Areas of work


Jaap Koot frequently works in areas where medicine and management meet. As medical doctor he got many years of clinical experience. As hospital director, director of health institutions and health programmes he was involved in various areas of management. And as consultant he has expertise in strategic and operational change processes.

Below some examples of work he has been involved in over the last few years.

Health Literacy

Health literacy is linked to literacy and entails people’ s knowledge, motivation and competences to access, understand, appraise, and apply health information in order to make judgments and take decisions in everyday life concerning healthcare, disease prevention and health promotion to maintain or improve quality of life during the life course.

Health literacy can be considered as one of the social determinants of health. Improving health literacy will lead to and improved health status of vulnerable groups in society.

Healthy ageing

In nealry all countries of the world life expectancy is increasing due to improvement of social and economic conditions and due to improved health services. The challenge now is to improve quality of life for the ageing population, to increase the number of healthy life years, not just life expectancy. That will enable senior citizens to continue active participation in society. Health promotion for these groups therefore is a sensible investment.

Vulnerable groups

Even if the health status of the people in many countries improves, there are groups in society that lag behind in the developments. In recent years, the WHO commission on social determinants of health has shown that many factors contribute to inequalities in health within countries and between countries. Addressing these determinants (e.g. education, environment, housing, healthcare) will improve health of the vulnerable groups and the society at large.

Quality of care

Quality of curative care, of chronic care and public health is crucial for improvement of health of the population. It is not only important to focus on medical or technical aspects, but also on the processes around service delivery: management, planning, monitoring and evaluation. The involvement of all stakeholders is required.

Sustainable healthcare

Healthcare in most countries is a big part of the economy: a lot of (public) money is spent in the sector, many people are employed and many resources are used. In several countries this leads to questions with regard to the future: can we afford increasing healthcare costs, will there be enough personnel for future needs, or will the sector increase pollution and wasteful use of natural resources? Health care institutions have a corporate social responsibility to put sustainability high on the agenda.

jaap@kootphc.nl © Jaap Koot 2013