Samenwerken of samengaan?

Geplaatst beheerder

Hoe ver ga je met samenwerken tussen organisaties? Blijf je vanuit je eigen organisatie werken, of ga je uiteindelijk toch samen verder en wordt het een fusie? Er zijn allerlei argumenten om uiteindelijk te fuseren. Vaak worden die in de hoek van synergie en schaalvoordelen gezocht. Maar minstens zo vaak worden die voordelen uiteindelijk niet gerealiseerd. Pieter Klaas Jagersma noemde het ooit de fopspeen voor de manager…

Onlangs las ik een interessant artikel over een zeer recent onderzoek naar fusies tussen ziekenhuizen. Zie: https://www.skipr.nl/actueel/id36172-%27concentratie-van-ziekenhuiszorg-is-beter-dan-fuseren%27.html. Dit onderzoek van Erasmus Universiteit maakt duidelijk dat de fusies tussen ziekenhuizen, het waren er de laatste jaren vele, zowel een prijsverhogend als kwaliteitsverlagend effect hadden. Met name door vergroting van marktmacht bij de ziekenhuizen, je zou het regionale monopolies kunnen noemen.

Wat weleens exact het tegenovergestelde kan zijn geweest, dan vooraf aan argumentatie werd aangedragen om te gaan fuseren… Boeiende uitkomst, die verrassend weinig aandacht kreeg. Zou het in andere (zorg)sectoren anders zijn?

5.281 gedachten over “Samenwerken of samengaan?”

  9. Hello just wanted to give you a quick heads up.

    The text in your content seem to be running off the screen in Firefox.
    I’m not sure if this is a formatting issue or something to do with web browser compatibility but I figured I’d
    post to let you know. The design and style look great though!
    Hope you get the issue resolved soon. Kudos

    Beantwoorden

  10. I’m amazed, I have to admit. Rarely do I come across a blog that’s equally educative and amusing, and let
    me tell you, you’ve hit the nail on the head.
    The issue is an issue that not enough people are
    speaking intelligently about. I’m very happy that I found this in my hunt for
    something concerning this.

    Beantwoorden

  11. Hello, Neat post. There’s a problem along with your web site in web explorer, may check this?

    IE nonetheless is the market chief and a good component
    to folks will leave out your wonderful writing because of
    this problem.

    Beantwoorden

  13. Hey there! Quick question that’s totally off topic.
    Do you know how to make your site mobile friendly?
    My site looks weird when viewing from my iphone.

    I’m trying to find a template or plugin that might be able to fix this issue.
    If you have any recommendations, please share.
    Many thanks!

    Beantwoorden

  14. I’m amazed, I must say. Seldom do I come across a blog that’s equally
    educative and entertaining, and let me tell you, you have hit
    the nail on the head. The issue is something that too few people
    are speaking intelligently about. Now i’m very happy I found this in my search
    for something relating to this.

    Beantwoorden

  15. Oh my goodness! Amazing article dude! Many thanks, However I am experiencing issues with your RSS.

    I don’t know why I am unable to subscribe to it. Is there anyone else getting identical RSS issues?
    Anyone that knows the solution can you kindly
    respond? Thanks!!

    Beantwoorden

  18. Hi I am so excited I found your website, I really found you
    by accident, while I was browsing on Askjeeve for something
    else, Regardless I am here now and would
    just like to say thanks for a incredible post and a all
    round enjoyable blog (I also love the theme/design), I don’t have time to browse it all at the minute but I have bookmarked it and also added your RSS feeds,
    so when I have time I will be back to read much more,
    Please do keep up the excellent b.

    Beantwoorden

    5. Undeniably believe that which you stated. Your favourite
      reason seemed to be at the net the easiest thing to remember of.
      I say to you, I definitely get annoyed whilst other folks think about worries that
      they plainly don’t recognise about. You managed to hit the
      nail upon the highest as neatly as outlined out the entire thing with no need side-effects , folks
      could take a signal. Will probably be again to get more.
      Thanks

      Beantwoorden

    6. It’s a shame you don’t have a donate button! I’d most
      certainly donate to this outstanding blog! I guess for now i’ll settle for bookmarking and
      adding your RSS feed to my Google account. I look forward to new updates and
      will share this blog with my Facebook group. Chat soon!

