scholarly journals Alcohol policy in the Netherlands in a National Prevention Agreement: results of three studies

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Van De Mheen ◽  
R Bovens ◽  
R Friele ◽  
I Van De Goor ◽  
N Kools ◽  
...  

Abstract Introduction On 23 November 2018 in the Netherlands more than 70 organizations signed the National Prevention Agreement. This document had been set up by the Dutch government aiming to create a healthy generation in 2040. It focuses on alcohol, next to overweight and tobacco control. Participants are a.o. NGO's, the sports sector, insurance companies, municipalities but also the alcohol industry and retailers. Methods Three studies were performed aiming to map how alcohol use might be reduced. 30 days without alcohol: the IkPas (No Thanks) campaignAlcohol screening and interventions for patients in General HospitalsPrioritizing alcohol enforcement and prevention efforts by combining prevalence and success-rate for minors purchasing alcohol. Respectively a quantitative survey among adult alcohol users (n = 15.947), qualitative interviews among health professionals (n = 21), a quantitative survey among youngsters (n = 510) and purchase attempts (n = 1.373) of alcohol by mystery shoppers were performed. Results Beside on youth, in the Prevention Agreement priority has been laid on elderly, pregnant women, members and visitors of sports clubs and students. Also important are measures in primary and secondary health care and health policy in industrial companies. Measures are proposed in the field of the 'three best buys' (higher prices, lesser advertisement and restrictions in availability). The three studies showed that participants of the IkPas campaign feel fitter, sleep better, lose weight and drink less after 6 months follow-up. Furthermore, implementation of alcohol screening and interventions for patients in Dutch hospitals is still in its infancy. Lastly, bars/cafes/discos should be given priority for enforcement and prevention. Conclusions The question that will be discussed is whether the Netherlands by this agreement really do make a step forward in developing a healthy alcohol policy. Will the ambitious goals formulated in the agreement be reached in 2040? Key messages Alcohol policy measures are needed to reach a healthy population in 2040. Campaigns, screening and brief interventions, and alcohol enforcement are promising.

Author(s):  
Elena Vladimirovna Frolova ◽  

The Netherlands is a state located in Western Europe bordering Germany and Belgium. The population of the country is just over 17million people. In terms of GDP, theNetherlands is among the twenty richest countries in the world, and in terms of exports, it is in the top ten. The average life expectancy in theNetherlands is 81.4 years; in the structure ofmortality, malignant neoplasms come out on top, which distinguishes the state from other European countries, where the main cause of deaths is cardiovascular diseases. The compulsory health insurance system was introduced in the country in 2006 after the medical reform. A distinctive feature of the Dutch healthcare system is its relative autonomy from the state, which performs only the function of an external controller, and all other powers belong to the municipal authorities. As a result, several private insurance companies have been admitted to health insurance in the Netherlands, which create healthy competition among themselves, thereby contributing to better quality and more affordable healthcare.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
P Van Gils ◽  
A W M Suijkerbuijk ◽  
G A de Wit ◽  
J J Polder ◽  
M A Koopmanschap

Abstract Introduction In 2015, Dutch healthcare expenditure exceeded 85 billion euros. But what about prevention? In this study we estimated national expenditure on prevention. A distinction was made between health protection, health promotion and disease prevention. In the estimation of prevention expenditures, this study is limited to universal, selective and indicated prevention, as healthcare-related prevention can hardly be distinguished from curative care. This study analyzed expenditure on preventive activities in the Netherlands in 2015 and took a societal perspective. Methods We used various sources to investigate spending on prevention in 2015. Insofar as costs were part of healthcare expenditure, estimates were based on the Care Accounts of Statistics Netherlands. For the remainder, we estimated expenditure using annual reports and annual accounts of governments and other organizations. We included preventive activities by consumers, industry, NGOs, insurance companies, and government. Results In 2015, an estimated € 12.4 billion (1.8% of the GDP) was spent on prevention: € 2.4 billion on disease prevention (19%), € 0.6 billion on health promotion (5%) and € 9.4 billion on health protection (76%). This is a decrease of 17% compared to 2007, the last year that a similar estimate was made. Within health promotion, the largest expenditure was for working conditions and safety: € 160 million. € 67 million was spent on mental disorders. The largest expenditure item within disease prevention was dental care: € 675 million. Within health protection, this was the sewer by more than € 3 billion. Conclusions Spending on prevention is relatively low compared to total spending on healthcare. The largest part is targeted at health protection. In the coming years there may be an increase in expenditure, due to more governmental prevention policies such as the National Prevention Agreement. Key messages Spending on prevention is relatively low compared to total spending on healthcare. Relatively little money for health protection.


