Projects per year
Personal profile
Research interests
My research focus is on the measurement, management and improvement of the performance of health care systems. Central research question in this work is ‘How can countries develop or maintain a high-performing health care system that fits within a specific socio-economic, political, cultural, demographic and epidemiological context?’ By answering this question, I aim to support evidence-based decision making that contributes to health system sustainability and improvement.
In order to connect current policy and practice challenges to policy options and practice implementation strategies in my research, I work closely with international organisations (e.g., the World Bank, Organisation for Economic Cooperation and Development (OECD), World Health Organisation (WHO), European Commission) national governments, academics and other public and private organisations in the health care sector in high- and middle income countries, positioning my research at the macro and meso level of the health system.
The health system performance areas I research are based on the health systems aims of delivering accessible, high quality care in an equitable manner, that is affordable and based on an efficient use of public resources to optimise health. To increase understanding of how a health system achieves a certain level of performance (at outcome level, e.g. accessibility), I investigate at process level how services are delivered (e.g. shared decision making, coordination of care, integration and continuity of care), and how this is facilitated or hampered by the health system design in terms of health system structures (e.g. workforce development, financing, medical technology, infrastructure, health information system, governance and accountability).
I largely base my research on the underlying theories about learning health care systems (performance information as a driver for performance improvement); value creation instead of cost-effectiveness as the goal of healthcare systems; new ideas about health (the patient as a producer of his own health); and complex adaptive systems theory (a system is the dynamic result of mutual dependencies and reactions between and within sub-systems and professions). I employ mixed methods in my research, often combining quantitative and qualitative research methods.
specialisation
Principal Investigator (PI); Health Systems Research; Principal Educator; Vice-Director APH
Expertise related to UN Sustainable Development Goals
In 2015, UN member states agreed to 17 global Sustainable Development Goals (SDGs) to end poverty, protect the planet and ensure prosperity for all. This person’s work contributes towards the following SDG(s):
Keywords
- RA0421 Public health. Hygiene. Preventive Medicine
- Health System Performance Assessment; Organisation and Financing of Healthcare; Health Policy Evaluation; Quality of Care; Patient safety; Primary Care Development and Evaluation; Public Health; Indicator development; Health Information Systems; International comparative studies
Collaborations and top research areas from the last five years
Projects
- 10 Active
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A data-driven health systems approach to identify and support people at risk of vulnerability: leveraging Amsterdam cohort and registry data to enhance the effectiveness of local initiatives and inform health system adaptations
Brito Fernandes, Ó., Kringos, D. & Stronks, K.
1/01/2024 → 31/12/2025
Project: Research
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RESIL-Card: RESIL-Card: Development of a resilience tool for enhanced crisis preparedness in cardiovascular diseases across EU Member States
1/12/2023 → 1/12/2026
Project: Research
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ALL.Can Metrics Implementation Playbook: improving cancer care efficiency
1/03/2023 → 1/04/2024
Project: Research
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The environmental footprint of care pathways: introducing sustainability in shared-decision making
Kringos, D., Cohen, E., Hehenkamp, W., Sperna Weiland, N. & Huirne, J.
1/01/2023 → 1/06/2026
Project: Research
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Measurement and Improvement of the Environmental Footprint of clinical care pathways
Kringos, D., Kouwenberg, L. & Sperna Weiland, N.
1/11/2022 → 1/11/2026
Project: Research
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Training the First Generation of Health Care Performance Intelligence Professionals in Europe and Canada
Kringos, D. S., Groene, O. & Johnsen, S. R. P., 2019, In: Academic Medicine. 94, 6, p. 747-748 2 p.Research output: Contribution to journal › Letter › Academic › peer-review
7 Citations (Scopus) -
Exploring the actionability of healthcare performance indicators for quality of care: A qualitative analysis of the literature, expert opinion and user experience
Barbazza, E., Klazinga, N. S. & Kringos, D. S., 1 Dec 2021, In: BMJ quality & safety. 30, 12, p. 1010-1020 11 p.Research output: Contribution to journal › Review article › Academic › peer-review
Open Access33 Citations (Scopus) -
Engaging citizens in the development of a health system performance assessment framework: a case study in Ireland
Brito Fernandes, Ó., Barbazza, E., Ivanković, D., Jansen, T., Klazinga, N. S. & Kringos, D. S., Dec 2021, In: Health research policy and systems. 19, 1, 148.Research output: Contribution to journal › Article › Academic › peer-review
Open Access4 Citations (Scopus) -
Resilience testing of health systems: How can it be done?
