Presentation is loading. Please wait.

Presentation is loading. Please wait.

Health Care Systems in NL, CZ & SK Assoc. Prof. JP van Dijk MD PhD Dept Community & Occupational Medicine University Medical Centre Groningen University.

Published byMildred Weaver Modified over 9 years ago

Similar presentations

Presentation on theme: "Health Care Systems in NL, CZ & SK Assoc. Prof. JP van Dijk MD PhD Dept Community & Occupational Medicine University Medical Centre Groningen University."— Presentation transcript:

1 Health Care Systems in NL, CZ & SK Assoc. Prof. JP van Dijk MD PhD Dept Community & Occupational Medicine University Medical Centre Groningen University of Groningen The Netherlands

2 Health Care Systems in NL, CZ & SK Assoc. Prof. Jitse P van Dijk MD PhD Senior Lecturer ‘Social Determinants of Health’ Olomouc University Society & Health Institute Palacky University Olomouc Czech Republic

3 Health Care Systems in NL, CZ & SK Assoc. Prof. Jitse P. van Dijk MD PhD Scientific Director Graduate School Kosice Institute for Society and Health Medical Faculty Safarik University, Košice Slovak Republic

4 Outline 1Similarities between the HC Systems 2Dissimilarities between the Systems 3Health care expenditures of the Systems 4Organisation of the System 5Some numbers, productivity &c 6Financing Elements of the System 7Access to the System

5 Organisational types - different Take home message: national: within the borders of the internationally identical typology financial-economical compromises and history determine its appearance – and make them at first glance rather different

6 Health Care Systems NL, CZ & SK Bismarck systems: (Bismarck was the German Chancellor about 1870) The Netherlands, Czech Republic, Slovakia Health Insurance Companies [subtypes: public (CZ, SK) / private (NL)(CZ, SK)] have a major role in - financing health care provides - reimbursing costs patients made - collecting premiums [- planning HC] Decision on height premiums: - central government or HIC

7 HC Expenditures, %GDP: NL, CZ&SK NL: 11.77% GDP for HC CZ: 7.42% GDP for HC SK: 7.60% GDP for HC

8 Organization of the system - CZ CZ Hospitals Nursing homes - Home care GP’s, organised in neighbourhood centres or per employer

9 Organization of the system - SK SK Hospitals - GP’s, organised in neighbourhood centres or per employer

10 Organization of the system - NL NL Hospitals Nursing homes Homes for the elderly Private houses with care from the home for the elderly Home care GP’s, organised in centres or solo

11 Main figures – CZ, SK, NL Hospital beds NursHHEldPrivHHomeC GP’s CZ6.47‰?--?1 GP / 1444 inh SK5.80‰----1 GP / 2386 inh NL4.66‰????1 GP / 1397 inh

12 Consultations CZ, SK&NL Consultations GP & medical specialist NL6.20 CZ11.09 SK11.04

13 Hospitals – CZ, SK & NL CZ State (Central / district / municipality)(50%) Non-profit(50%) SK State (Central / district / municipality)(44%) Non-profit(27%) Private (29%) NL State: University Hospitals(± 8%) Non-profit (foundation or association)(± 92%)

14 Hospital productivity CZ, SK&NL ‰ hospital beds hospital discharges [inhabitants, mln] length of stay (days) NL4.71,850,715 [16] 5.8 CZ6.52,023,822 [10] 6.6 SK5.8892,072 [5] 6.2

15 Hospitals – CZ, SK & NL Life expectancy at birth Healthy life expectancy at birth MFMF NL76.381.061.761.4 CZ72.178.662.863.3 SK69.877.7[52.1][52.3]

16 Financing the System’s Elements CZ Individual HC providers Fee for service Specialists: fee for service GP’s:Small amount ffs Capitation fee GP’s: largest amount GP income: cf

17 Financing the System’s Elements SK Individual HC providers Fee for service Specialists: fee for service GP’s:Small amount, extra services Capitation fee GP’s: Basic income; fee dependent on age patient

18 Financing the System’s Elements NL Individual HC providers Fee for service Before 2005: specialists; GP’s for private patients Capitation fee Before 2005: GP’s only cf for sick fund pts After 2005: GP’s for all pts capitation fee + small ffs DRG After 2005: specialists financed from the hospital’s DRG

19 Financing the System’s Elements Institutional HC providers: NL, CZ & SK Expenditures / Bed days, afterwards (NL hospitals before 1982; CZ*; SK until 2014) Budget (NL hospitals till 2005) Diagnosis Related Group NL DBC >2005; CZ*; SK >2014 ‘budget per diagnosis + treatment + aftercare’

20 Financing the System’s Elements Institutional HC providers: CZ Expenditures / Bed days, afterwards (CZ: district h) Budget (CZ: district h; faculty h) Diagnosis Related Group (CZ: faculty h) ‘budget per diagnosis + treatment + aftercare’

21 Financing the System’s Elements Diagnosis Related Group – expected effects Competition on price Exclusion by HIC Specialization Merger / strategic collaboration Smallest hospitals will disappear (outpatient clinic)

22 Access to the System Lay referral system * enter after own decision the system everywhere as far as I see & hear: SK Gatekeeper system * enter the system only after referral GP  NL & CZ

23 Main trait of the Systems CZ & SK * partly general (for everyone) but also partly specific, for a factory, etc NL * general (for everyone) exception: army

24 Organisational types - simple Take home message: international: rather simple; just a very few choices national: within the borders of the typology financial- economical compromises determine its appearance

25 Thank you for your attention!

26 QUESTIONS??

Download ppt "Health Care Systems in NL, CZ & SK Assoc. Prof. JP van Dijk MD PhD Dept Community & Occupational Medicine University Medical Centre Groningen University."

