Self-reported health and comfort of outpatient workers in six hospitals

As hospital workers are generally less satisfied with comfort than patients and limited information was available on health and comfort in outpatient areas, a PhD study was carried out on staff in outpatient areas. The study design, main conclusions and recommendations of this PhD study are discussed. To gain a more representative view of the...

Concentrating Emergency Rooms: Penny-Wise and Pound-Foolish?: An Empirical Research on Scale Economies and Chain Economies in Emergency Rooms in Dutch Hospitals

In this paper, we address the issue of whether it is economically advantageous to concentrate emergency rooms (ERs) in large hospitals. Besides identifying economies of scale of ERs, we also focus on chain economies. The latter term refers to the effects on a hospital's costs of ER patients who also need follow-up inpatient or outpatient...

Pre-occupancy evaluation of patient satisfaction in hospitals

Only when a building has been built it becomes clear if the building works as expected and if the objectives of the clients, customers, end users and other stakeholders are attained. If not, it is difficult and costly to adapt a building-in-use to fit with the needs and interests of the stakeholders. This paper explores how some of the pre-set...

Technology diffusion in hospitals: A log odds random effects regression model

This study identifies the factors that affect the diffusion of hospital innovations. We apply a log odds random effects regression model on hospital micro data. We introduce the concept of clustering innovations and the application of a log odds random effects regression model to describe the diffusion of technologies. We distinguish a number of...

Iteratively Weighted Least Squares in Stochastic Frontier Estimation: Applied to the Dutch Hospital Industry

This paper proposes an alternative class of stochastic frontier estimators. Instead of making distributional assumptions about the error and efficiency component in the econometric specification of a cost function model (or any other model), this class is based on the idea that some observations contain more information about the true frontier...

Adding Value by FM and CREM in Dutch hospitals

Purpose: To explore if and how Dutch hospital managers steer on adding value by well-considered Facility Management (FM) and Corporate Real Estate Management (CREM), which values are leading, and how adding value is being translated into concrete interventions. Methodology: In addition to a review of literature, eighteen interviews have been...

Verzorging verspreid: Een economisch planningsmodel voor het zorgaanbod in Vlaamse ziekenhuizen

Dit rapport beschrijft de ontwikkeling van een planningsmodel en de daarbij behorende instrumenten voor programmatie en planning van het zorgaanbod in ziekenhuizen in Vlaanderen. Het planningsmodel geeft antwoorden op de vraag wat het optimale programmatie- of planningsniveau is voor de diverse ziekenhuisdiensten, in termen van beddencapaciteit...

Environmental factors and productivity on Dutch hospitals: A semi-parametric approach

This paper describes the efficiency of Dutch hospitals using the method of Data Envelopment Analysis (DEA). In particular the analysis focuses on explaining cost inefficiency measures due to each hospital’s operating environment. In previous works, the resulting DEA score is regressed on environmental factors via a Tobit approach. Previously,...

Governance and performance: The performance of Dutch hospitals explained by governance characteristics

This paper describes the efficiency of Dutch hospitals using the Data Envelopment Analysis (DEA) method with bootstrapping. In particular, the analysis focuses on accounting for cost inefficiency measures on the part of hospital corporate governance. We use bootstrap techniques, as introduced by Simar and Wilson (J. Econom. 136(1):31–64, 2007),...

Private investments in hospitals: a comparison of three healthcare systems and possible implications for real estate strategies

Objectives: This article explores lessons to be learned from three different healthcare systems and the possible implications for the management of healthcare real estate, in particular in connection to the Dutch system. It discusses similarities and differences among the different systems, in search of possible consequences on cost, financing,...

Ways to study corporate real estate management in healthcare: An analytical framework

Since 2008, after 35 years of a publicly supported healthcare real estate budget system, Dutch healthcare organisations have become financially responsible for the profits and risks of their real estate investment. Furthermore the Dutch healthcare system is in transition towards a regulated market system with growing competition between...