As a PhD candidate at the
Health Systems and Services Research (HSSR) Group within the Department of Public and Occupational Health, your primary focus will be on conducting innovative research in the field of health system performance assessment. Your doctoral research project will focus on the implementation of
health system performance assessment (HSPA) as a valuable approach for improving health system performance. In this role, you will collaborate closely with policymakers, healthcare professionals, patient representatives and key stakeholders in both Ireland and the Netherlands. Your research will help these stakeholders in better utilising performance data to make informed-decisions at the national, regional, and local levels of the health system. This will contribute to meaningful improvements towards ensuring that the health systems in Ireland and the Netherlands meet people’s health needs and preferences, deliver high-quality accessible care for all, and achieve high-value healthcare outcomes. Furthermore, alongside your research endeavours, you will have the chance to actively engage in our teaching initiatives, thereby enriching your academic experience and fostering knowledge dissemination.
Your PhD thesis will be built upon the results of two projects spearheaded by our research group. As a member of our research group, you'll divide your time between both projects.
The first project: is about the implementation of the Irish HSPA Framework. From 2019-2021, our research group co-developed with key stakeholders in the Irish health care system, the
Irish HSPA Framework. It involved defining the focus, identifying domains, and populating the framework with indicators. The Framework was officially launched by the Department of Health (DoH) and Health Services Executive (HSE) in 2021, and accompanied by a prototype visualisation platform (
HSPA) to communicate an overall view on the performance of Ireland’s health system to the public.
Your project is part of the second phase of the initial project, and will focus on the practical implementation and utilisation of the HSPA Framework. This involves assessing ways to better align with the planning and management activities of the DoH and the HSE, integrating HSPA into the policy development cycle, and evaluating policy reforms. You'll also examine the functionality and capabilities of the prototype visualization platform aimed at effectively communicating health system performance outcomes to the public. The research methods you will employ include a literature review, policy documents analysis, stakeholders interviews/focus groups and workshops, and consultations with the DoH and HSE.
The second project: your work is focussed on developing performance information that can support primary care, public health and social care services in identifying, monitoring, and addressing the needs of people experiencing vulnerability in Amsterdam by identifying and addressing health system failures in terms of access, quality and affordability of care and informing evidence-based system changes. This will be achieved by co-creating and piloting performance measures leveraging cohort and health registries data curated by the Amsterdam Public Health (APH) research institute towards achieving the following objectives:
1) Explore APH cohort and registry data fitness to establish local health system performance indicators: this exploration will help identify, for example, which data linkages can be envisioned to embedded these data on a continuous basis in health information systems;
2) Map health system failures: following a participatory process with experts, citizens, and local stakeholders, you will map health system and services factors driving vulnerability in Amsterdam’s population and identify the data flows necessary (including social care, preventive care, health promotion and primary care services) to monitor progress;
3) Co-create data-informed system changes: Enhancing the health system’s responsiveness to the needs of individuals experiencing vulnerability by strengthening local initiatives (e.g., ‘Welzijn op Recept’) informed by produced performance information and recommend system changes at the national, regional or local levels.
For both projects underpinning your PhD thesis, you will report findings through writing scientific articles for publication in international peer-reviewed journals. Additionally, you will present your research findings at professional gatherings, scientific conferences, and other relevant events. You will also contribute to the education provided within Amsterdam UMC.