2015 ◽  
Vol 6 (2) ◽  
pp. 51-64 ◽  
Author(s):  
Julia Gremm ◽  
Julia Barth ◽  
Wolfgang G. Stock

Many cities in the world define themselves as ‘smart.' Is this term appropriate for cities in the emergent Gulf region? This article investigates seven Gulf cities (Kuwait City, Manama, Doha, Abu Dhabi, Dubai, Sharjah, and Muscat) that have once grown rich due to large reserves of oil and gas. Now, with the threat of ending resources, governments focus on the development towards a knowledge society. The authors analyzed the cities in terms of their ‘smartness' or ‘informativeness' by a quantitative survey and by in-depth qualitative interviews (N = 34). Especially Doha in Qatar is well on its way towards an informational city, but also Dubai and Sharjah (both in the United Arab Emirates) make good scores.


Itinerario ◽  
1998 ◽  
Vol 22 (1) ◽  
pp. 61-86 ◽  
Author(s):  
Maarten Kuitenbrouwer ◽  
Huibert Schijf

In the last quarter of the nineteenth century the Dutch economy experienced a fresh take-off. Up-to-date steamships plied the shipping routes to the Netherlands East Indies; in the Netherlands the network of railways and canals was greatly expanded; modern insurance companies, commercial banks and other financial institutions were founded. The resultant growing need for external capital led to a new legal form of financing, the joint-stock or limited liability company, and the 1870s and 1880s saw the establishment of a relatively large number of newly founded companies of this type. Generally speaking, these companies represented business activities with a long-standing tradition in Dutch economic life: trade, banking and transportation. The economic take-off was also reflected in the growing number of joint-stock companies pursuing economic activities in colonial Indonesia, often with their headquarters in the Indonesian Archipelago itself. According to J. à Campo the number of such newly founded corporations was more than hundred for each year after 1896, reaching its highest level in 1910, when no less than 326 were founded.


2001 ◽  
Vol 18 (4) ◽  
pp. 414-434 ◽  
Author(s):  
Agnes Elling ◽  
Paul De Knop ◽  
Annelies Knoppers

The diversity of sport participants in the Netherlands is beginning to reflect the diversity within the general population. Sport as a whole is becoming more accessible, and participation in sport of different social groups takes place within both mainstream and “separate” sports clubs and in differently organized sports groups. In our paper we critically analyze the broader social integrative functions ascribed to sport by policy makers. We attempt to show that the ongoing democratization of sport participation is not always positively correlated, let alone causally related, to a broader social integrated society. We argue that social integration in itself is a multidimensional process and distinguish three dimensions of integration (structural, social-cultural, and social-affective), which can all occur in and through the practice of sport. Furthermore we argue that the integrative meanings of sport depend on which social groups and which of the dimensions of integration are examined. The complementary and contradictory aspects of the dimensions of social integration with regard to four different social minority groups (ethnic minorities, the elderly, the physically challenged, gays and lesbians) are examined.


Author(s):  
Feizel Aryee ◽  
Anna Szolucha ◽  
Paul B. Stretesky ◽  
Damien Short ◽  
Michael A. Long ◽  
...  

This research examines psychosocial stress associated with shale gas development through the narratives of residents and the Revised Impact of Event Scale (IES-R). We carried out our research in three of England’s communities impacted by shale gas development. To gather data, we conducted qualitative interviews and engaged in participant observation in all three communities and conducted a quantitative survey of residents. From our qualitative interviews it was apparent that the residents we spoke with experienced significant levels of stress associated with shale gas development in each community. Importantly, residents reported that stress was not only a reaction to development, but a consequence of interacting with industry and decision makers. Our quantitative findings suggest that a significant portion of residents 14.1% living near the shale gas sites reported high levels of stress (i.e., scoring 24 or more points) even while the mean IES-R score of residents living around the site is relatively low (i.e., 9.6; 95% CI 7.5–11.7). We conclude that the experiences, of the three English communities, reported in the qualitative interviews and quantitative survey are consistent with the reports of stress in the United States for those residents who live in shale gas communities. We therefore suggest that psychosocial stress is an important negative externality, which needs to be taken seriously by local planning officers and local planning committees when considering exploration and development permits for shale gas.


