Healthcare in the Netherlands Fundamental changes C.J. (Kees) in ’t Veld, GP Netherlands College of GPs

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Presentation transcript:

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