social connection to research collaboration

Author

HAG Zorginnovatieonderzoek, Huisartsopleiding, Julius Centrum, Child Health, Circulatory Health, Cancer, JC Overig onderzoek, Vermond, Debbie, de Groot, Esther, Sills, Valerie A., Lyratzopoulos, Georgios, Walter, Fiona M., de Wit, Niek J., Rubin, Greg, HAG Zorginnovatieonderzoek, Huisartsopleiding, Julius Centrum, Child Health, Circulatory Health, Cancer, JC Overig onderzoek, Vermond, Debbie, de Groot, Esther, Sills, Valerie A., Lyratzopoulos, Georgios, Walter, Fiona M., de Wit, Niek J., and Rubin, Greg

Published
2022

15. Factors determining development of researchers within a research network on cancer diagnosis in primary care (CanTest): an interview study

Author

Huisartsopleiding, HAG Zorginnovatieonderzoek, Curr. Onderwijs Huisartsgeneeskunde, Julius Centrum, Child Health, Circulatory Health, Cancer, JC Overig onderzoek, de Groot, Esther, Vermond, Debbie, Sills, Valerie A., Mol, Saskia S.L., Walter, Fiona M., Rubin, Greg, de Wit, Niek J., Huisartsopleiding, HAG Zorginnovatieonderzoek, Curr. Onderwijs Huisartsgeneeskunde, Julius Centrum, Child Health, Circulatory Health, Cancer, JC Overig onderzoek, de Groot, Esther, Vermond, Debbie, Sills, Valerie A., Mol, Saskia S.L., Walter, Fiona M., Rubin, Greg, and de Wit, Niek J.

Published
2022

16. Dealing with Discontinuity in Cancer Care Trajectories: Patients’ Solutions

Author

HAG Zorginnovatieonderzoek, Huisartsopleiding, Julius Centrum, Child Health, Circulatory Health, Cancer, JC Overig onderzoek, General Practice & Nursing Science, Other research (not in main researchprogram), Vermond, Debbie, el Habhoubi, Souad, de Groot, Esther, Bronkhorst, Larike, de Wit, Niek, Zwart, Dorien, HAG Zorginnovatieonderzoek, Huisartsopleiding, Julius Centrum, Child Health, Circulatory Health, Cancer, JC Overig onderzoek, General Practice & Nursing Science, Other research (not in main researchprogram), Vermond, Debbie, el Habhoubi, Souad, de Groot, Esther, Bronkhorst, Larike, de Wit, Niek, and Zwart, Dorien

Published
2022

19. How Do Care Transitions Work?: Unraveling the Working Mechanisms of Care Transition Interventions

Author

General Practice & Nursing Science, Other research (not in main researchprogram), JC Overig onderzoek, HAG Zorginnovatieonderzoek, Zwart, Dorien L.M., Schnipper, Jeffrey L., Vermond, Debbie, Bates, David W., General Practice & Nursing Science, Other research (not in main researchprogram), JC Overig onderzoek, HAG Zorginnovatieonderzoek, Zwart, Dorien L.M., Schnipper, Jeffrey L., Vermond, Debbie, and Bates, David W.

Published
2021

20. Developing a regional transmural care database: A roadmap

Author

HAG Zorginnovatieonderzoek, HAG Oncologie, Cancer, JC onderzoeksprogramma Cancer, General Practice & Nursing Science, Huisartsopleiding, Julius Centrum, Child Health, Circulatory Health, JC Overig onderzoek, Other research (not in main researchprogram), Vermond, Debbie, Helsper, Charles W, Kortekaas, Marlous F, Boekema, Nicole, de Groot, Esther, de Wit, Niek J, Zwart, Dorien L M, HAG Zorginnovatieonderzoek, HAG Oncologie, Cancer, JC onderzoeksprogramma Cancer, General Practice & Nursing Science, Huisartsopleiding, Julius Centrum, Child Health, Circulatory Health, JC Overig onderzoek, Other research (not in main researchprogram), Vermond, Debbie, Helsper, Charles W, Kortekaas, Marlous F, Boekema, Nicole, de Groot, Esther, de Wit, Niek J, and Zwart, Dorien L M

