Educational software reflecting two philosophical approaches to ethics education

Ethics education can vary considerably in its instructional strategies based on differences in the theoretical positions underlying the approach to moral development being stressed. Two such approaches are the 'justice' approach as exemplified by Kohlberg's six stages of moral development, and the 'care ethic' approach as exemplified by Gilligan's work on empathy as a base for moral decision-making. Each of these approaches can be demonstrated through different instructional strategies in the ethics education course, but each strategy is often difficult to execute in practice, given time and resource constraints

Integrated Care for Older Adults:A Struggle for Sustained Implementation in Northern Netherlands

Introduction: Integrated care has been suggested as a promising solution to the disparities in access and sustained high quality long-term care emerging in Europe's ageing population. We aim to gain a better understanding of context-specific barriers to and facilitators of implementation of integrated care by doing a retrospective assessment of seven years of Embrace. This Dutch integrated person-centred health service for older adults was based on two evidence-based models (the Chronic Care Model and the Kaiser Permanente Triangle). Despite successful deployment the programme ended in 2018. In this case study we assess the impact of the programme based on past evaluations, reflect on why it ended, lessons learned and ideas to take forward. Discussion: The majority of health outcomes were positive and the perceived quality of care improved, albeit no clear-cut savings were observed, and the costs were not balanced across stakeholders. The Embrace payment model did not support the integration of health services, despite reforms in long-term care in 2015. Key lessons: Enabling policy and funding are crucial to the sustained implementation of integrated person-centred health services. The payment model should incentivize the integration of care before the necessary changes can be made at organizational and clinical levels towards providing proactive and preventive health services

Telezorg: van Buzz naar Business?

In deze rede beschreef ik de kloof die er bij telezorginnovaties ligt tussen project en praktijk. Er circuleren veel beloftes over telezorg, wat ik betitelde als de Buzz. De vraag is hoe je van beloftes naar structurele inbedding in de zorgpraktijk komt: naar Business. Een aanpak gebaseerd op business modellen biedt wellicht uitkomst, betoogde ik. En dus willen we als lectoraat een op deze leest geschoeide Innovatie- en OpschalingsLeidraad ontwikkelen die telezorgprojecten kan ondersteunen bij het overbruggen van de kloof naar de praktijk