Lex Goudswaard, GP, PhD Kees in ’t Veld, GP Saskia Mol, MD, PhD Netherlands College of GPs (NHG)
Healthcare in the Netherlands Fundamental changes C.J. (Kees) in ’t Veld, GP Netherlands College...
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Transcript of Healthcare in the Netherlands Fundamental changes C.J. (Kees) in ’t Veld, GP Netherlands College...
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Healthcare in the Netherlands Fundamental changes
C.J. (Kees) in ’t Veld, GPNetherlands College of GPs
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Healthcare in the Netherlands Fundamental changes
• How the system used to be• From January 1st 2006 onwards• Observations: chances, threats• Looking back on the process
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Healthcare in the Netherlands Fundamental changes
Area 33.883 km²Population 16 millionLife expectancy 78 yrs
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Healthcare in the Netherlands Fundamental changes
GPs: 8000 2580Patients 2350Fixed listGoalkeeper
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Healthcare in the Netherlands Fundamental changes
Sickfunds (60% population) • Fee per capita • Orientation specific region
Private health care insurance companies (40%) • Fee for service• Nationwide
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Healthcare in the Netherlands Fundamental changes
Health Insurance System January 1st 2006
Socialised, private system
Fixed packageLow-income: tax grantHigh-income: additional premium
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Healthcare in the Netherlands Fundamental changes
Health Insurance System January 1st 2006
Three levels of additional packages
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Healthcare in the Netherlands Fundamental changes
PatientsGovernmentHealth insurersProfessionals
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Healthcare in the Netherlands Fundamental changes
Patients• 30% changed • Mixed emotions• Trust, hope, scepsis
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Healthcare in the Netherlands Fundamental changes
PatientsGovernmentHealth insurersProfessionals
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Healthcare in the Netherlands Fundamental changes
Government• The job has been done• Patients have choices• Quality, transparency
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Healthcare in the Netherlands Fundamental changes
PatientsGovernmentHealth insurersProfessionals
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Healthcare in the Netherlands Fundamental changes
Health insurers• Administrative difficulties• Cost containment?• Value for money?
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Healthcare in the Netherlands Fundamental changes
PatientsGovernmentHealth insurersProfessionals
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Healthcare in the Netherlands Fundamental changes
Professionals• Chances• Uncertain, insecure, threatened
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Healthcare in the Netherlands Fundamental changes