University of Twente Student Theses
The extent to which hospital turnover limits affect healthcare production of hospitals in The Netherlands - An exploratory sequential mixed-method study, consisting of a grey literature review, interviews, and a systematic literature review
Bertens, ing Merel P.A.M. (2022) The extent to which hospital turnover limits affect healthcare production of hospitals in The Netherlands - An exploratory sequential mixed-method study, consisting of a grey literature review, interviews, and a systematic literature review.
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| Abstract: | In 2012, turnover limits were introduced in The Netherlands to limit national healthcare expenditures and to decrease the production incentives for hospitals. However, whilst turnover limits could act as an incentive to reduce care provision when a hospital is approaching the limit, it also acts as a financial stimulus to provide healthcare up to the limit, which does not necessarily equal the best suitable healthcare for patients. In addition, healthcare costs, waitlists, and admission stops are still rising. However, the extent to which turnover limits contribute to these developments, and thus affect patients, remains unknown. The following research question is answered: “How do turnover limits affect healthcare production of hospitals, and therefore patients, in The Netherlands?”. Through an exploratory sequential mixed-method study, consisting of a grey literature review, interviews, and a systematic literature review, it was found that there currently is a lack of information on turnover limits and its effects. Further, healthcare providers adjust healthcare production to avoid reaching a turnover limit, from which five potential effects can emerge: a shift in the distribution of provided DBCs, a decrease in admission rates, and in return, an increase in deferrals, waitlists, and in the number of referrals to other hospitals. |
| Item Type: | Essay (Master) |
| Faculty: | TNW: Science and Technology |
| Subject: | 01 general works |
| Programme: | Health Sciences MSc (66851) |
| Link to this item: | https://purl.utwente.nl/essays/93546 |
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