Health Care Reform and Long-Term Care in the Netherlands: = Réforme des soins de santé et soins de longue durée aux Pays-Bas
The Netherlands, as other OECD countries, faces the challenge of providing high quality health and long-term care services to an ageing population in a cost-efficient manner. In the health care sector, reforms have aimed at introducing more competition. Despite major changes and some positive effect...
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| Format: | Elektronisch E-Book |
| Sprache: | English |
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Paris
OECD Publishing
2013
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| Schriftenreihe: | OECD Economics Department Working Papers
no.1010 |
| Schlagworte: | |
| Online-Zugang: | DE-862 DE-863 |
| Zusammenfassung: | The Netherlands, as other OECD countries, faces the challenge of providing high quality health and long-term care services to an ageing population in a cost-efficient manner. In the health care sector, reforms have aimed at introducing more competition. Despite major changes and some positive effects, the reforms run the risk of getting stuck in the middle between a centralised system of state-controlled supply and prices and a decentralised system based on regulated competition, providing insufficient incentives for provision of quality services and expenditure control. The main challenges are to complete the transition to regulated competition in health care provision, to strengthen the role of health insurers as purchasing agents and to secure cost containment in an increasingly demand-driven health care sector. In 2012, reforms expanded the role of the market in the hospital sector and reinforced budget controls. Both measures are not consistent and may jeopardize both objectives. More competitive markets require, at least, provision of good quality information, appropriate financing and better efficiency incentives. In view of population ageing, current policies mean that the cost of long-term care is set to more than double over the coming decades. Insufficient incentives for cost-efficient purchasing of long-term care should be addressed. However, the government?s plan to transfer long-term care purchasing to health insurers is unpromising unless additional measures ensure that insurers bear the associated financial risks. In addition, home care should be further encouraged at the expense of institutional care, while screening and targeting should be improved. This Working Paper relates to the 2012 OECD Economic Survey of the Netherlands (www.oecd.org/eco/surveys/Netherlands. |
| Beschreibung: | 1 Online-Ressource (36 Seiten) 21 x 29.7cm. |
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| 520 | |a The Netherlands, as other OECD countries, faces the challenge of providing high quality health and long-term care services to an ageing population in a cost-efficient manner. In the health care sector, reforms have aimed at introducing more competition. Despite major changes and some positive effects, the reforms run the risk of getting stuck in the middle between a centralised system of state-controlled supply and prices and a decentralised system based on regulated competition, providing insufficient incentives for provision of quality services and expenditure control. The main challenges are to complete the transition to regulated competition in health care provision, to strengthen the role of health insurers as purchasing agents and to secure cost containment in an increasingly demand-driven health care sector. In 2012, reforms expanded the role of the market in the hospital sector and reinforced budget controls. Both measures are not consistent and may jeopardize both objectives. More competitive markets require, at least, provision of good quality information, appropriate financing and better efficiency incentives. In view of population ageing, current policies mean that the cost of long-term care is set to more than double over the coming decades. Insufficient incentives for cost-efficient purchasing of long-term care should be addressed. However, the government?s plan to transfer long-term care purchasing to health insurers is unpromising unless additional measures ensure that insurers bear the associated financial risks. In addition, home care should be further encouraged at the expense of institutional care, while screening and targeting should be improved. This Working Paper relates to the 2012 OECD Economic Survey of the Netherlands (www.oecd.org/eco/surveys/Netherlands. | ||
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| spelling | Schut, Erik VerfasserIn aut Health Care Reform and Long-Term Care in the Netherlands = Réforme des soins de santé et soins de longue durée aux Pays-Bas Erik, Schut, Stéphane, Sorbe and Jens, Høj Réforme des soins de santé et soins de longue durée aux Pays-Bas Paris OECD Publishing 2013 1 Online-Ressource (36 Seiten) 21 x 29.7cm. Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier OECD Economics Department Working Papers no.1010 The Netherlands, as other OECD countries, faces the challenge of providing high quality health and long-term care services to an ageing population in a cost-efficient manner. In the health care sector, reforms have aimed at introducing more competition. Despite major changes and some positive effects, the reforms run the risk of getting stuck in the middle between a centralised system of state-controlled supply and prices and a decentralised system based on regulated competition, providing insufficient incentives for provision of quality services and expenditure control. The main challenges are to complete the transition to regulated competition in health care provision, to strengthen the role of health insurers as purchasing agents and to secure cost containment in an increasingly demand-driven health care sector. In 2012, reforms expanded the role of the market in the hospital sector and reinforced budget controls. Both measures are not consistent and may jeopardize both objectives. More competitive markets require, at least, provision of good quality information, appropriate financing and better efficiency incentives. In view of population ageing, current policies mean that the cost of long-term care is set to more than double over the coming decades. Insufficient incentives for cost-efficient purchasing of long-term care should be addressed. However, the government?s plan to transfer long-term care purchasing to health insurers is unpromising unless additional measures ensure that insurers bear the associated financial risks. In addition, home care should be further encouraged at the expense of institutional care, while screening and targeting should be improved. This Working Paper relates to the 2012 OECD Economic Survey of the Netherlands (www.oecd.org/eco/surveys/Netherlands. Social Issues/Migration/Health Economics Netherlands Sorbe, Stéphane MitwirkendeR ctb Høj, Jens MitwirkendeR ctb |
| spellingShingle | Schut, Erik Health Care Reform and Long-Term Care in the Netherlands = Réforme des soins de santé et soins de longue durée aux Pays-Bas Social Issues/Migration/Health Economics Netherlands |
| title | Health Care Reform and Long-Term Care in the Netherlands = Réforme des soins de santé et soins de longue durée aux Pays-Bas |
| title_alt | Réforme des soins de santé et soins de longue durée aux Pays-Bas |
| title_auth | Health Care Reform and Long-Term Care in the Netherlands = Réforme des soins de santé et soins de longue durée aux Pays-Bas |
| title_exact_search | Health Care Reform and Long-Term Care in the Netherlands = Réforme des soins de santé et soins de longue durée aux Pays-Bas |
| title_full | Health Care Reform and Long-Term Care in the Netherlands = Réforme des soins de santé et soins de longue durée aux Pays-Bas Erik, Schut, Stéphane, Sorbe and Jens, Høj |
| title_fullStr | Health Care Reform and Long-Term Care in the Netherlands = Réforme des soins de santé et soins de longue durée aux Pays-Bas Erik, Schut, Stéphane, Sorbe and Jens, Høj |
| title_full_unstemmed | Health Care Reform and Long-Term Care in the Netherlands = Réforme des soins de santé et soins de longue durée aux Pays-Bas Erik, Schut, Stéphane, Sorbe and Jens, Høj |
| title_short | Health Care Reform and Long-Term Care in the Netherlands |
| title_sort | health care reform and long term care in the netherlands reforme des soins de sante et soins de longue duree aux pays bas |
| title_sub | = Réforme des soins de santé et soins de longue durée aux Pays-Bas |
| topic | Social Issues/Migration/Health Economics Netherlands |
| topic_facet | Social Issues/Migration/Health Economics Netherlands |
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