Erik Koornneef - Academia.edu (original) (raw)

Papers by Erik Koornneef

Research paper thumbnail of A Review of COVID-19 Mass Testing in the United Arab Emirates

Frontiers in Public Health, May 12, 2021

Research paper thumbnail of Progress and outcomes of health systems reform in the United Arab Emirates: a systematic review

BMC Health Services Research, Sep 20, 2017

Research paper thumbnail of A cross-sectional study into medical students’ perceptions of healthcare regulation and self-reported compliance: a study conducted in the City of Al Ain, United Arab Emirates, 2016

BMC Medical Education, Dec 1, 2018

Research paper thumbnail of Is there a difference between self-perceived performance and observed performance in an Objective Structured Clinical Examination (OSCE)? An exploratory study among medical students in the United Arab Emirates

MedEdPublish, Aug 22, 2018

Research paper thumbnail of Health and Wellness Characteristics of Employees Enrolled in a Workplace Wellness Study in the United Arab Emirates: A Descriptive Analysis

Introduction: Modifiable health behaviors have the power to increase (or decrease) the risk of ch... more Introduction: Modifiable health behaviors have the power to increase (or decrease) the risk of chronic diseases, impacting a population’s health and life span. Health and wellness programs can potentially play a major role in initiating and supporting positive changes in health behaviors, which may lead to improving an individual’s health span and reducing the risk of premature mortality. A better understanding of the health and well-being status of the population is crucial to the design of proper and effective interventions. This study aimed to describe the health and well-being status of a cohort of 123 employees in the United Arab Emirates. Methods and analysis: This study reports the demographic characteristics, body composition, cardiovascular fitness, functional fitness, biological age, and well-being of 123 employees from a large health sector company enrolled in a workplace wellness study in the United Arab Emirates. Employees were invited to participate in an intervention ...

Research paper thumbnail of Picture of the wash basin in the private examination room featuring the watching eyes

<p>Picture of the wash basin in the private examination room featuring the watching eyes.&l... more <p>Picture of the wash basin in the private examination room featuring the watching eyes.</p

Research paper thumbnail of Measuring quality in services for children with an intellectual disability

International Journal of Health Care Quality Assurance, Aug 1, 2006

PurposeTo evaluate the application of one particular quality measurement tool, the SERVQUAL instr... more PurposeTo evaluate the application of one particular quality measurement tool, the SERVQUAL instrument, as a potential mechanism to measure quality in services for children with disabilitiesDesign/methodology/approachStaff and family of children with an intellectual disability in two organisations providing specialist therapy and day completed an adapted SERVQUAL questionnaire. A total of 81 SERVQUAL questionnaires were distributed and 59 questionnaires were returned (response rate of 73 per cent).FindingsThe SERVQUAL instrument can be considered as a useful diagnostic tool to identify particular strengths and areas for improvement in services for people with disabilities as the instrument lends itself for the monitoring of the effectiveness of quality improvement initiatives over time. The findings also showed relatively high customer expectations and the organisations involved in this research are currently not meeting all of these high expectations as significant quality gaps were found in the areas of reliability and responsiveness.Research limitations/implicationsThe sample size was relatively small and the measurement of quality using the SERVQUAL instrument remains a challenge, due to the conceptual and empirical difficulties.Practical implicationsThe SERVQUAL instrument is probably most be attractive to service managers and funding organisations because of its ability to identify gaps in the quality of the service.Originality/valueThe tool had been used to measure quality in services for people with disabilities and the research has shown that this tool might be an important additional quality measurement tool for services.

Research paper thumbnail of Average quality of hand coverage across treatments (with 95-percent confidence intervals)

<p>Average quality of hand coverage across treatments (with 95-percent confidence intervals... more <p>Average quality of hand coverage across treatments (with 95-percent confidence intervals).</p

Research paper thumbnail of Efficiency evaluation of public hospitals in Kuwait: an application of data envelopment analysis

Background: Kuwait overall health expenditure, in 2019, was 5.5% from the gross-domestic product ... more Background: Kuwait overall health expenditure, in 2019, was 5.5% from the gross-domestic product and the state is the biggest healthcare provider in secondary and tertiary hospitals. Hospital efficiency and productivity are, therefore, an important issue to analyse, specifically in terms of number of visits to outpatient clinics, the number of surgical procedures performed, bed turnover and bed occupancy. Data envelopment analysis has been used to provide insights in the understanding of this growth in other countries. Methods: Data envelopment analysis (DEA) was used to estimate technical and scale efficiency scores for seventeen public hospitals in Kuwait from 2015 to 2019 using a two-stage DEA. Technical efficiency scores were regressed against institutional characteristics using Tobit regression to investigate the determinants of efficiency differences amongst hospitals. Results: The mean technical efficiency score for all hospitals was 75%, and it improved by 1% since 2015. The...

