Managed Competition in Healthcare (?); Comment on “Measuring Active Purchasing in Healthcare: Analysing Reallocations of Funds Between Providers to Evaluate Purchasing Systems Performance in the Netherlands”

Document Type : Commentary

Author

Faculty of Economics and Administration, Masaryk University Brno, Brno, Czechia

Abstract

This article comments on the paper by Stadhouders et al titled “Measuring Active Purchasing in Healthcare: Analysing Reallocations of Funds Between Providers to Evaluate Purchasing Systems Performance in the Netherlands.” Its main aim is to respond to the fact that the paper, without discussion, assumes that competitive reform stimulates the efficient allocation of funds. To achieve this goal, this article discusses existing knowledge related to the author’s assumption, highlighting that there is no uniform theory regarding the capacity of market forces to regulate healthcare markets. It also argues that market-based healthcare reforms may be very risky in countries with limited state regulatory capacity and widespread corruption. 

Keywords

References

  1. Stadhouders NW, Koolman X, Tanke MAC, Maarse H, Jeurissen PPT. Measuring active purchasing in healthcare: analysing reallocations of funds between providers to evaluate purchasing systems performance in the Netherlands. Int J Health Policy Manag. 2023;12:7506. doi:34172/ijhpm.2023.7506
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History

  • Received Date: 18 March 2025
  • Revised Date: 24 June 2025
  • Accepted Date: 14 July 2025
  • First Published Date: 15 July 2025
  • Publish Date: 01 December 2025

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