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Course module: 202000859
Systems and organisation of chro care
Course info
Course module202000859
Credits (ECTS)15
Course typeStudy Unit
Language of instructionDutch
Contact persondr. P.J. Klok
PreviousNext 1
Lecturer J.G.M. Becht
dr. A.C. Bos - Nehles
R.C. Dekker
Contactperson for the course
dr. P.J. Klok
Lecturer A.A.M. Spil
Academic year2020
Starting block
Application procedureYou apply via OSIRIS Student
Registration using OSIRISYes
Teaching objectives: at the end of module – the student can:

1.      …identify various (disciplinary) perspectives as well as identify similarities, differences and overlap
             between them
2.      … identify actors and elements of the healthcare system and post these components under meaningful
             headings (e.g. micro/meso/macro – prevention/cure/care/palliation)
3.      … describe the care process of a give chronic disease and analyze it on a basic level
4.      …analyze a given situation on a basic level using the core components of theory and scientific methods
5.      … use these insights in the design of meaningful alternatives
6.      … cooperate with group members in the leaning process
7.      … prepare simple interviews, conduct and analyse them
In this module students will discover the concepts of health, disease and illness in relation to health care systems and organization of care.  Subsequently students will unravel a given chronic condition to get insights in the various layers and the multidisciplinary nature of the health care problem: what ís the condition, what causes it, what is the disease burden, how does the current care arrangement look like, what is the role of the patient (sickrole/ self-management)? Which care providers are involved, in what context? What are the (physical / social) possibilities/means of the patients, what is desirable and feasible from the perspective of the health care organization and system? In order to teach this, knowledge is provided about the background and causes of chronic conditions and their impact on patients, care processes, (rule) systems and organization of care. Students are taught to produce a systematic description of the current care arrangements for people with a chronic condition. For this, they need knowledge on health care systems in general; stakeholders and incentives in care processes as part of such a system, and the increasing role of technology. Subsequently, students are taught to describe as precise as possible the limitations of the current care arrangements for people with a chronic condition (regarding aspects as patient-centeredness, effects and costs of care. Alternative systems en organization models of chronic care (e.g. case management, chronic care model) are identified, described and compared based on theory and practice examples.  Students are taught to critically analyze the situation of a chronically ill person, and from this, identify the limitations in the current care arrangements and argue which of these limitations can or cannot possibly be “solved” by alternative care arrangements, and why. Based on the taught knowledge and skills (identifying and describing problems, analyzing care models/arrangements), students are finally challenged to describe a care model that solves as much as possible of the current limitations in chronic care. The focus is on the description of the problems/limitations regarding multidisciplinarity and organization of care and how / to what extent the alternative model meets these challenges. Most important in all this is that the students are taught from the beginning of their education to not “jump to conclusions/solutions” without a thorough analysis of the problem and its background.
Module 1
Participating study
Bachelor Health Science
Required materials
Handboek Gezondheidsrecht H.J.J. Leenen 7 e druk 2017. ISBN: 978‐94‐6290‐243‐5 (hoofdstuk 1&2 en hoofdstuk 10&11)
Robbins, S.P. & Barnwell, N. (2006). Organisation Theory: Concepts and cases, 5/E, Prentice Hall
Basisboek Interviewen. Handleiding voor het voorbereiden en afnemen van interviews. Baarda, Van der Hulst, De Goede. Noordhoff Uitgevers.
Recommended materials
Instructional modes
Presence dutyYes

Presence dutyYes

Presence dutyYes

Presence dutyYes

Project supervised
Presence dutyYes

Self study with assistance
Presence dutyYes

Self study without assistance
Presence dutyYes

Presence dutyYes

Health care process chronically ill


Healthcare organisation

Combinatietoets: schriftelijk

Structure of the healthcare system

Combinatietoets: schriftelijk



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