Implementing moral case deliberation in Dutch health care; improving moral competency of professionals and the quality of care

between evaluative meetings. Results: Both qualitative and quantitative results of the 220 questionnaires of 50 MCDs showed that the MCDs were regarded as very useful. Most participants saw the relevance of MCD for their daily work high and judged the quality of the dialogue positively. Their open, straight, constructive communicating and moral sensitivity increased; their presuppositions, prejudices and automatic responses decreased. Discussion: Future implementation research has to find out what the long term impact will be on the quality of care. Therefore, the next step in this project will focus on (methodology for) research on the follow up of outcomes of MCD and the integration of these outcomes with institutional policy issues.