Ziekenhuisfusies not lead to better care

Ziekenhuisfusies not lead to better care

Mergers between hospitals have not demonstrably contributed to improving the quality of care.

That made the Authority Consumer & Market (ACM) Wednesday, known on the basis of research.

“That mergers in general often do not lead to the desired or expected result is known. This is also true for ziekenhuisfusies. Directors of hospitals often use the argument that the merger is good for patients because of the quality of care would improve. This we see not return in the results,” says ACM chairman Chris Fonteijn.

The ACM allowed the examination of the quality of fourteen ziekenhuisfusies in the period 2007-2013.

Quality benefits

The ACM wants hospitals ‘quality benefits’ now concrete and specific measures. The supervisor will this “critical review”. In addition, hospitals often have other, less radical forms of cooperation need to consider the desired quality benefits to achieve, according to the ACM.

The effects of mergers were examined on 97 points. That went both on the quality of the care and experience of patients, waiting times and mortality rates. These data were compared with hospitals that are not merged.

The Dutch Association of Hospitals, stated in a comment that the quality of care through the mergers also not worse become. “So what’s the problem? There are multiple reasons for hospitals to merge. Hospitals should be prepared for the future and more efficient work. That is an important reason to merge,” says a spokesman. According to him, give merged hospitals also less money.

In addition to the investigation into the quality does ACM also investigate the price effects of ziekenhuisfusies. The results at the beginning of 2017 is expected.

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