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Investment decision-making in Dutch hospitals: Examining the decision-making process for investments in new technologies within Dutch non-academic hospitals and proposing a decision-making framework.

Roesink, O.A.J. (2025) Investment decision-making in Dutch hospitals: Examining the decision-making process for investments in new technologies within Dutch non-academic hospitals and proposing a decision-making framework.

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Abstract:Dutch hospitals face financial constraints that threaten care quality, making efficient investment decisions in medical technology crucial. However, narrow margins hinder necessary transitions. This qualitative study examines how Dutch hospitals can improve investment decision-making by analyzing literature, conducting interviews, and verifying findings. The study identifies process inefficiencies and proposes an integrated, scalable framework applicable to medical technology, IT, and infrastructure investments. The proposed step-by-step plan emphasizes multidisciplinary collaboration, clear criteria selection, financial considerations, risk assessment, and process simplification. Hospitals vary significantly in investment decision-making maturity, with structured hospitals implementing standardized reviews and risk assessments, while others adopt inconsistent approaches. Differences in integration such as considering IT and operational costs early on highlight the need for a shared framework to enhance consistency and professionalization. Developed with input from nine hospitals, the proposed model provides key components for an effective decision-making process. Hospitals are encouraged to test and adapt the model to their needs. While a general framework is outlined, continuous evaluation is essential to address ongoing healthcare challenges.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:85 business administration, organizational science
Programme:Business Administration MSc (60644)
Link to this item:https://purl.utwente.nl/essays/106051
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