Flexibility against efficiency? an international study on value for money in hospital concessions

Anneloes Blanken

    Research output: ThesisPhD Thesis - Research UT, graduation UT

    121 Downloads (Pure)


    DBFM(O), PFI, BOT, and BOOT arrangements, commonly bracketed under the term ‘concessions’, are gaining in popularity for the provision of infrastructure in general, and notably for the provision of hospitals. Concessions are seen as a solution that will overcome the bottlenecks associated with the conventional approach to hospital provision and, further, as an approach that will generate ‘Value for Money’. However, despite hospital concessions becoming increasingly common, they represent a major, but so far under-evaluated, concept.
    This thesis generates insights into whether hospital concessions do deliver the benefits claimed, and what conditions determine the success of the outcome. It endeavors to assess the potential of hospital concessions, and their empirical performance on Value for Money, through addressing the way concession arrangements are structured and the extent of the flexibility they generate. Initial lessons arising from the current provisioning of English and Australian hospital facilities by concessions are identified so that they can be taken into consideration in future projects.
    Original languageEnglish
    Awarding Institution
    • University of Twente
    • Dewulf, Geert, Supervisor
    • Bult-Spiering, W.D., Supervisor
    Award date3 Apr 2008
    Place of PublicationEnschede
    Print ISBNs978-90-365-2648-7
    Publication statusPublished - 3 Apr 2008


    • IR-58849


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