Netherlands: health system review / World Health Organization. Regional Office for Europe;European Observatory on Health Systems and Policies;Kroneman, Madelon;Boerma, Wienke;van den Berg, Michael;Groenewegen, Peter;de Jong, Judith;van Ginneken, Ewout

Tác giả : World Health Organization. Regional Office for Europe;European Observatory on Health Systems and Policies;Kroneman, Madelon;Boerma, Wienke;van den Berg, Michael;Groenewegen, Peter;de Jong, Judith;van Ginneken, Ewout

Nhà xuất bản : World Health Organization. Regional Office for Europe

Năm xuất bản : 2016

Tùng thư : Health Systems in Transition, vol. 18 (2)

Chủ đề : 1. Delivery of Health Care -- organization and administration. 2. Evaluation Studies. 3. Health Care Reform. 4. Health Systems Plans. 5. Healthcare Financing. 6. Netherlands. 7. Publications.

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Tóm tắt :

240 p. This analysis of the Dutch health system reviews recent developmentsin organization and governance, health financing, health care provision,health reforms and health system performance. Without doubt, two majorreforms implemented since the mid-2000s are among the main issues today.The newly implemented long-term care reform will have to realize a transitionfrom publicly provided care to more self-reliance on the part of the citizens anda larger role for municipalities in its organization. A particular point of attentionis how the new governance arrangements and responsibilities in long-term carewill work together.The 2006 reform replaced the division between public and private insuranceby one universal social health insurance and introduced managed competitionas a driving mechanism in the health care system. Although the reform wasinitiated almost a decade ago, its stepwise implementation continues to bringchanges in the health care system in general and in the role of actors in particular.In terms of performance, essential health care services are within easy reachand waiting times have been decreasing. The basic health insurance packageand compensations for lower incomes protect citizens against catastrophicspending. Out-of-pocket payments are low from an international perspective.Moreover, the Dutch rate the quality of the health system and their health asgood. International comparisons show that the Netherlands has low antibioticuse, a low number of avoidable hospitalizations and a relatively low avoidablemortality. National studies show that health care has made major contributionsto the health of the Dutch population as reflected in increasing life expectancy.Furthermore, some indicators such as the prescription of generics and lengthof stay reveal improvements in efficiency over the past years. Nevertheless, theNetherlands still has one of the highest per capita health expenditures in Europe,although growth has slowed considerably after reverting to more traditionalsector agreements on spending.

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https://iris.who.int/handle/10665/330244