Published
2021

21. Let's stop dumping cookstoves in local communities. It's time to get implementation right

Author

Brakema, Evelyn A., Van der Kleij, Rianne Mjj, Vermond, Debbie, Van Gemert, Frederik A., Kirenga, Bruce, Chavannes, Niels H., An, Pham Le, Anastasaki, Marilena, Akylbekov, Azamat, Barton, Andy, Bertsias, Antonios, Binh, Pham Duong Uyen, Van Boven, Job F. M., Burges, Dennis, Cartwright, Lucy, Chatzea, Vasiliki E., Cragg, Liza, Dang, Tran Ngoc, Dautov, Ilyas, Emilov, Berik, Ferarrio, Irene, Hedrick, Ben, Thi Cam Hong, Le Huynh, Hopkinson, Nick, Isaeva, Elvira, Jones, Rupert, De Jong, Corina, Van Kampen, Sanne, Katagira, Winceslaus, Kjaergaard, Jesper, Kocks, Janwillem, Lan, Le Thi Tuyet, Linh, Tran Thanh Duv, Lionis, Christos, Loan, Kim Xuan, Mademilov, Maamed, McEwen, Andy, Musinguzi, Patrick, Nantanda, Rebecca, Ndeezi, Grace, Papadakis, Sophia, Pinnock, Hilary, Pooler, Jillian, Poot, Charlotte C., Postma, Maarten J., Poulsen, Anja, Powell, Pippa, Quynh, Nguyen Nhat, Reventlow, Susanne, Sifaki-Pistolla, Dimitra, Singh, Sally, Sooronbaev, Talant, Correia de Sousa, Jaime, Stout, James, Stubbe ostergaard, Marianne, Tabyshova, Aizhamal, Tsiligianni, Ioanna, Tuan, Tran Diep, Tumwine, James, Van, Le Thanh, Vinh, Nguyen Nhu, Walusimbi, Simon, Warren, Louise, Williams, Sian, Brakema, Evelyn A., Van der Kleij, Rianne Mjj, Vermond, Debbie, Van Gemert, Frederik A., Kirenga, Bruce, Chavannes, Niels H., An, Pham Le, Anastasaki, Marilena, Akylbekov, Azamat, Barton, Andy, Bertsias, Antonios, Binh, Pham Duong Uyen, Van Boven, Job F. M., Burges, Dennis, Cartwright, Lucy, Chatzea, Vasiliki E., Cragg, Liza, Dang, Tran Ngoc, Dautov, Ilyas, Emilov, Berik, Ferarrio, Irene, Hedrick, Ben, Thi Cam Hong, Le Huynh, Hopkinson, Nick, Isaeva, Elvira, Jones, Rupert, De Jong, Corina, Van Kampen, Sanne, Katagira, Winceslaus, Kjaergaard, Jesper, Kocks, Janwillem, Lan, Le Thi Tuyet, Linh, Tran Thanh Duv, Lionis, Christos, Loan, Kim Xuan, Mademilov, Maamed, McEwen, Andy, Musinguzi, Patrick, Nantanda, Rebecca, Ndeezi, Grace, Papadakis, Sophia, Pinnock, Hilary, Pooler, Jillian, Poot, Charlotte C., Postma, Maarten J., Poulsen, Anja, Powell, Pippa, Quynh, Nguyen Nhat, Reventlow, Susanne, Sifaki-Pistolla, Dimitra, Singh, Sally, Sooronbaev, Talant, Correia de Sousa, Jaime, Stout, James, Stubbe ostergaard, Marianne, Tabyshova, Aizhamal, Tsiligianni, Ioanna, Tuan, Tran Diep, Tumwine, James, Van, Le Thanh, Vinh, Nguyen Nhu, Walusimbi, Simon, Warren, Louise, and Williams, Sian

Published
2020

25. High Liver Enzyme Concentrations are Associated with Higher Glycemia, but not with Glycemic Variability, in Individuals without Diabetes Mellitus

Author

Noordam, Raymond, primary, Vermond, Debbie, additional, Drenth, Hermijntje, additional, Wijman, Carolien A., additional, Akintola, Abimbola A., additional, van der Kroef, Sabrina, additional, Jansen, Steffy W. M., additional, Huurman, Neline C., additional, Schutte, Bianca A. M., additional, Beekman, Marian, additional, Slagboom, P. Eline, additional, Mooijaart, Simon P., additional, and van Heemst, Diana, additional

Published
2017
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26. Let's stop dumping cookstoves in local communities. It's time to get implementation right.

Author

Brakema, Evelyn A, van der Kleij, Rianne Mjj, Vermond, Debbie, van Gemert, Frederik A, Kirenga, Bruce, Chavannes, Niels H, FRESH AIR collaborators, An, Pham Le, Anastasaki, Marilena, Akylbekov, Azamat, Barton, Andy, Bertsias, Antonios, Binh, Pham Duong Uyen, van Boven, Job F M, Burges, Dennis, Cartwright, Lucy, Chatzea, Vasiliki E, Cragg, Liza, Dang, Tran Ngoc, and Dautov, Ilyas

Abstract

We most welcome the comment by Thakur, van Schayck and Boudewijns[1] on our article on the effects and acceptability of implementing improved cookstoves.[2] Adoption rates of improved cookstoves by local communities are often strikingly low. Furthermore, funders, non-governmental organisations, and development institutions such as the World Bank should exclusively grant support for proposals and project plans with adequate implementation strategies that address the implementation factors in the tool. However, until clean fuels such as electricity are affordable and available for everyone (or until long-term research into well-implemented stoves proves us differently), we should strive for improved, evidence-based implementation of improved cookstoves, to ultimately improve environmental and health outcomes. 13 Quansah R. Effectiveness of interventions to reduce household air pollution and/or improve health in homes using solid fuel in low-and-middle income countries: a systematic review and meta-analysis. [Extracted from the article]

Published
2020
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