      Beantwoorden

    7. First of all I want to say wonderful blog! I had a quick question in which I’d like to ask
      if you do not mind. I was interested to know how you center
      yourself and clear your head before writing. I’ve had trouble clearing my mind in getting my ideas out there.
      I truly do enjoy writing however it just seems like the first 10 to 15 minutes are usually lost
      just trying to figure out how to begin. Any suggestions or hints?

      Cheers!

      Beantwoorden

    10. I believe what you typed made a ton of sense.
      But, what about this? suppose you added a little content?
      I ain’t suggesting your information is not good., but what if you added a title to possibly get people’s attention?
      I mean Samenwerken of samengaan? is kinda boring.

      You ought to look at Yahoo’s home page and watch how they write post headlines to grab viewers to open the
      links. You might add a video or a pic or two to get readers excited about everything’ve
      got to say. Just my opinion, it could bring your website a little livelier.

      Beantwoorden

    12. Hi there! This is kind of off topic but I need some help from an established
      blog. Is it hard to set up your own blog? I’m not very techincal but
      I can figure things out pretty quick. I’m thinking about
      setting up my own but I’m not sure where to begin. Do you have any
      tips or suggestions? Appreciate it

      Beantwoorden

    20. Yesterday, while I was at work, my cousin stole my iPad and tested to see
      if it can survive a forty foot drop, just so she can be
      a youtube sensation. My apple ipad is now destroyed and she has 83 views.
      I know this is entirely off topic but I had to share it with someone!

      Beantwoorden

    25. Hi there, I discovered your blog by means of Google whilst looking for a related matter, your web site got here up, it looks great.
      I have bookmarked it in my google bookmarks.
      Hi there, just became aware of your blog via Google, and found that it is truly informative.

      I’m going to be careful for brussels. I will be
      grateful for those who continue this in future. Many folks shall be benefited out of your writing.
      Cheers!

      Beantwoorden

    32. Today, I went to the beachfront with my kids.
      I found a sea shell and gave it to my 4 year old daughter and said “You can hear the ocean if you put this to your ear.” She put the shell to her ear and
      screamed. There was a hermit crab inside and it pinched her ear.
      She never wants to go back! LoL I know this
      is completely off topic but I had to tell someone!

      Beantwoorden

    60. Does your website have a contact page? I’m having trouble locating it but,
      I’d like to send you an email. I’ve got some
      suggestions for your blog you might be interested
      in hearing. Either way, great site and I look forward to seeing it develop over time.

      Beantwoorden

    61. I’m amazed, I have to admit. Seldom do I come across a blog that’s both educative and engaging,
      and without a doubt, you’ve hit the nail on the head. The
      problem is something too few people are speaking intelligently about.
      I’m very happy I found this during my search for something relating to this.

      Beantwoorden

    62. My programmer is trying to persuade me to move to .net from PHP.
      I have always disliked the idea because of the costs.
      But he’s tryiong none the less. I’ve been using WordPress on numerous websites for
      about a year and am nervous about switching to another platform.

      I have heard good things about blogengine.net.
      Is there a way I can import all my wordpress posts into it?
      Any help would be really appreciated!

      Beantwoorden

    63. Great blog! Do you have any recommendations
      for aspiring writers? I’m hoping to start my own site soon but I’m a little lost on everything.

      Would you recommend starting with a free platform like WordPress or go
      for a paid option? There are so many choices out there that I’m totally
      confused .. Any suggestions? Thanks!

      Beantwoorden

    64. Hi I am so delighted I found your blog page, I really
      found you by mistake, while I was browsing on Google for
      something else, Regardless I am here now and
      would just like to say thanks a lot for a marvelous post and
      a all round exciting blog (I also love the theme/design),
      I don’t have time to go through it all at the moment
      but I have saved it and also included your RSS feeds, so when I have time I
      will be back to read more, Please do keep up the superb work.

      Beantwoorden

    65. I think this is one of the most significant info for me.
      And i am glad reading your article. But should remark on some general things, The site style is perfect, the articles is
      really great : D. Good job, cheers

      Beantwoorden

    66. We’re a gaggle of volunteers and starting a brand
      new scheme in our community. Your site offered us with valuable info to
      work on. You’ve done a formidable process and our whole neighborhood will likely
      be thankful to you.

      Beantwoorden

    85. Hmm it seems like your website ate my first comment (it was
      extremely long) so I guess I’ll just sum it up what I submitted and say, I’m thoroughly enjoying your blog.
      I too am an aspiring blog blogger but I’m still new to everything.
      Do you have any suggestions for first-time blog writers?

