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.
authors.affiliation: Institute of Health Policy and Management, Erasmus University Rotterdam, P.O.Box 1738, Rotterdam, 3000DR, The Netherlands. vanineveld@bmg.eur.nl.
authors.forename: Martin
authors.initials: M
authors.lastname: van Ineveld
authors.affiliation: Institute of Health Policy and Management, Erasmus University Rotterdam, P.O.Box 1738, Rotterdam, 3000DR, The Netherlands.
authors.forename: Jeroen
authors.initials: J
authors.lastname: van Oostrum
authors.affiliation: The Health Care Inspectorate, Postbus 2680, 3500 GR, Utrecht, The Netherlands.
authors.forename: Rob
authors.initials: R
authors.lastname: Vermeulen
authors.affiliation: Institute of Health Policy and Management, Erasmus University Rotterdam, P.O.Box 1738, Rotterdam, 3000DR, The Netherlands.
authors.forename: Adri
authors.initials: A
authors.lastname: Steenhoek
authors.affiliation: Institute of Health Policy and Management, Erasmus University Rotterdam, P.O.Box 1738, Rotterdam, 3000DR, The Netherlands.
authors.forename: Joris
authors.initials: J
authors.lastname: van de Klundert
mesh_terms: D003430:Cross-Sectional Studies; D003718:Denmark; D004465:Economic Competition; D017598:Efficiency, Organizational; D018166:Health Care Reform / Q000458:organization & administration*; D006739:Hospital Administration; D006801:Humans; D019984:Quality Indicators, Health Care; D011787:Quality of Health Care / Q000458:organization & administration*
keywords: Data envelopment analysis; Hospitals; Malmquist index; Productivity; Quality indicators; Reimbursement