Abstract
This study describes the development of quality systems in Dutch hospitals between 1995 and 2011. To measure the development stage of quality systems, a structured questionnaire was sent to the Board of Directors of all Dutch hospitals in 1995, 2000, 2005, 2007 and 2011. The results of this study show that the development stage of quality systems in Dutch hospitals increased between 1995-2011. In 1995, 52% of the participating hospitals were in the preparation stage of development. In 2011, 53% of the participating hospitals already possessed all the necessary elements of a quality system and another 45% had integrated these elements into a system of continuous quality improvement. Although the development of quality systems increased, this development did not follow the same pattern in the different elements of the quality system. Furthermore, quality systems of larger hospitals were significantly further developed. Future research should focus on further explanations of differences in quality management development stages between hosptitals and the effectiveness of these systems in terms of quality of care.
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