In 2005 it was once again confirmed that a one-size-fits-all strategy for hospitals does not work. Gupta Strategists calculated that declining productivity cost society an extra 140 million euros in 2005 compared with 2004 and adjusted for inflation. Yet 39 of the 93 hospitals actually saw improved performance and delivered a social profit of 120 million euros. Therefore, it is inappropriate to adopt the same approach for all hospitals.

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