Samenwerken of samengaan?

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?

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