Healthcare in the Netherlands Fundamental changes C.J. (Kees) in ’t Veld, GP Netherlands College of GPs
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 km² Population 16 million Life expectancy 78 yrs
Healthcare in the Netherlands Fundamental changes GPs: Patients 2350 Fixed list Goalkeeper
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 package Low-income: tax grant High-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 Patients Government Health insurers Professionals
Healthcare in the Netherlands Fundamental changes Patients 30% changed Mixed emotions Trust, hope, scepsis
Healthcare in the Netherlands Fundamental changes Patients Government Health insurers Professionals
Healthcare in the Netherlands Fundamental changes Government The job has been done Patients have choices Quality, transparency
Healthcare in the Netherlands Fundamental changes Patients Government Health insurers Professionals
Healthcare in the Netherlands Fundamental changes Health insurers Administrative difficulties Cost containment? Value for money?
Healthcare in the Netherlands Fundamental changes Patients Government Health insurers Professionals
Healthcare in the Netherlands Fundamental changes Professionals Chances Uncertain, insecure, threatened
Healthcare in the Netherlands Fundamental changes