Public reporting and accountability. The Dutch case Gert Westert Professor of Health Services Research, Radboud University Nijmegen Medical Centre; Head DHCPR, National Institute of Public Health (2006 – 2011). Dutch health care : brief history.
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The Dutch case
Professor of Health Services Research, Radboud University Nijmegen Medical Centre;
Head DHCPR, National Institute of Public Health(2006 – 2011)
Most important issues 2013:
Expenditure growth notsustainable
14% GDPHealthcare reforms 2006
Health expenditures percentage GDP
Dutch GP’s: 59 percent state thatpatientsreceivetoomuch care
IHP 2012, Commonwealth Fund
Pay for volume
Elderly use more services, lower mortality
Dutch Atlas of Health Care Variation:
1. Huge variation in activities (pilot)
2. What is the price of activities at local level?
3. What is the value for patients?
We don’t know? Need to measure outcomes
The Federation of Patientsand Consumer Organisations in the Netherlands (NPCF).
“50% van de zorg die wij bieden is onzin, we weten alleen niet welke 50%” (oncologe)
Categorize care in 3 categories