Document Detail

Hospital policy in The Netherlands: the parameters of structural stalemate.
MedLine Citation:
PMID:  2693528     Owner:  NLM     Status:  MEDLINE    
The Dutch hospital sector has recently been the subject of two divergent national policy initiatives. Following a mixed experience with regulation in the mid-1980s, the national government has now taken the first steps in a radical shift toward market-based competition. This article suggests that neither official strategy can address the fundamental structural and cultural factors that shape institutional behavior in the Dutch hospital system. Drawing upon empirical evidence from two 1987 hospital case studies, this article contends that Dutch hospital management reflects a precentralized insularity which, in turn, sharply reduces the likelihood that either publicly or privately framed decentralized strategies can be successfully implemented.
R B Saltman; A A de Roo
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Journal of health politics, policy and law     Volume:  14     ISSN:  0361-6878     ISO Abbreviation:  J Health Polit Policy Law     Publication Date:  1989  
Date Detail:
Created Date:  1990-03-05     Completed Date:  1990-03-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7609331     Medline TA:  J Health Polit Policy Law     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  773-95     Citation Subset:  IM    
University of Massachusetts, Amherst.
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MeSH Terms
Health Policy / legislation & jurisprudence*
Hospital Administration / economics,  legislation & jurisprudence*
Organizational Culture

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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