Standardisation in Healthcare Systems

Title

Standardisation in Healthcare Systems

 Author

van Veen, Aïcha (TU Delft Technology, Policy and Management; TU Delft Aerospace Engineering)

Contributor

Grossmann, I. (mentor) ORCID 0000-0003-1863-6827
Copeland, S.M. (graduation committee) ORCID 0000-0002-6946-7165
van de Kaa, G. (graduation committee) ORCID 0000-0002-2939-4360

 Degree granting institution

Delft University of Technology

 Programme

Management of Technology (MoT)

 Date

2024-01-18

 Abstract

The aim of this research is to gain an understanding of the balance between guideline standardisation and professional autonomy. This includes its impact on the safety and quality of healthcare. These are crucial aspects of providing good care as they can contribute to an overall healthcare system that is effective, reliable, and patient-centered. The reason for performing this research is the difficulty of finding a balance between guideline standardisation and professional autonomy. While guideline standardisation is crucial to ensure a structured approach to uniform care of high quality, professional autonomy is necessary to individualise this care for each patient. At times, the tension between these aspects arises as medical practitioners feel limited in their professional autonomy, but healthcare organisations require a structural set-up of healthcare systems to provide equal care.

By performing interviews with guideline developers, doctors, and patients, this tension and possible contributing factors were explored through a technical, human, and organisational perspective. The identification of a need for the inclusion of the psychosocial elements, research regarding sensitivity around professional autonomy, and structural changes is beneficial to get to a point where it is possible to identify a balance between guideline standardisation and professional autonomy and its impact on the safety and quality of care. While multiple points for further research are indicated in this study, these three factors contribute to improving the situation of both the tension itself and the discussions around it.

 Subject

Healthcare
Guideline standardisation
Professional autonomy

 To reference this document use:

http://resolver.tudelft.nl/uuid:72aff18e-4bb7-40e6-b525-3999f679866a

 Part of collection

Student theses

 Document type

master thesis

 Rights

© 2024 Aïcha van Veen
Files
PDF Thesis_MOT_A_cha_van_Veen.pdf 1.12 MB
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