Publications by authors named "H Bart J J M Berden"

Academic Medical Centres (AMCs) are large organisations with a complex structure due to various intertwined missions and (public) roles that can be conflicting. This complexity makes it difficult to adapt to changing circumstances. The literature points to the use of business models to address such challenges.

View Article and Find Full Text PDF

Introduction: Academic medical centres (AMCs) are designed to perform multiple tasks within a single organisation. This institutional complexity gives rise to intricate governance challenges and promotes incrementalism and muddling.

Method: In this study, we hypothesised that radical change could provide a solution to the current incrementalism and we explored the conditions under which such changes could or could not be achieved.

View Article and Find Full Text PDF

The accessibility and affordability of good quality health care is increasingly under pressure. 'Passende zorg' may support health care organisations and care providers in achieving the much needed transformation in health care. For 'Passende zorg' to be an effective instrument, adequate financial conditions are a prerequisite.

View Article and Find Full Text PDF

A redesign of hospitals (i.e., partitioning departments and delegating decision authority) may be needed to deal with variable demand.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates how budget allocation within hospitals can affect the financial performance of hospital care, focusing on the interaction between reimbursement and distribution models in Dutch hospitals.
  • An online survey was conducted with financial senior management from 49 Dutch hospitals, achieving a 78% response rate, revealing that the most common reimbursement model is price-volume with capped prices, while incremental budgeting is the dominant internal funding method.
  • Findings indicate that there is only a partial integration of contract changes into hospital budgets, suggesting that discrepancies between reimbursement and distribution models could hinder the effectiveness of financial incentives intended to improve hospital care.
View Article and Find Full Text PDF