Research paper thumbnail of Average compliance with turning-off-tap-with-paper-towel rule across treatments (with 95-percent confidence intervals)

<p>Average compliance with turning-off-tap-with-paper-towel rule across treatments (with 95... more <p>Average compliance with turning-off-tap-with-paper-towel rule across treatments (with 95-percent confidence intervals).</p

Research paper thumbnail of Average time spent washing hands across treatments (with 95-percent confidence intervals)

<p>Average time spent washing hands across treatments (with 95-percent confidence intervals... more <p>Average time spent washing hands across treatments (with 95-percent confidence intervals).</p

Research paper thumbnail of The development, implementation and evaluation of clinical practice guidelines in Gulf Cooperation Council (GCC) countries: a systematic review of literature

Journal of Evaluation in Clinical Practice

Our aim was to examine and describe the current situation in Gulf Cooperation Council (GCC) membe... more Our aim was to examine and describe the current situation in Gulf Cooperation Council (GCC) member countries regarding the development, implementation and evaluation of clinical practice guidelines (CPG). The objectives were to describe from where the studies originated, what the clinical focus was of each study and examine the methodology and the status of each study (i.e. development, dissemination, implementation and evaluation). Review of literature - two stages: stage 1: screening through an abstract review, followed by independent adjudicator; stage 2: detailed assessment and classification. Considering the widespread acceptance that CPG's are useful and effective tools for quality improvement in health care, it is worth noting that relatively few studies have been conducted in the GCC region that examine CPG. Furthermore, the reviewers found that the quality of the research methods used could be improved. The majority of the studies that were conducted evaluated the effec...

Research paper thumbnail of Additional file 1: of Progress and outcomes of health systems reform in the United Arab Emirates: a systematic review

Table. Insurance costs, Abu Dhabi, 2011â 2014 (DOCX 15Â kb)

Research paper thumbnail of Additional file 1: of A cross-sectional study into medical studentsâ perceptions of healthcare regulation and self-reported compliance: a study conducted in the City of Al Ain, United Arab Emirates, 2016

Survey Instrument. (DOCX 24 kb)

Research paper thumbnail of The Impact of Co-Payments on Individual Access to Long-term Care Services in the United Arab Emirates in Comparison to the Middle East

Introduction Long-term care (LTC) is delivered to persons that can no longer perform daily tasks ... more Introduction Long-term care (LTC) is delivered to persons that can no longer perform daily tasks (1) due to injury, chronic illness, the ageing process, or disability (2). Al-Kandari and Crews (3) point out that LTC entails supervision and guidance to persons that cannot make informed decisions due to cognitive impairments such as identity confusion, dementia, and Alzheimer disease. Therefore, LTC is not only limited to the elderly and ageing persons but can also include children, teenagers (4), and persons from different age groups (5). According to the World Health Organization (WHO), there are over 9.5 million persons that are admitted to skilled nursing facilities or reside in nursing homes across the globe. In the United States, about 3.2 million persons are admitted to LTC facilities annually while in Europe the number of individuals seeking LTC services ranges from 2.7 million to 3.3 million (6,7). The commonly reported chronic and life-threatening conditions for all ages inc...

Research paper thumbnail of Occupational Health of Frontline Healthcare Workers in the United Arab Emirates during the COVID-19 Pandemic: A Snapshot of Summer 2020

International Journal of Environmental Research and Public Health, 2021

The study aim was to understand the availability of personal protective equipment (PPE) and the l... more The study aim was to understand the availability of personal protective equipment (PPE) and the levels of anxiety, depression, and burnout of healthcare workers (HCWs) in the United Arab Emirates (UAE). This study was an online-based, cross-sectional survey during July and August 2020. Participants were eligible from the entire country, and 1290 agreed to participate. The majority of HCWs were females aged 30–39 years old, working as nurses, and 80% considered PPE to be available. Twelve percent of respondents tested positive for SARS-CoV-2. Half of HCWs considered themselves physically tired (52.2%), reported musculoskeletal pain or discomfort (54.2%), and perceived moderate-to-high levels of burnout on at least one of three burnout domains (52.8%). A quarter of HCWs reported anxiety (26.3%) or depression (28.1%). HCWs reporting not having musculoskeletal pain, having performed physical activity, and higher scores of available PPE reported lower scores of anxiety, depression, and b...

