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policy municipality health service client patient market citizen government provider pilot participation organisation model quality arduin dutch healthcare organization budget system people practice undocumented migrants study process measurement level paradigm shift support netwerk ënten compensation principle provision zelfsturende hospital council problem value migrant group example undocumented shift netherland change community rotterdam patient organizations insurer number performance doetinchem principle medewerker result research state applicant introduction compensation wordt responsibility household procedure organisatie paradigm development price project worden indication hebben vanuit health care tender wmo policy woning question society