Ways to study corporate real estate management in healthcare
An analytical framework
J. van der Zwart (TU Delft - Real Estate Management)
Theo van der Voordt (TU Delft - Real Estate Management)
Monique H. Arkesteijn (TU Delft - Real Estate Management)
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Abstract
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 healthcare providers.
Both developments will probably change the way healthcare organisations manage their real estate, the location choices they make and the building typology they choose. Real estate will become an increasingly strategic source of profitability and overall performance, similar to capital, human resources, information / knowledge and technology.
In the literature on Corporate Real Estate Management (CREM) different models have been developed to link real estate strategy to business strategy (Jonge et al., 2008). In this paper we explore whether these models can be applied to support hospital organisations in their decision-making about real estate. These models are used to build an analytical framework that will be used in a PhD research study called Better healthcare for lower costs, real estate strategies in a changing context. The main issues of this PhD research are the changing context and scope of Corporate Real Estate Management for hospitals and its impact on real estate decisions in relation to general corporate management.