2020 ◽  
Vol 7 ◽  
pp. 233339282093232 ◽  
Author(s):  
Alberto Boretti

Here, we review modeling predictions for Covid-19 mortality based on recent data. The Imperial College model trusted by the British Government predicted peak mortalities above 170 deaths per million in the United States, and above 215 deaths per million in Great Britain, after more than 2 months from the outbreak, and a length for the outbreak well above 4 months. These predictions drove the world to adopt harsh distancing measures and forget the concept of herd immunity. China had peak mortalities of less than 0.1 deaths per million after 40 days since first deaths, and an 80-day-long outbreak. Italy, Belgium, the Netherlands, Sweden, or Great Britain flattened the curve at 13.6, 28.6, 9.0, 10.6, and 13.9 deaths per million after 40, 39, 33, 44, and 39 days from first deaths, or 31, 29, 24, 38, and 29 days since the daily confirmed deaths reached 0.1 per million people, respectively. The declining curve is much slower for Italy, the Netherlands, or Great Britain than Belgium or Sweden. Opposite to Great Britain, Italy, or Belgium that enforced a complete lockdown, the Netherlands only adopted an “intelligent” lockdown, and Sweden did not adopt any lockdown. However, they achieved better results. Coupled to new evidence for minimal impact of Covid-19 on the healthy population, with the most part not infected even if challenged, or only mild or asymptomatic if infected, there are many good reasons to question the validity of the specific epidemiological model simulations and the policies they produced. Fewer restrictions on the healthy while better protecting the vulnerable would have been a much better option, permitting more sustainable protection of countries otherwise at risk of second waves as soon as the strict measures are lifted.


Author(s):  
Joaquim Montezuma de Carvalho

This paper provides evidence about institutional investors' attitudes and perceptions of residential property as an investment asset group in three European countries (Switzerland, the Netherlands and Sweden). These countries stand out, with an extraordinarily large institutional residential ownership, in fact, residential institutional allocation represents about 6%, 2% and 3% of the total institutional investment in the Switzerland, Netherlands and Sweden respectively. Housing is the most important institutional property asset type in Switzerland and the Netherlands, comprising over 52% and 50% of their institutional property portfolios respectively. ln Sweden residential property plays an important, but not dominant role in the domestic institutional property portfolios, representing about 21 % of the institutional property holdings. Using a postal survey of representatives of pension funds, insurance companies, property investment and asset management companies the study analyses the attractiveness of residential property in terms of institutional investment goals. The survey examines the institutional investors' perceptions of housing investment, namely with respect to its returns, volatility, inflation hedging, liabilities matching and correlation with shares, bonds and non-residenfial property. Additionally, the survey looks at the institutional investors' experiences regarding the private rented sector.


2021 ◽  
Vol 21 (2/3) ◽  
pp. 481-499
Author(s):  
Danté Bryant ◽  
Karen M. Kolivoski

Although there is a growing body of literature denoting social work’s efforts to engage many of the internal racial challenges it faces, there remains a paucity of research exploring the impacts of normative-whiteness and White supremacy within the profession. In an effort to address this gap in the literature, this investigation uses quantitative survey responses from 167 non-racially specific, currently active, social work faculty and administrators, and 12 qualitative interviews with African American, currently active, social work faculty and administrators to gain a more lucid understanding of how they view the roles and impacts of whiteness and White supremacy within Social Work. Thematic findings from this investigation include narratological-deception, epistemological-omission, and a divided-profession. Implications for social work suggest the need to equitably incorporate the contributions of racially underrepresented populations, while critically engaging and responding to the “why,” “how,” and “impacts” of their historical omission.


2022 ◽  
Author(s):  
Nadine Frei ◽  
Oliver Nachtwey

The present study was guided by two research-guiding questions: a) What are the special characteristics of the Querdenken movement in Baden-Württemberg? b) Why is the Querdenken movement so strongly rooted in Baden-Württemberg? An explorative mixed-methods approach was chosen for our research. By means of qualitative interviews with Corona critics, analyses of field experts, ethnographic observations, and a secondary analysis of our quantitative survey in Telegram groups, we drew conclusions and tentative analyses about the Querdenken movement in the political map of Baden-Württemberg.


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