The Dutch health system in 2019: Many major reforms, but still work in progress

Health Policy ◽  
2019 ◽  
Vol 123 (3) ◽  
pp. 249-251 ◽  
Author(s):  
Patrick Jeurissen ◽  
Ewout van Ginneken
2011 ◽  
Vol 6 (1) ◽  
pp. 135-137 ◽  
Author(s):  
Frederik T. Schut ◽  
Wynand P. M. M. van de Ven

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 100483 ◽  
Author(s):  
Robert S. Rudin ◽  
Shira H. Fischer ◽  
Cheryl L. Damberg ◽  
Yunfeng Shi ◽  
Paul G. Shekelle ◽  
...  

2021 ◽  
Author(s):  
Véronique L L C Bos ◽  
Tessa Jansen ◽  
Niek S Klazinga ◽  
Dionne S Kringos

BACKGROUND Web-based public reporting by means of dashboards has become an essential tool for governments worldwide to monitor COVID-19 information and communicate it to the public. The actionability of such dashboards is determined by their fitness for purpose—meeting a specific information need—and fitness for use—placing the right information into the right hands at the right time and in a manner that can be understood. OBJECTIVE The aim of this study was to identify specific areas where the actionability of the Dutch government’s COVID-19 dashboard could be improved, with the ultimate goal of enhancing public understanding of the pandemic. METHODS The study was conducted from February 2020 to April 2021. A mixed methods approach was carried out, using (1) a descriptive checklist over time to monitor changes made to the dashboard, (2) an actionability scoring of the dashboard to pinpoint areas for improvement, and (3) a reflection meeting with the dashboard development team to contextualize findings and discuss areas for improvement. RESULTS The dashboard predominantly showed epidemiological information on COVID-19. It had been developed and adapted by adding more in-depth indicators, more geographic disaggregation options, and new indicator themes. It also changed in target audience from policy makers to the general public; thus, a homepage was added with the most important information, using news-like items to explain the provided indicators and conducting research to enhance public understanding of the dashboard. However, disaggregation options such as sex, socioeconomic status, and ethnicity and indicators on dual-track health system management and social and economic impact that have proven to give important insights in other countries are missing from the Dutch COVID-19 dashboard, limiting its actionability. CONCLUSIONS The Dutch COVID-19 dashboard developed over time its fitness for purpose and use in terms of providing epidemiological information to the general public as a target audience. However, to strengthen the Dutch health system’s ability to cope with upcoming phases of the COVID-19 pandemic or future public health emergencies, we advise (1) establishing timely indicators relating to health system capacity, (2) including relevant data disaggregation options (eg, sex, socioeconomic status), and (3) enabling interoperability between social, health, and economic data sources.


Author(s):  
Sander Holterman ◽  
Marike Hettinga ◽  
Erik Buskens ◽  
Maarten Lahr

Background: Digital health is considered a promising solution in keeping health care accessible and affordable. However, implementation is often complex and sustainable funding schemes are lacking. Despite supporting policy, scaling up innovative forms of health care progresses much slower than intended in Dutch national framework agreements. The aim of this study is to identify factors that influence the procurement of digital health particular in district nursing. Methods: A case study approach was used, in which multiple stakeholder perspectives are compared using thematic framework analysis. The case studied was the procurement of digital health in Dutch district nursing. Literature on implementation of digital health, public procurement and payment models was used to build the analytic framework. We analysed fourteen interviews (secondary data), two focus groups organised by the national task force procurement and eight governmental and third-party reports. Results: Five themes emerged from the analysis: 1) rationale 2) provider-payer relationship, 3) resources, 4) evidence, and 5) the payment model. Per theme a number of factors were identified, mostly related to the design and functioning of the Dutch health system and to the implementation process at providers' side. Conclusions: This study identified factors influencing the procurement of digital health in Dutch district nursing. The findings, however, are not unique for digital health, district nursing or the Dutch health system. The results presented will support policy makers, and decision makers to improve procurement of digital health. Investing in better relationships between payer and care provider organisations and professionals is an important next step towards scaling digital health.


2010 ◽  
Vol 17 (3) ◽  
pp. 223-233 ◽  
Author(s):  
Andre den Exter

AbstractDutch health system reforms can be characterized by an ambiguous approach, combining competition and private initiatives on several health care markets with restrictive measures inspired by social values. Respecting equal access to necessary health care services on a competitive market appears to be an extremely difficult and bureaucratic exercise, if not impossible.


Health ◽  
2015 ◽  
Vol 07 (09) ◽  
pp. 1061-1068 ◽  
Author(s):  
Lucas Booltink ◽  
Marieke van Genugten ◽  
Christiaan Lako

2011 ◽  
Vol 6 (1) ◽  
pp. 109-123 ◽  
Author(s):  
Frederik T. Schut ◽  
Wynand P. M. M. van de Ven

AbstractIn 2006, the Dutch health insurance system was radically reformed to strengthen competition among health insurers as purchasers of health services. This article considers whether purchaser competition has improved efficiency in health-care provision. Although supply and price regulation still dominates the allocation of health services, purchaser competition has already significantly affected the provision of hospital care, pharmaceuticals and primary care, as well as efforts to gather and disseminate information about quality of care. From this perspective, the glass is half full. However, based on the crude performance indicators available, the reforms have not yet demonstrated significant effects on the performance of the Dutch health system. From this perspective the glass is half empty. The article concludes that the effectiveness of purchaser competition depends crucially on the success of ongoing efforts to improve performance indicators, product classification and the risk equalisation scheme.


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