Research paper thumbnail of A Review of COVID-19 Mass Testing in the United Arab Emirates

Appropriate diagnostic testing to identify persons infected with SARS-COV-2 is a vital part of a ... more Appropriate diagnostic testing to identify persons infected with SARS-COV-2 is a vital part of a health system’s ability to control the global pandemic of COVID-19 disease. The primary purpose of this review is to provide an overview of the mass testing strategy implemented throughout the UAE and the overall impact it has made on containing and controlling the spread of the disease. This study describes the mass testing strategy and capacity of the UAE during the pandemic of the new coronavirus SARS-COV-2. The UAE has conducted 15 million polymerase chain reaction (PCR) tests to SARS-COV-2, as of 15 November 2020. The number of tests per day varied from 10,000 by the end of March to 120,000 tests per day in November 2020. The mass testing initiative across the entire UAE forms an integral part of a bigger strategy focusing on testing, tracing contacts and isolating positive cases.

Research paper thumbnail of Is there a difference between self-perceived performance and observed performance in an Objective Structured Clinical Examination (OSCE)? An exploratory study among medical students in the United Arab Emirates

MedEdPublish, 2018

This article was migrated. The article was not marked as recommended. Competency-based education ... more This article was migrated. The article was not marked as recommended. Competency-based education and training has become a key component of healthcare systems across the globe. Ensuring that healthcare professionals are able to assess their own competencies is critical for continued professional development and the delivery of high-quality care. The aim of this study was to assess how medical students perceive their performance on an objective structured clinical examination. Using a cross-sectional study design, a sample of Emirati third and fourth year (preclinical) medical students (N=106; 56.4% response rate) was recruited from the United Arab Emirates University in Al Ain, United Arab Emirates. Medical students completed a short non-invasive clinical task (i.e. measuring and recording blood pressure and performing hand hygiene) followed by a structured survey to self-assess their performance and skills. Trained assessors used a clinical skills observation checklist tool to scor...

Research paper thumbnail of Surveillance cues do not enhance altruistic behavior among anonymous strangers in the field

Research paper thumbnail of A cross-sectional study into medical students’ perceptions of healthcare regulation and self-reported compliance: a study conducted in the City of Al Ain, United Arab Emirates, 2016

BMC Medical Education, 2018

Research paper thumbnail of A Review of COVID-19 Mass Testing in the United Arab Emirates

Frontiers in Public Health, May 12, 2021

Research paper thumbnail of Progress and outcomes of health systems reform in the United Arab Emirates: a systematic review

BMC Health Services Research, Sep 20, 2017

Research paper thumbnail of A cross-sectional study into medical students’ perceptions of healthcare regulation and self-reported compliance: a study conducted in the City of Al Ain, United Arab Emirates, 2016

BMC Medical Education, Dec 1, 2018

Research paper thumbnail of Is there a difference between self-perceived performance and observed performance in an Objective Structured Clinical Examination (OSCE)? An exploratory study among medical students in the United Arab Emirates

MedEdPublish, Aug 22, 2018

Research paper thumbnail of Health and Wellness Characteristics of Employees Enrolled in a Workplace Wellness Study in the United Arab Emirates: A Descriptive Analysis

Introduction: Modifiable health behaviors have the power to increase (or decrease) the risk of ch... more Introduction: Modifiable health behaviors have the power to increase (or decrease) the risk of chronic diseases, impacting a population’s health and life span. Health and wellness programs can potentially play a major role in initiating and supporting positive changes in health behaviors, which may lead to improving an individual’s health span and reducing the risk of premature mortality. A better understanding of the health and well-being status of the population is crucial to the design of proper and effective interventions. This study aimed to describe the health and well-being status of a cohort of 123 employees in the United Arab Emirates. Methods and analysis: This study reports the demographic characteristics, body composition, cardiovascular fitness, functional fitness, biological age, and well-being of 123 employees from a large health sector company enrolled in a workplace wellness study in the United Arab Emirates. Employees were invited to participate in an intervention ...

