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Healthcare in the Netherlands Fundamental changes
C.J. (Kees) in ’t Veld, GPNetherlands College of GPs
c.intveld@nhg-nl.org
Healthcare in the Netherlands Fundamental changes
• How the system used to be• From January 1st 2006 onwards• Observations: chances, threats• Looking back on the process
Healthcare in the Netherlands Fundamental changes
Area 33.883 km²Population 16 millionLife expectancy 78 yrs
Healthcare in the Netherlands Fundamental changes
GPs: 8000 2580Patients 2350Fixed listGoalkeeper
Healthcare in the Netherlands Fundamental changes
Sickfunds (60% population) • Fee per capita • Orientation specific region
Private health care insurance companies (40%) • Fee for service• Nationwide
Healthcare in the Netherlands Fundamental changes
Health Insurance System January 1st 2006
Socialised, private system
Fixed packageLow-income: tax grantHigh-income: additional premium
Healthcare in the Netherlands Fundamental changes
Health Insurance System January 1st 2006
Three levels of additional packages
Healthcare in the Netherlands Fundamental changes
PatientsGovernmentHealth insurersProfessionals
Healthcare in the Netherlands Fundamental changes
Patients• 30% changed • Mixed emotions• Trust, hope, scepsis
Healthcare in the Netherlands Fundamental changes
PatientsGovernmentHealth insurersProfessionals
Healthcare in the Netherlands Fundamental changes
Government• The job has been done• Patients have choices• Quality, transparency
Healthcare in the Netherlands Fundamental changes
PatientsGovernmentHealth insurersProfessionals
Healthcare in the Netherlands Fundamental changes
Health insurers• Administrative difficulties• Cost containment?• Value for money?
Healthcare in the Netherlands Fundamental changes
PatientsGovernmentHealth insurersProfessionals
Healthcare in the Netherlands Fundamental changes
Professionals• Chances• Uncertain, insecure, threatened
Healthcare in the Netherlands Fundamental changes
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