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 journalArticlepeer-review

29 Scopus citations


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 languageEnglish
Pages (from-to)279-290
Number of pages12
JournalHealth Care Management Science
Issue number3
StatePublished - 1 Sep 2016
Externally publishedYes


  • Data envelopment analysis
  • Hospitals
  • Malmquist index
  • Productivity
  • Quality indicators
  • Reimbursement


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