Research paper thumbnail of Picture of the wash basin in the private examination room featuring the watching eyes

<p>Picture of the wash basin in the private examination room featuring the watching eyes.&l... more <p>Picture of the wash basin in the private examination room featuring the watching eyes.</p

Research paper thumbnail of Measuring quality in services for children with an intellectual disability

International Journal of Health Care Quality Assurance, Aug 1, 2006

PurposeTo evaluate the application of one particular quality measurement tool, the SERVQUAL instr... more PurposeTo evaluate the application of one particular quality measurement tool, the SERVQUAL instrument, as a potential mechanism to measure quality in services for children with disabilitiesDesign/methodology/approachStaff and family of children with an intellectual disability in two organisations providing specialist therapy and day completed an adapted SERVQUAL questionnaire. A total of 81 SERVQUAL questionnaires were distributed and 59 questionnaires were returned (response rate of 73 per cent).FindingsThe SERVQUAL instrument can be considered as a useful diagnostic tool to identify particular strengths and areas for improvement in services for people with disabilities as the instrument lends itself for the monitoring of the effectiveness of quality improvement initiatives over time. The findings also showed relatively high customer expectations and the organisations involved in this research are currently not meeting all of these high expectations as significant quality gaps were found in the areas of reliability and responsiveness.Research limitations/implicationsThe sample size was relatively small and the measurement of quality using the SERVQUAL instrument remains a challenge, due to the conceptual and empirical difficulties.Practical implicationsThe SERVQUAL instrument is probably most be attractive to service managers and funding organisations because of its ability to identify gaps in the quality of the service.Originality/valueThe tool had been used to measure quality in services for people with disabilities and the research has shown that this tool might be an important additional quality measurement tool for services.

Research paper thumbnail of Average quality of hand coverage across treatments (with 95-percent confidence intervals)

<p>Average quality of hand coverage across treatments (with 95-percent confidence intervals... more <p>Average quality of hand coverage across treatments (with 95-percent confidence intervals).</p

Research paper thumbnail of Efficiency evaluation of public hospitals in Kuwait: an application of data envelopment analysis

Background: Kuwait overall health expenditure, in 2019, was 5.5% from the gross-domestic product ... more Background: Kuwait overall health expenditure, in 2019, was 5.5% from the gross-domestic product and the state is the biggest healthcare provider in secondary and tertiary hospitals. Hospital efficiency and productivity are, therefore, an important issue to analyse, specifically in terms of number of visits to outpatient clinics, the number of surgical procedures performed, bed turnover and bed occupancy. Data envelopment analysis has been used to provide insights in the understanding of this growth in other countries. Methods: Data envelopment analysis (DEA) was used to estimate technical and scale efficiency scores for seventeen public hospitals in Kuwait from 2015 to 2019 using a two-stage DEA. Technical efficiency scores were regressed against institutional characteristics using Tobit regression to investigate the determinants of efficiency differences amongst hospitals. Results: The mean technical efficiency score for all hospitals was 75%, and it improved by 1% since 2015. The...

Research paper thumbnail of Average compliance with turning-off-tap-with-paper-towel rule across treatments (with 95-percent confidence intervals)

<p>Average compliance with turning-off-tap-with-paper-towel rule across treatments (with 95... more <p>Average compliance with turning-off-tap-with-paper-towel rule across treatments (with 95-percent confidence intervals).</p

Research paper thumbnail of Average time spent washing hands across treatments (with 95-percent confidence intervals)

<p>Average time spent washing hands across treatments (with 95-percent confidence intervals... more <p>Average time spent washing hands across treatments (with 95-percent confidence intervals).</p

Research paper thumbnail of The development, implementation and evaluation of clinical practice guidelines in Gulf Cooperation Council (GCC) countries: a systematic review of literature

Journal of Evaluation in Clinical Practice

Our aim was to examine and describe the current situation in Gulf Cooperation Council (GCC) membe... more Our aim was to examine and describe the current situation in Gulf Cooperation Council (GCC) member countries regarding the development, implementation and evaluation of clinical practice guidelines (CPG). The objectives were to describe from where the studies originated, what the clinical focus was of each study and examine the methodology and the status of each study (i.e. development, dissemination, implementation and evaluation). Review of literature - two stages: stage 1: screening through an abstract review, followed by independent adjudicator; stage 2: detailed assessment and classification. Considering the widespread acceptance that CPG's are useful and effective tools for quality improvement in health care, it is worth noting that relatively few studies have been conducted in the GCC region that examine CPG. Furthermore, the reviewers found that the quality of the research methods used could be improved. The majority of the studies that were conducted evaluated the effec...

