Healthcare for people with a physical, mental or psychological handicap has been developing momentum over the last few years. A series of changes in legislations and management decisions have brought about to enormous changes and not always without good reason. The structure and provisions of the AWBZ121 had become too large and consequently too expensive. Times changed and the old laws had become antiquated. A supply orientated system did not meet today’s demands and had to give way to a system operating to meet the needs of today’s clients. This implies fundamental changes to the financial structure. It also necessitates breaking down the barriers dividing AWBZ departments and the stimulation of competition between the companies of care and between the insurance suppliers. These developments go hand in hand with a strengthening client position.

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De Open Ankh, Soesterberg, Dijk, Prof. Dr. J.K. van (promotor), IVA Groep, Rotterdam, Nederlandse Vereniging voor Ziekenhisdirecteuren, Utrecht, Paauwe, Prof. Dr. J. (promotor), Scan Serv, Nootdorp
J. Paauwe (Jaap)
Erasmus University Rotterdam
Erasmus School of Health Policy & Management (ESHPM)

van Wijk, K. (2007, May 24). De Service Care Chain: De invloed van service en HRM op de realisering van vraaggerichte dienstverlening door zorgorganisaties. Retrieved from