Competition and regulation in health care

In this research theme the main focus lies on the correlation between the organisation and the performance of health care systems. From the economic, legal and political-administrative perspectives we explore the performance of health care systems with regard to quality, affordability, efficiency, solidarity and accessibility of health care. An important research topic, among others, is the influence of the free market system on health care. With this research, ESHPM aims to contribute significantly to a better organisation of health care systems throughout the world.

The research in this theme is primarily carried out by the research groups Health Care Governance, Health Insurance, Health Economics-iMTA, and Law & Health Care.

Care system

  • Competition and competition policy in health care markets and health insurance markets (Schut, Varkevisser, Mosca)
  • Rationale and effects of hospital mergers (Roos, Schut, Varkevisser)
  • Determinants of use and the organisation and financing of long-term care (Bakx, Van Doorslaer, De Meijer, Koopmanschap, Schut, Van de Ven)
  • Changing modes of governance in health care (Bal, Grit, Putters, Van der Grinten, Zuiderent-Jerak)
  • Strategies by managers of health care organisations to accommodate increasing entrepreneurial requirements (Grit, Stoopendaal, Van der Scheer, Meurs, Putters)
  • Changing positions of health care professionals and consequences of training and education (De Bont, Meurs)
  • Creation of transparencies in health care; the influence of performance indicators on our view on quality of care and the role of rankings in health care (Bal)
  • Governance of innovation; towards a dynamic innovation policy (Putters, Zuiderent-Jerak)
  • Development and diffusion of innovation and innovation processes in the hybrid health care system, and within health care organisations (Putters, Stoopendaal, Meurs, Bal)
  • Science-policy relations in health care; building new infrastructures for Knowledge to Action (Bal, De Bont, Van der Grinten)
  • Justice and solidarity in health care from a human rights perspective (Buijsen)
  • Post mortem organ donation in the context of international law (Buijsen)
  • Practices of organ donation in Dutch hospitals (Bal, Paul)

Insurance market

  • Risk equalisation among insurers (Van Vliet, Van de Ven, Van Kleef)
  • Cost sharing by consumers/patients (Van Kleef, Van Vliet, Van de Ven)
  • Construction of health care markets and their consequences (Grit, Van der Grinten, Zuiderent-Jerak, Bal)
  • Use of standardised agreements in health care purchasing by health insurers in view of competition law (Den Exter)
  • Preferred providers and health insurer impact on consumer choice (Van der Geest, Laske)
  • Supplementary health insurance and group insurance (Schut, Van de Ven)
  • Equity in health care use in European countries (Van Doorslaer)
  • Health Equity and Financial Protection in Asia (HEFPA) (Van de Poel, Van Doorslaer)
  • Community Based Health Insurance (CBHI) in India (Dror, Rutten)

Patient’s perspective

  • Consumer choice and switching behaviour in the health care and health
    insurance markets (Laske, Schut, Van der Geest, Varkevisser)
  • Formulating the patient’s perspective in health care (Adams, Grit, Putters, Van de Bovenkamp)
  • New roles and responsibilities in the system of regulated competition by studying health care networks at the regional and local level; patient empowerment within the Wmo, Zvw, and AWBZ (Putters, Stoopendaal, Grit)
  • Equal treatment and access to health care and the implication of market-oriented health care reform (Buijsen)
  • Unilateral termination of treatment contracts by the health care provider for non-medical reasons (Buijsen)
  • Motives and characteristics of care consumers with a personal care budget (Oostrik, Huijsman)
  • Human rights and biomedicine (Den Exter)