Dionne Kringos

Harkness Fellow

Department of Health Policy and Management


677 Huntington Avenue
Kresge, Room 344
Boston, Massachusetts 02115
Phone: 617-432-7988
Email: dkringos@hsph.harvard.edu


Dr. Kringos’ Harkness Fellowship aims to identify effective models of high quality primary care for patients with multiple chronic conditions or socioeconomic barriers to care. She will focus on best practices among US and international primary care practices and experiences of an Academic Innovations Collaborative in Massachusetts, where 20 Harvard-affiliated primary care practices from 2012 to 2014 are undergoing a transformation toward becoming a Primary Care Learning Laboratory for Patient Safety. Using mixed methods, she will perform an in depth-study of evidence-based interventions at policy, practice, provider -and patient level, and explore the drivers of transforming primary care practices toward becoming high performing practices for patients in complex circumstances, reducing the risk to harm.


Dr. Kringos’ research focus is on Health Systems Performance Assessment, Primary Care, Quality of Care, and Health Policy Analysis. She is dedicated to supporting evidence-based decision-making that contributes to health system sustainability and improvement.

Her research experience ranges from providing scientific support to the Health department (DG SANCO) of the European Commission to working closely with the Health Systems Department of the World Health Organisation (WHO), the European Observatory on Health Systems and Policies, RAND Europe, the Organisation for Economic Co-operation and Development (OECD), the World Bank and national governments. She also performs national health system studies.

From 2005-2014 she was based in the Netherlands as an international Health Services Researcher. From 2005-2012 she worked at the Netherlands Institute for Health Services Research (NIVEL), and from 2012 onwards she worked at the Academic Medical Centre (AMC) of the University of Amsterdam. In 2013/14 she was a member of the European Commission Working Group on Definition of a frame of reference in relation to primary care with a special emphasis on financing systems and referral systems” as part of the “Expert Panel on effective ways of investing in health”. From 2014 she is working as a Commonwealth Fund Harkness Fellow in Health Care Policy and Practice at the Harvard School of Public Health in Boston (USA).


– 2012, Ph.D. Health Systems Research, Utrecht University (the Netherlands)
– 2005, M.Sc.International Health Economics, Policy and Law; Erasmus University Rotterdam (the Netherlands)
– 2005, M.Sc. Health Services Research, Netherlands Institute for Health Sciences (the Netherlands)
– 2003, B.Sc. Health Policy and Management; Erasmus University Rotterdam (the Netherlands)


Kringos DS. 2014. Primary care. In: The Wiley Blackwell Encyclopedia of Health, Illness, Behavior, and Society. Edited by: Cockerham WC, Dingwall R, Quah SR. John Wiley & Sons, Ltd; p1875-1879.

EXPH (EXpert Panel on effective ways of investing in Health), Report on Definition of a frame of reference in relation to primary care with a special emphasis on financing systems and referral systems, 10 July 2014.

Groene O, Kringos D, Sunol R on behalf of the DuQuE Project. Seven ways to improve quality and safety in hospitals. An evidence based guide. DUQuE Collaboration, 2014, www,duque.eu.

Schweppenstedde D., Hinrichs S., Ogbu U, Schneider E.C., Kringos D.S., Klazinga N.S., Healy J., Vuorenkoski L., Busse R., Guerin B., Pitchforth E., Nolte E. Regulation of quality and safety of health and social care. International experiences. RR-561-DH. Rand Corporation 2014.

Hashjin AA, Ravaghi H, Kringos DS, Ogbu UC, Fischer C, Azami SR, Klazinga NS. Using quality measures for quality improvement: The perspective of hospital staff. PLoS ONE 2014. 9(1): e86014. doi:10.1371/journal.pone.0086014.

Van den Berg M, Kringos DS, Marks LK, Klazinga NS. The Dutch health care performance report: Seven years of health care performance assessment in the Netherlands. Health Research Policy and Systems 12, 2014:1. doi:10.1186/1478-4505-12-1.

Kringos DS. The importance of measuring and improving the strength of primary care in Europe: results from an international comparative study [Avrupa’da birinci basamagin gücünü ölçmenin ve artirmanin önemi]. Turkish Journal of Family Practice [Türkiye Aile Hekimligi Dergisi] 2013;17(4):165-179.

Kringos, D.S, Boerma, W.G., van der Zee, J., Groenewegen, P.P, Political, cultural and economic foundations of primary care in Europe. Social Science & Medicine 99 (2013): 9-17.

Kroneman M, Meeuws P , Kringos DS, Groot W , V an der Zee J. International developments in revenues and incomes of general practitioners from 2000 to 2010. BMC Health Services Research 2013; 13:436.

Kringos D.S. et al. The strength of primary care in Europe: an international comparative study. British Journal of General Practice 2013; 63(616): e742- e750(9).

Papanicolas I, Kringos D, Klazinga NS, Smith PC. Editorial. Health system performance comparison: new directions in research and policy. Health Policy volume 112, Issues 1-2, pages 1-3, September 2013.

Kringos DS, Boerma WGW , V an der Zee J, Groenewegen PP . Europe’ s Strong Primary Care Systems Are Linked To Better Population Health, But Also To Higher Health Spending. Health Affairs April 2013 vol. 32 no. 4, pp. 686-694.

Schäfer WLA, Boerma WGW, Kringos DS, et al. Measures of quality, costs and equity in primary health care: Instruments developed to analyse and compare primary health care in 35 countries. Qual Prim Care 2013 May;21(2):67-79.

Pelone F, Kringos DS, Spreeuwenberg P, De Belvis AG, Groenewegen PP. How to achieve an optimal organization of primary care services delivery at system level: Lessons from Europe. International Journal for Quality in Health Care 2013; doi: 10.1093/intqhc/mzt020 ; pp. 1–13.

Põlluste K, Kasiulevicius V, Veide S, Kringos DS, Boerma W, Lember M. Primary care in Baltic countries: a comparison of progress and present systems. Health Policy 2013, 109(2):122-30.

Plochg T, Van den Broeke J, Kringos DS, Stronks K. Integrating primary care and public health. American Journal of Public Health. Published online ahead of print August 16, 2012: e1.doi:10.2105/AJPH.2012.300977.

Pelone F, Kringos DS, Valerio L, Romaniello A, Lazzari A, Ricciardi W, de Belvis AG. The measurement of relative efficiency of general practice and the implications for policy makers. Health Policy (2012) DOI: 10.1016/j.healthpol.2012.05.005.

Genet N, Boerma WGW, Kringos DS, Bouman A, Francke AL, Fagerstrøm C, Melchiorre MG, Greco C, Devillé W. Home care in Europe: a systematic literature review. BMC Health Services Research 2011, 11: 207.

Kringos DS, et al. The European Primary Care Monitor: structure, process and outcome indicators. BMCFamily Practice 2010,11:81.

Kringos DS, Boerma WGW, Hutchinson A, Van der Zee J, Groenewegen PP. The breadth of primary care: a systematic literature review of its core dimensions. BMC Health Services Research 2010, 10:65.