Collaborative Governance for Healthcare Transformation’ (CoGoHT)

What: Scoping Project on the emergence of ‘collaborative governance’


Project Acronym: CoGoHT

UT Faculty BMS

Sustainable transformation towards high quality, population and value based healthcare is required in answering to mounting economic and epidemiologic challenges, healthcare’s increasing complexity and the changing needs and demands of healthcare’s incumbent actors. To this end, the healthcare sector needs to orchestrate all salient stakeholders, both formal (e.g. municipalities) and informal (e.g. patient communities), to organize healthcare services in a more efficient, patient-centric and inclusive way. To do so, stakeholders may need to collaborate to challenge taken-for-granted institutions in the healthcare sector. This transformation, a multilevel change process, requires a collaborative form of (clinical) governance, in which “multiple stakeholders are brought together in common forums with public agencies to engage in consensus-oriented decision making”. How such public-private collaboration may effectively bring together heterogeneous stakeholders, how technology and IT may support collaborative governance remains unclear. Although pioneers in the field of e.g. integrated care, new forms of (health) care service delivery and value and population based healthcare have provided promising experiences, (e.g. Buurtzorg (NL), Gesundes Kinzigtal (Germany), Canterbury (New Zealand)), shifts in institutional logics that accompany (and often impede) the transitional processes, call for more robust insights in and experiences with adequate governance strategies and tactics. Such new insights in collaborative governance, and best practises resulting from it, will quite possibly enable the tacit potential and willingness of local initiatives and field actors towards sustainable system transformation and implementation of more agile 21st Century healthcare services.

UT Faculty BMS

The business and public administration departments at the University of Twente have unique knowledge to progress collaborative governance for healthcare transformation. First, the public administration department studies collaborative governance in the context of autonomous teams that provide neighbourhood nursing (Buurtzorg). Second, the business administration departments use a network and eco-system approach to study both collaboration and contestation of innovation in healthcare. Third, the business and public administration departments work together to investigate the role of online communities and their technologies in healthcare transformation (e.g. the Movember campaign). Furthermore, within this context, researchers at the UT Faculty of Behavioural, Management and Social Sciences (BMS) study the multilevel determinants of sustainable transformation towards ‘e-health enabled multi-disciplinary integrated of social and healthcare’ in a pan-European scale.

The BMS departments collectively may offer a multilevel perspective on collaborative governance: from individual stakeholder and their strategies/dynamics to inter-organizational networks.


This CoGoHT Program proposal embarks with the aim to inventory excising knowledge and insights on ‘collaborative governance for healthcare transformation’ and define a novel research and implementation program that will contribute to 21st Century needs and demands in sustainable system transformation.

The proposed program will initially focus on ‘scoping activities’ (e.g. literature review; field consultation). The initial objective of these activities (2018-2019) is to result in a well-founded overview of current (scientific) insights, contemporary field experiences and needs and demands of stakeholders.

Building on this, in the subsequent phase, the CoGoHT Program will engage in the initiation of further research and implementation activities, bringing together complementary partners at UT as well as in the healthcare field.

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