Publications

  • Municipal care: Preconditions for the successful decentralisation of long-term healthcare to municip

    31 March 2014

    The central question
    The tenability of healthcare spending will pose a problem over the coming decades. Quality and accessibility are currently adequate, but healthcare expenditures are too high and rising at a rapid pace. The Dutch government views the decentralisation of claims under the Exceptional Medical Expenses Act (Algemene Wet Bijzondere Ziektekosten, AWBZ) and other benefits to municipal level as part of the solution. The previous effort to decentralise domestic care (2007) proved successful. Efforts are currently under way to further decentralise aspects of the AWBZ, Youth Care and the Work-incapacitated Persons [Participation] Acts. The so-called efficiency cutback plays a key role in this regard. Read more >

  • Guaranteeing the quality of health care

    19 December 2013 - Advice

    Are management boards and supervisory boards equipped to ensure the quality and safety of care, both now and in the future? Care institutions are currently facing turbulent times: many old certainties are disappearing, with a fight for survival looming on the horizon. Successfully navigating these developments will require effective brinkmanship. There is a very real danger that the focus on quality and safety could suffer as a result. This is all the more urgent in view of the growing external pressure to provide greater transparency and ensure the quality and safety of care. Read more >

  • The participating patient

    20 June 2013 - Advice

    The introduction of regulated market forces in patient care in 2006 was intended (among other things) to effect a shift from supply-driven to demand-driven care, whereby the provision of care would be based not on the existing supply but on the demand and needs of patients. In essence, this transition would enable (though not oblige) patients to participate in the decisions about and implementation of their care. Though some of the developments to come out of this have been positive, it is clear that now, more than six years on, patients still have insufficient opportunity to participate in care, despite the fact they are eager to do so. Read more >

  • The importance of mutuality… …solidarity takes work!

    30 May 2013 - Advice

    In the Dutch healthcare system, solidarity is premised on the notion that the system belongs to everyone and benefits everyone. At any given moment there are those who are bearing the cost of premiums so that others can receive the facilities they need. But those who are paying now know that there may come a time when these roles are reversed and they become the recipients. Consider it a form of delayed exchange; though the exchange is not a requisite, it offers an assurance in case of need. Read more >

  • Gateway monitoring Basic care as the link between people, care and society

    13 December 2012 - Advice

    Summary Effective basic care is important for making care accessible, affordable and good-quality. However, the associated first-line health and welfare facilities are coming under increasing pressure. The number of people with a chronic illness is growing and care issues are becoming ever more complex. Many of the health problems people experience are not isolated but are tied to behaviour or to social or other environmental factors such as family, relationships, work, income and housing. In this recommendation, these multi-faceted problems serve as a lens for the approach taken by basic care. Good examples demonstrate that much personal and social damage (both short and long-term) can be prevented by structuring care to cater for multi-faceted problems. The core policy question addressed in this recommendation is: How should we rearrange things at the ‘gateway’ to healthcare in order to improve accessibility, clarity of problems and the available care options where multi-faceted problems are involved? Read more >

  • Offending and mental illness Forensic and compulsory mental healthcare form a chain

    31 July 2012 - Advice

    The Minister of Health, Welfare and Sport and the State Secretary for Security and Justice have asked the Council for Public Health and Care (RVZ) what is required for the successful introduction of the Forensic Care Act (Wfz) and the Mandatory Mental Healthcare Act (WvGGZ), which are together designed to improve the alignment of forensic and regular mental healthcare. This would benefit patients and offenders as well as society itself, as effective, coordinated care can reduce recidivism, thus helping to make society safer. Read more >

  • Self-sufficiency in old age Care for dependent elderly people requires precautionary measures by everyone

    19 July 2012 - Advice

    What measures are needed in order to guarantee proper care and a good quality of life for care-dependent elderly people in the future? That is the question at the heart of this Council for Public Health and Care recommendation. The Council understands the term ‘care-dependent elderly people’ to refer to ‘elderly people who are unable to independently take care of the essential aspects of their lives, namely care, accommodation and well-being’. It is the Council’s aim to ensure that future care for the elderly is organised such that people enjoy better health in their later years, with a good quality of life and in their desired living environment. Collective care must therefore focus on care-dependent elderly people. Read more >

  • Preventing disease of affluence: a summary Effectively and efficiently organised

    5 April 2012 - Advice

    Diseases of affluence, or loss of health due to lifestyle habits associated with modern affluent society, usually feature far less in prevention policy compared with infectious diseases and accidents. This is disproportionate to the degree of widespread illness they cause; improved lifestyle habits could increase not only life expectancy, but also the number of healthy years and years free of disability/chronic conditions. Right now we are seeing a (sometimes significantly) increase of life expectancy without a corresponding increase in the number of years free of disability/chronic disease. Within the context of increasing demand for care, prevention offers major societal advantages in terms of both paid and unpaid productivity and participation. Prevention is one possible solution to rising healthcare costs and the looming and imminent difficulties in the labour market. Read more >

  • Medical-specialist care in 20/20: a summary

    10 November 2011 - Advice

    The medical specialist care landscape in 2020 will look very different from how we know it at present. The need for change is driven, on the one hand, by the strong growth in the demand for healthcare that the years ahead will bring and, on the other, the limited financial scope for meeting that demand both now and in the future. Furthermore, the nature of the demand for healthcare is changing: we expect to see increasing numbers of chronically ill patients who, moreover, will often be suffering from multiple disorders simultaneously. Read more >

  • Aiming for Health

    4 October 2011 - Advice

    In the trend of rising life expectancies, the Netherlands continues to lag behind a number of other European countries. Differences in the quality of care among individual hospitals and healthcare providers are inexplicably large. The quality of care in the caring sector is failing to deliver in a number of areas, while patient satisfaction could clearly be better. Results are also disappointing when it comes to prevention; unhealthy lifestyle choices such as smoking, excessive alcohol use and insufficient physical exercise are simply too entrenched. All financial preconditions are keyed to financing treatments rather than achieving specific results. Read more >

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