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Dutch efficiency savings are hitting healthcare quality

BMJ 1996; 313 doi: (Published 02 November 1996) Cite this as: BMJ 1996;313:1104

Signs are emerging in the Netherlands that the most vulnerable sections of society are suffering because of an annual drive towards increased efficiency savings.

The fourth annual report by an influential group of independent economists, led by Professor Arie van der Zwan, warns of a link between increased demands for productivity and poorer quality health care.

The report says that it is the elderly, handicapped, and psychiatric patients requiring nursing and home care who are feeling the brunt of cuts in health spending.

The report, commissioned by the Dutch Federation of Healthcare Organisations, (NZF), which represents all hospitals, nursing homes, and health …

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