• Giving policyholders a voice

    8 December 2014 - Advice

    As of 2006, the position of healthcare insurers in the healthcare system has changed. Healthcare insurers are now expected to purchase affordable, accessible high-quality healthcare on behalf of their policyholders. They purchase this healthcare in a competitive procurement market, and occasionally act as regional healthcare coordinators and participate in pre-competitive alliances. In this role the insurers have acquired an increasing degree of freedom, but they are exposed to greater financial risk. Read more >

  • Patient information Patient focust information services

    4 July 2014 - Advice

    The organisation of information systems should focus on the patient. A proper information system is of vital importance for the effective and efficient provision of healthcare. This applies not only at the micro level to patients and care providers but equally at the meso level, where health insurers, institutions and municipalities, for instance, require information to ensure accessible and affordable good-quality care for patients, clients and residents respectively. At the meso level healthcare providers also require reflective information against which to benchmark themselves and improve their services. At the macro level the government requires information to safeguard the quality, accessibility and affordability of healthcare provided in the Netherlands. Information is additionally required for policy, implementation and research purposes. Read more >

  • With the knowledge of tomorrow Towards a future-oriented healthcare policy

    24 June 2014 - Advice

    How will Dutch healthcare develop in the long term? And what opportunities and dilemmas must the healthcare system be prepared for? These are the questions at the core of this advisory report. Because crystal balls only appear in fairy tales, there are no cut-and-dried answers available. What we can do, however, is explore the possible options, as well as their consequences for healthcare organisations and government policy.
    For example: what trends will we see in life expectancy and quality of life, both of which have continued to exceed expectations for decades? Opinions on the matter are divided. Equally uncertain are the expected differences in health between higher and lower educated people. There are a variety of possible scenarios regarding growth in the healthcare sector, which also raises the issue of the extent to which we are prepared to finance healthcare expenses collectively, and to ensure that healthcare remains accessible to everybody. Read more >

  • 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 >

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