      I’d genuinely appreciate it.

      Beantwoorden

    86. Very nice post. I just stumbled upon your blog and wished to say that I’ve truly enjoyed surfing around
      your blog posts. After all I will be subscribing to your rss feed and
      I hope you write again very soon!

      Beantwoorden

    89. I am really enjoying the theme/design of your web site.
      Do you ever run into any browser compatibility problems?
      A few of my blog visitors have complained about
      my site not operating correctly in Explorer but looks great in Opera.
      Do you have any advice to help fix this issue?

      Beantwoorden

    92. An impressive share! I’ve just forwarded
      this onto a colleague who was conducting a little research on this.
      And he in fact bought me dinner simply because I discovered it for him…
      lol. So allow me to reword this…. Thanks for the meal!!
      But yeah, thanks for spending some time to discuss this issue here on your blog.

      Beantwoorden

    94. You could definitely see your enthusiasm within the
      work you write. The sector hopes for even more passionate writers
      such as you who are not afraid to say how they believe.
      At all times go after your heart.

      Beantwoorden

    105. Hey I know this is off topic but I was wondering if you knew of any widgets
      I could add to my blog that automatically tweet my newest twitter updates.
      I’ve been looking for a plug-in like this for quite some time and was hoping maybe you would
      have some experience with something like this. Please let me know
      if you run into anything. I truly enjoy reading your blog and
      I look forward to your new updates.

      Beantwoorden

    107. A motivating discussion is definitely worth comment.
      There’s no doubt that that you ought to publish more about this issue, it might not be a taboo
      subject but typically folks don’t speak about these issues.

      To the next! Cheers!!

      Beantwoorden

    112. I think what you posted was actually very logical.

      But, consider this, what if you typed a catchier title?
      I mean, I don’t wish to tell you how to run your blog, but what if you added a post title that
      makes people want more? I mean Samenwerken of samengaan? is
      a little boring. You ought to look at Yahoo’s front page and see
      how they create article titles to grab viewers to open the links.
      You might add a video or a related picture or two to grab people
      excited about what you’ve got to say. Just my opinion, it might bring your posts a little
      bit more interesting.

      Beantwoorden

    114. I was wondering if you ever considered changing
      the structure of your blog? Its very well written; I love what youve got to
      say. But maybe you could a little more in the way of content so people could connect with it better.

      Youve got an awful lot of text for only having 1
      or two images. Maybe you could space it out better?

      Beantwoorden

    120. Have you ever thought about including a little bit more than just your articles?
      I mean, what you say is valuable and everything. Nevertheless think of if
      you added some great visuals or videos to give your posts more, “pop”!
      Your content is excellent but with images and video clips, this blog could
      certainly be one of the greatest in its field. Superb blog!

      Beantwoorden

    121. That is really attention-grabbing, You’re a very professional blogger.
      I’ve joined your rss feed and stay up for seeking more of your wonderful
      post. Additionally, I have shared your web site in my social networks

      Beantwoorden

    123. Excellent blog! Do you have any helpful hints for aspiring
      writers? I’m hoping to start my own site soon but I’m a little lost on everything.
      Would you suggest starting with a free platform like WordPress or go
      for a paid option? There are so many choices out there that I’m
      totally confused .. Any suggestions? Bless you!

      Beantwoorden

    127. With havin so much content do you ever run into any problems of plagorism or copyright infringement?
      My site has a lot of completely unique content I’ve either authored myself or outsourced but it looks like a lot of it is
      popping it up all over the internet without my authorization. Do you know any techniques to help prevent content from being stolen? I’d really appreciate
      it.

      Beantwoorden

    130. An outstanding share! I’ve just forwarded this onto a coworker who has been doing a little research on this.
      And he in fact bought me lunch due to the fact that I found
      it for him… lol. So let me reword this…. Thank YOU for
      the meal!! But yeah, thanx for spending the time to
      talk about this subject here on your web page.

      Beantwoorden

    132. Hey there! I’ve been reading your blog for a while now and finally got the bravery to go ahead and give you a shout out from Kingwood Texas!
      Just wanted to tell you keep up the good work!

      Beantwoorden

    134. With havin so much content and articles do you ever run into any
      issues of plagorism or copyright infringement? My site has a lot of unique content I’ve either created myself or outsourced but it looks like a lot of it is popping it up all over the internet without
      my authorization. Do you know any techniques to help
      protect against content from being stolen? I’d really
      appreciate it.