Similar presentations

Nederlands Huisartsen Genootschap Dutch College of General Practitioners Arno Timmermans, president.

Nederlands Huisartsen Genootschap Dutch College of General Practitioners Arno Timmermans, president.
Common Wealth Fund Webinar February 5, 2013

Common Wealth Fund Webinar February 5, 2013
Health Care Law and Ethics The Nature of Medical Practice Is the delivery and purchase of health care like other products? Consider the 7 misconceptions.

Health Care Law and Ethics The Nature of Medical Practice Is the delivery and purchase of health care like other products? Consider the 7 misconceptions.
INTRODUCTION OF CHI LIN NUNNERY CHI LIN ELDERLY SERVICES

INTRODUCTION OF CHI LIN NUNNERY CHI LIN ELDERLY SERVICES
© 2006 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice Using new technology for Information.

© 2006 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice Using new technology for Information.
The Canadian Healthcare System Lecture 4 Tracey Lynn Koehlmoos, PhD, MHA HSCI 609 Comparative International Health Systems.

The Canadian Healthcare System Lecture 4 Tracey Lynn Koehlmoos, PhD, MHA HSCI 609 Comparative International Health Systems.
HEALTHCARE A BALANCE BETWEEN STATE & LOCAL JURISDICTION, PUBLIC & PRIVATE SECTOR Ass.of private hc employers Zagreb, Croatia Ante Gabrilo B.Sc.E.

HEALTHCARE A BALANCE BETWEEN STATE & LOCAL JURISDICTION, PUBLIC & PRIVATE SECTOR Ass.of private hc employers Zagreb, Croatia Ante Gabrilo B.Sc.E.
REFORMS IN THE HEALTH CARE FINANCING The development OF health insurance system in albania ELVANA HANA GENERAL DIRECTOR III Balkanic Forum, Montenegro.

REFORMS IN THE HEALTH CARE FINANCING The development OF health insurance system in albania ELVANA HANA GENERAL DIRECTOR III Balkanic Forum, Montenegro.
Health care system innovation in the Netherlands - with a special focus on primary care André Knottnerus, MD, PhD Chair, Scientific Council for Government.

Health care system innovation in the Netherlands - with a special focus on primary care André Knottnerus, MD, PhD Chair, Scientific Council for Government.
1 Introduction to Denmark -the Danes - Storstrom region and - Occupational health at hospitals.

1 Introduction to Denmark -the Danes - Storstrom region and - Occupational health at hospitals.
Ageing, Health Status and Determinants of Health Expenditure Data availability and comparability – challenges and possible solutions – (WPVIA) Dr. Erika.

Ageing, Health Status and Determinants of Health Expenditure Data availability and comparability – challenges and possible solutions – (WPVIA) Dr. Erika.
University Medical Centers in the Netherlands: why and how Prof.dr. G.H. Blijham Chairman of the board UMC Utrecht Chairman of the Dutch Federation of.

University Medical Centers in the Netherlands: why and how Prof.dr. G.H. Blijham Chairman of the board UMC Utrecht Chairman of the Dutch Federation of.
Hospitals and Ambulatory Care H Edu 5100. History 1873 = 178 1909 = 4,300 1946 = 6,000 1970s = 7,200 2000s = 4,000.

Hospitals and Ambulatory Care H Edu History 1873 = = 4, = 6, s = 7, s = 4,000.
1.03 Healthcare Finances. 1.03 Understand healthcare agencies, finances, and trends Healthcare Finances Government Finances Private Finances 2.

1.03 Healthcare Finances Understand healthcare agencies, finances, and trends Healthcare Finances Government Finances Private Finances 2.
In the Name of God Flagship Course on: Health Financing & Provider Payment April 12-15, 2005 Khoramabad - Lorestan.

In the Name of God Flagship Course on: Health Financing & Provider Payment April 12-15, 2005 Khoramabad - Lorestan.
Health care system innovation in the Netherlands - with a special focus on primary care André Knottnerus, MD, PhD Chair, Scientific Council for Government.

Health care system innovation in the Netherlands - with a special focus on primary care André Knottnerus, MD, PhD Chair, Scientific Council for Government.
Peter EichlerChart 1 Private Health Insurance with a Focus on the Austrian Modell.

Peter EichlerChart 1 Private Health Insurance with a Focus on the Austrian Modell.
Dynamics of Care in Society Health Care Economics 1.

Dynamics of Care in Society Health Care Economics 1.
1 Reimbursing Health Care Providers It is all about striking the right balance between economic incentives for over-treatment and under- treatment Yaseen.

1 Reimbursing Health Care Providers It is all about striking the right balance between economic incentives for over-treatment and under- treatment Yaseen.
Health-Care Providers Structure/Operation. Health-Care Facilities Primary Care – General Practice – General paediatrics – Dental Care – Visiting Nurses.

Health-Care Providers Structure/Operation. Health-Care Facilities Primary Care – General Practice – General paediatrics – Dental Care – Visiting Nurses.

Similar presentations

Ads by Google