Rogers, H. L., Barros, P. P., de Maeseneer, J., Lehtonen, L., Lionis, C., McKee, M., Siciliani, L., Stahl, D., Zaletel, J. & Kringos, D., 1 May 2021, In: International journal of environmental research and public health. 18, 9, 4742.Research output: Contribution to journal › Article › Academic › peer-review
Open Access10 Citations (Scopus) -
COVID-19 Preparedness and Perceived Safety in Nursing Homes in Southern Portugal: A Cross-Sectional Survey-Based Study in the Initial Phases of the Pandemic
Brito Fernandes, Ó., Lobo Julião, P., Klazinga, N., Kringos, D. & Marques, N., 1 Aug 2021, In: International journal of environmental research and public health. 18, 15, 7983.Research output: Contribution to journal › Article › Academic › peer-review
Open Access5 Citations (Scopus)
Datasets
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Additional file 1 of More public health service providers are experiencing job burnout than clinical care providers in primary care facilities in China
Lu, S. (Creator), Zhang, L. (Creator), Klazinga, N. (Creator) & Kringos, D. (Creator), Figshare, 2020
DOI: 10.6084/m9.figshare.13331846.v1, https://springernature.figshare.com/articles/dataset/Additional_file_1_of_More_public_health_service_providers_are_experiencing_job_burnout_than_clinical_care_providers_in_primary_care_facilities_in_China/13331846/1
Dataset
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Additional file 3 of A problem-oriented systems approach to primary care system development: development and initial testing of the problem-oriented primary care system development record
Shukor, A. (Creator), Barbazza, E. (Creator), Klazinga, N. (Creator) & Kringos, D. (Creator), Figshare, 2020
DOI: 10.6084/m9.figshare.12751272.v1, https://springernature.figshare.com/articles/Additional_file_3_of_A_problem-oriented_systems_approach_to_primary_care_system_development_development_and_initial_testing_of_the_problem-oriented_primary_care_system_development_record/12751272/1
Dataset
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Dataset_Scoping review_Changes in quality of cancer care assessed through performance indicators
Valente Cardoso Dias Carvalho Pais Silva, S. (Contributor), Brito Fernandes, Ó. (Contributor), de Lange, M. (Contributor), Lingsma, H. (Contributor), Klazinga, N. (Contributor), Kringos, D. (Contributor) & Bramer, W. (Contributor), ZENODO, 17 Feb 2022
DOI: 10.5281/zenodo.6129839, https://zenodo.org/record/6129839
Dataset
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Additional file 8 of Engaging citizens in the development of a health system performance assessment framework: a case study in Ireland
Brito Fernandes, Ó. (Creator), Barbazza, E. (Creator), Ivankovic, D. (Creator), Jansen, T. (Creator), Klazinga, N. (Creator) & Kringos, D. (Creator), Figshare, 2021
DOI: 10.6084/m9.figshare.17305893.v1, https://springernature.figshare.com/articles/dataset/Additional_file_8_of_Engaging_citizens_in_the_development_of_a_health_system_performance_assessment_framework_a_case_study_in_Ireland/17305893/1
Dataset
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Additional file 1 of A problem-oriented systems approach to primary care system development: development and initial testing of the problem-oriented primary care system development record
Shukor, A. (Creator), Barbazza, E. (Creator), Klazinga, N. (Creator) & Kringos, D. (Creator), Figshare, 2020
DOI: 10.6084/m9.figshare.12751266.v1, https://springernature.figshare.com/articles/Additional_file_1_of_A_problem-oriented_systems_approach_to_primary_care_system_development_development_and_initial_testing_of_the_problem-oriented_primary_care_system_development_record/12751266/1
Dataset