Productivity and quality of Dutch hospitals during system reform

Martin van Ineveld; Jeroen van Oostrum; Rob Vermeulen; Adri Steenhoek; Joris van de Klundert

doi:10.1007/s10729-015-9321-7

Productivity and quality of Dutch hospitals during system reform

Martin van Ineveld, Jeroen van Oostrum, Rob Vermeulen, Adri Steenhoek, Joris van de Klundert

Research output: Contribution to journal › Article › peer-review

31 Scopus citations

Abstract

This study addresses the productivity of Dutch hospitals since the start of the health systems reform in 2005. We consider DEA based measures, which include efficiency and quality for the complete set of Dutch hospitals and present cross-sectional and longitudinal analysis. In particular, we consider how hospital efficiency has developed. As the reform created an environment of regulated competition, we pay special attention to relative efficiency. Our results suggest that the differences in efficiency among hospitals have become larger. In the years 2009–2010, the number of hospitals identified as (close to) efficient by DEA analysis decreased.

Original language	English
Pages (from-to)	279-290
Number of pages	12
Journal	Health Care Management Science
Volume	19
Issue number	3
DOIs	https://doi.org/10.1007/s10729-015-9321-7
State	Published - 1 Sep 2016
Externally published	Yes

Keywords

Data envelopment analysis
Hospitals
Malmquist index
Productivity
Quality indicators
Reimbursement

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10.1007/s10729-015-9321-7

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title = " Productivity and quality of Dutch hospitals during system reform",

abstract = "This study addresses the productivity of Dutch hospitals since the start of the health systems reform in 2005. We consider DEA based measures, which include efficiency and quality for the complete set of Dutch hospitals and present cross-sectional and longitudinal analysis. In particular, we consider how hospital efficiency has developed. As the reform created an environment of regulated competition, we pay special attention to relative efficiency. Our results suggest that the differences in efficiency among hospitals have become larger. In the years 2009–2010, the number of hospitals identified as (close to) efficient by DEA analysis decreased.",

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AU - van Oostrum, Jeroen

AU - Vermeulen, Rob

AU - Steenhoek, Adri

AU - van de Klundert, Joris

PY - 2016/9/1

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AB - This study addresses the productivity of Dutch hospitals since the start of the health systems reform in 2005. We consider DEA based measures, which include efficiency and quality for the complete set of Dutch hospitals and present cross-sectional and longitudinal analysis. In particular, we consider how hospital efficiency has developed. As the reform created an environment of regulated competition, we pay special attention to relative efficiency. Our results suggest that the differences in efficiency among hospitals have become larger. In the years 2009–2010, the number of hospitals identified as (close to) efficient by DEA analysis decreased.

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KW - Hospitals

KW - Malmquist index

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KW - Quality indicators

KW - Reimbursement

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Productivity and quality of Dutch hospitals during system reform

Abstract

Keywords

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