Research paper thumbnail of Additional file 1: of Progress and outcomes of health systems reform in the United Arab Emirates: a systematic review

Table. Insurance costs, Abu Dhabi, 2011â 2014 (DOCX 15Â kb)

Research paper thumbnail of Additional file 1: of A cross-sectional study into medical studentsâ perceptions of healthcare regulation and self-reported compliance: a study conducted in the City of Al Ain, United Arab Emirates, 2016

Survey Instrument. (DOCX 24 kb)

Research paper thumbnail of The Impact of Co-Payments on Individual Access to Long-term Care Services in the United Arab Emirates in Comparison to the Middle East

Introduction Long-term care (LTC) is delivered to persons that can no longer perform daily tasks ... more Introduction Long-term care (LTC) is delivered to persons that can no longer perform daily tasks (1) due to injury, chronic illness, the ageing process, or disability (2). Al-Kandari and Crews (3) point out that LTC entails supervision and guidance to persons that cannot make informed decisions due to cognitive impairments such as identity confusion, dementia, and Alzheimer disease. Therefore, LTC is not only limited to the elderly and ageing persons but can also include children, teenagers (4), and persons from different age groups (5). According to the World Health Organization (WHO), there are over 9.5 million persons that are admitted to skilled nursing facilities or reside in nursing homes across the globe. In the United States, about 3.2 million persons are admitted to LTC facilities annually while in Europe the number of individuals seeking LTC services ranges from 2.7 million to 3.3 million (6,7). The commonly reported chronic and life-threatening conditions for all ages inc...

Research paper thumbnail of Occupational Health of Frontline Healthcare Workers in the United Arab Emirates during the COVID-19 Pandemic: A Snapshot of Summer 2020

International Journal of Environmental Research and Public Health, 2021

The study aim was to understand the availability of personal protective equipment (PPE) and the l... more The study aim was to understand the availability of personal protective equipment (PPE) and the levels of anxiety, depression, and burnout of healthcare workers (HCWs) in the United Arab Emirates (UAE). This study was an online-based, cross-sectional survey during July and August 2020. Participants were eligible from the entire country, and 1290 agreed to participate. The majority of HCWs were females aged 30–39 years old, working as nurses, and 80% considered PPE to be available. Twelve percent of respondents tested positive for SARS-CoV-2. Half of HCWs considered themselves physically tired (52.2%), reported musculoskeletal pain or discomfort (54.2%), and perceived moderate-to-high levels of burnout on at least one of three burnout domains (52.8%). A quarter of HCWs reported anxiety (26.3%) or depression (28.1%). HCWs reporting not having musculoskeletal pain, having performed physical activity, and higher scores of available PPE reported lower scores of anxiety, depression, and b...

Research paper thumbnail of A Review of COVID-19 Mass Testing in the United Arab Emirates

Appropriate diagnostic testing to identify persons infected with SARS-COV-2 is a vital part of a ... more Appropriate diagnostic testing to identify persons infected with SARS-COV-2 is a vital part of a health system’s ability to control the global pandemic of COVID-19 disease. The primary purpose of this review is to provide an overview of the mass testing strategy implemented throughout the UAE and the overall impact it has made on containing and controlling the spread of the disease. This study describes the mass testing strategy and capacity of the UAE during the pandemic of the new coronavirus SARS-COV-2. The UAE has conducted 15 million polymerase chain reaction (PCR) tests to SARS-COV-2, as of 15 November 2020. The number of tests per day varied from 10,000 by the end of March to 120,000 tests per day in November 2020. The mass testing initiative across the entire UAE forms an integral part of a bigger strategy focusing on testing, tracing contacts and isolating positive cases.

Research paper thumbnail of Is there a difference between self-perceived performance and observed performance in an Objective Structured Clinical Examination (OSCE)? An exploratory study among medical students in the United Arab Emirates

MedEdPublish, 2018

This article was migrated. The article was not marked as recommended. Competency-based education ... more This article was migrated. The article was not marked as recommended. Competency-based education and training has become a key component of healthcare systems across the globe. Ensuring that healthcare professionals are able to assess their own competencies is critical for continued professional development and the delivery of high-quality care. The aim of this study was to assess how medical students perceive their performance on an objective structured clinical examination. Using a cross-sectional study design, a sample of Emirati third and fourth year (preclinical) medical students (N=106; 56.4% response rate) was recruited from the United Arab Emirates University in Al Ain, United Arab Emirates. Medical students completed a short non-invasive clinical task (i.e. measuring and recording blood pressure and performing hand hygiene) followed by a structured survey to self-assess their performance and skills. Trained assessors used a clinical skills observation checklist tool to scor...

Research paper thumbnail of Surveillance cues do not enhance altruistic behavior among anonymous strangers in the field

Research paper thumbnail of A cross-sectional study into medical students’ perceptions of healthcare regulation and self-reported compliance: a study conducted in the City of Al Ain, United Arab Emirates, 2016

BMC Medical Education, 2018