      Beantwoorden

    135. We’re a bunch of volunteers and starting a new scheme in our community.
      Your website offered us with useful info to work on. You’ve done a formidable activity and our entire group might be thankful to you.

      Beantwoorden

    136. A person necessarily lend a hand to make critically posts I’d state.
      This is the very first time I frequented your web page and to this point?
      I amazed with the research you made to make this actual put up incredible.
      Fantastic job!

      Beantwoorden

    140. Appreciating the commitment you put into your website and detailed information you present.
      It’s great to come across a blog every once in a while that isn’t the same unwanted rehashed information. Great read!

      I’ve bookmarked your site and I’m including your RSS feeds to my Google account.

      Beantwoorden

    146. An outstanding share! I have just forwarded this onto a co-worker
      who was doing a little research on this. And he actually bought me breakfast due to
      the fact that I found it for him… lol. So let me
      reword this…. Thanks for the meal!! But yeah, thanx for spending the time to
      talk about this topic here on your website.

      Beantwoorden

    151. Thanks for a marvelous posting! I genuinely enjoyed
      reading it, you could be a great author. I will be sure to bookmark
      your blog and may come back from now on. I want to encourage you to
      ultimately continue your great job, have a nice morning!

      Beantwoorden

    152. Attractive component of content. I simply stumbled upon your web site and
      in accession capital to say that I acquire actually enjoyed
      account your blog posts. Any way I’ll be subscribing for your feeds and even I
      fulfillment you get right of entry to constantly fast.

      Beantwoorden

    154. I blog frequently and I truly appreciate your information. The article
      has truly peaked my interest. I am going to book mark your website
      and keep checking for new information about once a week.
      I opted in for your RSS feed as well.

      Beantwoorden

    157. Unquestionably believe that which you said. Your favorite
      justification seemed to be on the net the easiest thing to be aware of.
      I say to you, I certainly get annoyed while people consider
      worries that they just don’t know about. You managed
      to hit the nail upon the top and defined out the whole thing without having side effect , people could take a signal.
      Will likely be back to get more. Thanks

      Beantwoorden

    163. I’m extremely impressed with your writing skills as well
      as with the layout on your weblog. Is this a paid theme or did you modify it yourself?
      Either way keep up the nice quality writing, it’s rare to see a great blog like this one nowadays.

      Beantwoorden

    166. Hey I know this is off topic but I was wondering if you
      knew of any widgets I could add to my blog that automatically tweet
      my newest twitter updates. I’ve been looking for a plug-in like this for
      quite some time and was hoping maybe you would have some experience with something like this.
      Please let me know if you run into anything. I truly enjoy reading your blog
      and I look forward to your new updates.

      Beantwoorden

    167. We stumbled over here coming from a different page and thought I might
      as well check things out. I like what I see so now i’m following you.
      Look forward to going over your web page for a second time.

      Beantwoorden

    171. An outstanding share! I have just forwarded this
      onto a colleague who was doing a little homework on this.
      And he in fact ordered me dinner because I discovered it for him…
      lol. So let me reword this…. Thank YOU for the meal!!
      But yeah, thanx for spending time to talk about this matter here on your
      blog.

      Beantwoorden

    176. Hi there! I understand this is kind of off-topic however I needed to ask.

      Does running a well-established blog like yours take a massive
      amount work? I’m brand new to writing a blog however I do write in my
      diary on a daily basis. I’d like to start a blog so I will be able to
      share my own experience and thoughts online.
      Please let me know if you have any recommendations or tips for new aspiring blog owners.
      Thankyou!

      Beantwoorden

    177. Having read this I believed it was rather enlightening.
      I appreciate you spending some time and effort to put this informative article together.
      I once again find myself personally spending a lot of time
      both reading and leaving comments. But so what, it was still worthwhile!

      Beantwoorden

    178. Hi! I know this is somewhat off topic but I
      was wondering which blog platform are you using for this website?
      I’m getting fed up of WordPress because I’ve had issues with hackers and I’m looking at alternatives for another platform.
      I would be great if you could point me in the
      direction of a good platform.

      Beantwoorden

    181. I was suggested this blog by way of my cousin.
      I am no longer positive whether this submit is written by way of
      him as nobody else recognize such detailed approximately my difficulty.
      You’re amazing! Thank you!

