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Niaounakis, T.K. (author)
Driven by a quest for efficiency, many Western countries have witnessed merger waves across the entire breadth of their public sectors. The underlying assumption is that economies of scale exist in public service delivery; the idea that the average cost of public services decreases as the size of public organizations increases. The analysis of...
doctoral thesis 2021
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van Hulst, B.L. (author)
Healthcare expenditure in Western countries is substantial and outpaces economic growth, therefore cost containment in healthcare is high on the political agenda. One option is to increase productivity in healthcare, do more with less. This thesis uses the Dutch hospitals as a case-study and examines the three cornerstones of productivity: scale...
doctoral thesis 2016