• Access decision-making in the Belgian Commission for reimbursement of medicines 2010-2017: Investigating the readiness for value-based pricing

      Van Dyck, Walter; Schoonaert, Lies; Geldof, Tine; Govaerts, Laurenz (2018)
      To balance the societal need for affordability of medicines with the industrial need for sustained innovation, the present pharmaceutical technology supply-driven system needs to become a societal demand-driven system. Value-based pricing is considered to be a key component of such a system, next to the conditional dialogue between payer and industry we proposed in previous work (Van Dyck, De Grève et al. 2016) in which it should be embedded. To find out how far Belgian pharmaceutical healthcare-related decision-making has evolved within this paradigm, we empirically investigated the access and reimbursement decision-making of the Belgian Commission for Reimbursement of Medicines (CRM) for the period 2010 – 2017. We combined this investigation with previous work in a meta-analysis in order to have the most complete picture possible of the present factors influencing decision-making in the Belgian system.
    • Characterisation and generation of nurse scheduling problem instances

      Vanhoucke, Mario; Maenhout, Broos (Vlerick Business School, 2005)
      In this paper, we propose different complexity indicators for the well-known nurse scheduling problem (NSP). The NSP assigns nurses to shifts per day taking both hard and soft constraints into account. The objective is to maximize the nurses' preferences and to minimize the total penalty cost from violations of the soft constraints. The problem is known to be NP-hard. Due to its complexity and relevance in practice, the operations research literature has been overwhelmed by different procedures to solve the problem. The complexity has resulted in the development of several (meta-)heuristic procedures, able to solve a NSP instance heuristically in an acceptable time limit. The practical relevance has resulted in a never-ending amount of different NSP versions, taking practical, case-specific constraints into account. The contribution of this paper is threefold. First, we describe our complexity indicators to characterize a nurse scheduling problem instance. Secondly, we develop a NSP generator to generate benchmark instances to facilitate the evaluation of existing and future research techniques. Finally, we perform some preliminary tests on a simple IP model to illustrate that the proposed indicators can be used as predictors of problem complexity. Keywords: Nurse scheduling, Benchmark instances, Problem classification
    • Hospital of the future - The future of hospitals

      Cardoen, Brecht (2019)
      Het groenboek van Leuvens Instituut voor Gezondheidszorgbeleid (LIGB) van de KU Leuven en de Vlerick Business School biedt ondersteuning voor beleidskeuzes voor de rol en organisatie van het ziekenhuis van de toekomst. Het ziekenhuis van de toekomst moet een antwoord bieden op de meest prangende uitdagingen: intelligente integratie van technologie, de veranderende zorgvraag als gevolg van de vergrijzing, gepersonaliseerde zorg en schaarse financiële middelen. Het ziekenhuis wordt een onderdeel van een ziekenhuisnetwerk en neemt, in samenwerking met andere zorgverstrekkers, nog slechts een deel van het zorgpakket voor zijn rekening. Die veranderende rol heeft een impact op de infrastructuur die zal verschillen afhankelijk van de aangeboden zorgcomponenten. Bundeling van expertise in focused factories, technologische platformen en samenwerking voor logistiek en andere diensten is de toekomst. Opdat het ziekenhuis zijn toekomstige rol kan opnemen moet er werk worden gemaakt van een vlotte informatie-uitwisseling tussen alle betrokken partijen en moeten er juridische en financiële obstakels worden weggewerkt. Aandacht voor het welzijn van het zorgpersoneel is essentieel.
    • Hospital Process Orientation (HPO): the development of a measurement tool

      Gemmel, Paul; Vandaele, Darline; Tambeur, Wim (2007)
    • Setting priorities in Healthcare. Investing in the right innovations at the right time

      Van Dyck, Walter; Verdonck, Pascal (2018)
      This white paper explores the current situation in the healthcare sector – and where it could be in the future. It outlines how we can make our health organisations more innovative – and crucially, how we can decide which ideas are worth investing in.
    • The operating theatre as a key to improved hospital operations

      Cardoen, Brecht (2012)
      In search of an answer to the question to what degree context determines human resource management (HRM) practices, a holistic picture of contextual factors seems indispensable. However, due to ample interpretations and the vague characterization of this construct, a self-revealing definition seems impossible. In order to address this dilemma, we firstly tackle the need for a discussion on what context is and, secondly, how it is embedded in the field of international comparative Human Resource Management. We start this paper with a short summary of the Universalistic versus Contextual Perspective on the one hand, and the Convergence versus the Divergence paradigm on the other. We discuss the influence of context within both debates. Secondly, we elaborate on the mapping of the construct of context by scrutinizing the relevant literature within the international comparative HRM field. Thirdly, the link between this construct and the Cranet Network is investigated. Finally, the usefulness of the Cranet data, in light of the contextual, is discussed with the focus on future research and its practicability in further research endeavors.
    • The waiting experience and consumer perception of service quality in outpatient clinics

      De Man, Stefanie; Vandaele, Darline; Gemmel, Paul (UGent, Fac. Economie & Bedrijfskunde, 2004)