01
Reimbursement
How payment structures can support digital care beyond a promising pilot.
What helps digital health become sustainable practice?
My research focuses on the sustainable adoption of digital health innovations, with particular attention to reimbursement, implementation and health economics. Depending on the research question, I use approaches including TDABC, economic evaluation and payment model analysis.
Research framework
Three connected lenses.
The emphasis changes by study. These themes describe the programme of work; they are not a claim that every project uses every method.
02
Implementation
How innovations reshape workflows, responsibilities and everyday practice.
03
Health economics
How costs, outcomes and resource use inform sustainable adoption.
Selected work
Current research.
These are working titles and current study statuses. Publication metadata will be added only when it becomes available.
PregnaDigit study
Scaling home blood pressure and home CTG monitoring in hypertensive pregnancy: a multi-site workflow map and TDABC blueprint for sustainable reimbursement
Compares hospital-based and home monitoring pathways and uses TDABC to examine how activities, resource use and costs shift between care settings.
Current status
Ongoing
Scoping review
Payment Models and Reimbursement Challenges for Remote Patient Monitoring: A Scoping Review
Maps payment models, reimbursement gaps, implementation barriers and facilitators, and economic and operational consequences across healthcare systems.
Current status
Under review
SUITS study
Cost-effectiveness of home monitoring compared with standard outpatient care for people with pulmonary fibrosis: an economic evaluation alongside the SUITS randomised controlled trial
Evaluates whether replacing part of standard outpatient care with home monitoring and remote consultations affects patient outcomes, healthcare utilisation and cost-effectiveness for people with pulmonary fibrosis.
Current status
Ongoing
Approach
Methods follow the decision that needs to be made.
Depending on the question, my work draws on TDABC to make workflows and resource use visible, economic evaluation to compare costs and outcomes, and payment-model analysis to understand reimbursement structures.
- TDABC
- Activities, time, capacity and resource use across a care pathway.
- Economic evaluation
- Costs and outcomes compared under explicit uncertainty.
- Payment-model analysis
- How reimbursement design shapes implementation and sustainability.
Teaching
Turning process questions into analysable models.
Erasmus University Rotterdam · Pre-master course · 4 ECTS · 2025/26
Introductie Capaciteit & Proces Management
The course examines how healthcare organisations model and improve care processes, allocate capacity and monitor quality. Students use quantitative analysis and Excel-based what-if models to develop evidence-informed advice for healthcare organisations.
- Healthcare process and capacity management
- Quality improvement
- Quantitative analysis
- Excel what-if modelling
Collaboration
Working on a related question?
I am open to conversations about digital health, reimbursement, implementation, health economics and teaching.