Hubert J.J.M. Berden

Exploring facilitators and barriers in the financial model of hospitals: a qualitative case study on prehabilitation from the Netherlands

Lisanne V.L. van Leeuwen, Roos Mesman, Vivian A Verberne, Patrick Jeurissen et autres

OBJECTIVES: To explore facilitators and barriers in the financial model of hospitals when a change in a care pathway is implemented. DESIGN: A qualitative research reported according to the Consolidated Criteria for Reporting Qualitative Research. SETTING: Five hospitals in the Netherlands, between …

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Total healthcare costs of deinstitutionalized long-term care provision in the Netherlands: an instrumental variable analysis

Erik Wackers, Florien Margareth Kruse, Hubert J.J.M. Berden, Simone A. van Dulmen et autres

BACKGROUND: The Netherlands has reformed its long-term care (LTC) system to improve its financial sustainability by reducing access to in-kind nursing-home care and stimulating care within the home setting. This reform led to the rise of small-scale homelike nursing homes (SHNH) that …

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[Low-value care requires adequate financial constraints: preconditions to render low-value care as an effective instrument in health care transformation].

Elsbeth F. Taminiau, J E W Vrijhoeven, Hubert J.J.M. Berden

The accessibility and affordability of good quality health care is increasingly under pressure. 'Passende zorg' may support health care organisations and care providers in achieving the much needed transformation in health care. For 'Passende zorg' to be an effective instrument, adequate financial …

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Reimbursement of care does not equal the distribution of hospital resources: an explorative case study on a missing link among Dutch hospitals

Leanne P. M. van Leeuwen, Roos Mesman, Hubert J.J.M. Berden, Patrick Jeurissen

BACKGROUND: Affordability and accessibility of hospital care are under pressure. Research on hospital care financing focuses primarily on incentives in the financial system outside the hospital. It is notable that little is known about (incentives in) internal funding in hospitals. Therefore, our …

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[From compliance with volume standards to learning from healthcare outcomes].

Roos Mesman, Hubert J.J.M. Berden, Gert P. Westert

The authors provide an update of an article about volume standards that was published in this journal in 2013. A systematic literature review uncovered trends in volume-outcomes research (2014-2021): studies focused on outcomes after concentration of care in the Netherlands, attempted to …

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Dutch surgeons’ views on the volume–outcome mechanism in surgery: A qualitative interview study

Roos Mesman, Marjan J. Faber, Gert P Westert, Hubert J.J.M. Berden

OBJECTIVE: To contribute to a better understanding of volume-outcome relationships in surgery by exploring Dutch surgeons' views on the underlying mechanism. DESIGN: A qualitative study based on face-to-face semi structured interviews and an inductive content analysis approach. SETTING: Interviews were conducted in …

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Selective Embolisation of a Heavily Bleeding Cervical Fibroid in a Pregnant Woman

Paul N.M. Lohle, Peter F. Boekkooi, Cora A. Fiedeldeij, Hubert J.J.M. Berden et autres

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A case study of cost-efficient staffing under annualized hours

Egbert van der Veen, Erwin W. Hans, Bart Veltman, Leo Berrevoets et autres

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Voortdurend in beweging: samen werken aan organisatie van traumazorg

Hubert J.J.M. Berden, Roel Verheul

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Cost-efficient staffing under annualized hours

Egbert van der Veen, Erwin W. Hans, Bart Veltman, Leo Berrevoets et autres

We study how flexibility in workforce capacity can be used to effi-ciently match capacity and demand. Flexibility in workforce capacity is introduced by the annualized hours regime. Annualized hours allow orga-nizations to measure working time per year, instead of per month or …

[Increasing healthcare costs in the Netherlands: the doctor's role].

Hubert J.J.M. Berden, C.J.H.M. van Laarhoven, Gert P. Westert

The sharply increasing costs of healthcare in the Netherlands are a huge problem and pose a serious threat for the sustainability of care in this country. The question is whether all treatments really do add value. Many of the treatments now provided …

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Governance in Dutch hospitals

Ron M.A. Van Der Pennen, Hubert J.J.M. Berden, E.C.A. Castelijns, W.L. Vreeman et autres

In this article we have characterised Dutch hospitals as organizational networks. They operate in a blurred context, which is the interference of principles from market and hierarchy. Based on these principles we questioned the optimal way governance can be organised. The context …

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