BackgroundWorldwide healthcare systems insist a patient centred, integrated, approach, which improves clinical outcomes, quality of life, patient satisfaction, effectiveness, and efficiency. In the Netherlands, Integrated care (IC) centres arise, but literature does not attend Facility Managements (FM) …

Abstract Background: Currently, health care and medical decision-making at the end of life for older people are often insufficiently patient-centred. In this trial we study the effects of Advance Care Planning (ACP), a formalised process of timely communication about care preferences at the end of life, …

In the decision-making environment of evidence-based practice, the following three sources of information must be integrated: research evidence of the intervention, clinical expertise, and the patient’s values. In reality, evidence-based practice usually focuses on research evidence (which may be translated …

AimsKnowledge of patient preferences is vital for delivering optimal healthcare. This study uses utility measurement to assess the preferences of heart failure (HF) patients regarding quality of life or longevity. The utility approach represents the perspective of a patient; facilitates the combination …

Demand Driven Care plays a key role in the modernization of the Dutch health care system. This modernization is needed because a) clients’ needs for care increases quantitatively as well as in diversity, b) the financial means for collective services are inadequate, c) the accessibility of health care …