Yaren Palamut

In Kooperation mit Universität Twente

This PhD dissertation explores how stakeholder interactions shape the healthcare transition management processes taking place while transitioning from traditional hospital-based care to hospital-at-home (HaH) systems. As healthcare systems face demographic pressures, workforce shortages, and rising costs, HaH care models offer a promising alternative, but require the alignment of diverse stakeholders, including healthcare providers, suppliers and funders.  Placing the Dutch healthcare context in the core and gathering insights from international organisations, the research investigates how these stakeholders interact, collaborate, and align their objectives to close the gap between provided care and required care during this systemic shift. Through a series of interconnected studies, this research aims to examine how stakeholder roles and interactions can be coordinated, how suppliers can be mobilised to adopt and scale technologies, and how demand-side actors can influence market dynamics to build sustainable and responsive HaH care systems. With its actionable outcomes, the research contributes to rethinking healthcare governance models that better accommodate the complexity of stakeholder collaboration, which reflect evolving market dynamics in care transitions.