Prestigious Harkness Fellowship for Marit Tanke


Dr. Marit Tanke has acquired a prestigious Harkness Fellowship in Health Care Policy and Practice (2016/2017). Marit is a senior researcher at the department IQ healthcare and deputy chief of Celsus, academy for sustainable healthcare, a collaboration of the Radboudumc and the Ministry of Health, Welfare and Sports.

The Harkness Fellowships Practice are awarded by the US Commonwealth Fund, a private foundation that aims to promote a high performing health care system. Per annum fourteen fellows are selected worldwide from eight different countries. The fellowship offers ambitious researchers the opportunity to spend a year in the United States, working on important issues in health care at the interface of policy, practice and research.

The proposed project focuses on the organization of care for complex patients - what part of the cost can be prevented by reducing lower-value care and inefficiencies in the system? and how can these factors be influenced by regulatory systems and / or health insurers?  A current PhD project shows that a small group of about five percent of ‘high-cost’ patients make up for approximately 50 percent of all health care costs.  These high utilizers of health care services often suffer from multiple physical, behavioral and social needs. Their functional status and clinical outcomes are generally poor and the care process is perceived as chaotic and wasteful.  In the U.S. the health system and its individual providers are more geared towards specific management programs for these patients than in the Netherlands. The question is: which part of the costs is amendable to change? And what can we learn from the U.S. experiences?

About the Commonwealth Fund
The Commonwealth Fund is a private foundation that aims to promote a high performing health care system that achieves better access, improved quality, and greater efficiency, particularly for society's most vulnerable, including low-income people, the uninsured, minority Americans, young children, and elderly adults. The Fund carries out this mandate by supporting independent research on health care issues and making grants to improve health care practice and policy.


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