      Beantwoorden

    182. Terrific article! This is the type of info that are supposed to be shared across the net.

      Disgrace on the seek engines for no longer positioning this put up upper!
      Come on over and visit my web site . Thank you =)

      Beantwoorden

    187. I’m really enjoying the design and layout of
      your site. It’s a very easy on the eyes which makes it much
      more pleasant for me to come here and visit more
      often. Did you hire out a developer to create your theme?
      Great work!

      Beantwoorden

    191. Hey! I know this is kinda off topic however I’d
      figured I’d ask. Would you be interested in exchanging links or maybe guest writing a blog post or
      vice-versa? My website covers a lot of the same
      subjects as yours and I believe we could greatly benefit from each other.
      If you might be interested feel free to shoot me an email.

      I look forward to hearing from you! Superb blog
      by the way!

      Beantwoorden

    193. My brother suggested I would possibly like this website.
      He used to be entirely right. This submit actually made my day.
      You cann’t consider simply how much time I had spent for this info!
      Thank you!

      Beantwoorden

    195. You actually make it seem so easy with your presentation but I find this topic to be really
      something that I think I would never understand. It seems too complex and very broad for me.
      I am looking forward for your next post, I’ll try
      to get the hang of it!

      Beantwoorden

    197. Hi! I know this is somewhat off topic but I was wondering which blog
      platform are you using for this website? I’m getting tired of WordPress because I’ve had issues with hackers
      and I’m looking at options for another platform.
      I would be awesome if you could point me in the
      direction of a good platform.

      Beantwoorden

  20. Hello, i read your blog from time to time and i own a similar one and i
    was just curious if you get a lot of spam responses?

    If so how do you protect against it, any plugin or anything
    you can advise? I get so much lately it’s driving me insane so any support is very
    much appreciated.

    Beantwoorden

  24. I do not know if it’s just me or if perhaps everybody
    else encountering issues with your site. It seems like some of
    the text within your posts are running off the screen. Can somebody else please provide feedback
    and let me know if this is happening to them as well? This could
    be a issue with my internet browser because I’ve had this happen before.

    Thank you

    Beantwoorden

  29. I do accept as true with all of the ideas you have introduced in your post.
    They’re really convincing and will certainly work.
    Nonetheless, the posts are very brief for novices. Could you please extend them
    a bit from next time? Thank you for the post.

    Beantwoorden

  38. Please let me know if you’re looking for a article author for your weblog.
    You have some really good articles and I believe I would be a good asset.
    If you ever want to take some of the load
    off, I’d love to write some material for your blog in exchange for a link
    back to mine. Please blast me an email if interested. Many
    thanks!

    Beantwoorden

  40. I am really enjoying the theme/design of your site. Do you ever run into any browser compatibility issues?
    A number of my blog readers have complained about my blog
    not operating correctly in Explorer but looks great
    in Opera. Do you have any solutions to help fix this
    issue?

    Beantwoorden

  209. Hello! I could have sworn I’ve been to this website before but after checking through some of the post I realized it’s new to me.
    Anyways, I’m definitely delighted I found it and I’ll be book-marking and checking back frequently!

    Beantwoorden

  230. Hey there! This post couldn’t be written any better! Reading through this post reminds me of my previous room mate! He always kept talking about this. I will forward this post to him. Pretty sure he will have a good read. Thank you for sharing!|

    Beantwoorden

  240. Hey! Quick question that’s completely off topic. Do you know how to make your site mobile friendly? My web site looks weird when browsing from my apple iphone. I’m trying to find a template or plugin that might be able to correct this issue. If you have any suggestions, please share. Thank you!|

    Beantwoorden

  246. You really make it seem really easy together with your presentation however I in finding this matter to be actually something that I think I’d never understand. It seems too complex and very broad for me. I’m taking a look forward in your subsequent publish, I will attempt to get the hang of it!|

    Beantwoorden

  292. Please let me know if you’re looking for a author for your weblog. You have some really good articles and I believe I would be a good asset. If you ever want to take some of the load off, I’d really like to write some articles for your blog in exchange for a link back to mine. Please shoot me an e-mail if interested. Cheers!|

    Beantwoorden

  303. Undeniably imagine that which you said. Your favourite justification seemed to be at the web the easiest factor to be aware of. I say to you, I definitely get annoyed whilst other folks consider concerns that they just do not recognise about. You controlled to hit the nail upon the top as well as defined out the entire thing with no need side-effects , people can take a signal. Will likely be again to get more. Thank you|

    Beantwoorden