Nevertheless, Denmark keeps its runner-up position from last year. Besides The Netherlands and Denmark there are other strong performers like Iceland, Austria and Switzerland, leaving the UK in a disappointing 14th position....
Index performance criteria
The EHCI 2009 groups 38 indicators of quality into six categories: Patient rights and information, e-Health, Waiting time for treatment, Outcomes, Range and reach of services provided and Pharmaceuticals.
Each sub-discipline is weighted for importance to provide the overall Index score.
HCP research director, Dr. Arne Bjornberg, states: The Dutch might have found a successful approach that combines competition for funding and provision within a regulated framework.
Effective Health (Actuarial) Principles
In actuarial context, the success of the Dutch health system is based on a few very simple principles:
- Risk Solidarity
- Risk Equalization
- No Risk Selection
- Free choice of Care Providers & Health Insurer
- Transparent ranking of Care Providers on bases of cost & quality
- Worldwide cover
The Dutch Health Care System
An excellent summary of the Dutch Health Care System can be viewed on YouTube:
Of course the Dutch system is no panacea, there are also many challenges and disadvantages.
Just to mention some....
- How to control Hospital costs?
- (The Future of Hospitals in the Netherlands in 2015)
- The increasing and partly unpredictable run-off period of hospital and specialist care claims costs (DBCs)
- How to create a 'healthy' and financial balance between basic and additional (private) health insurance
- How to control the spiraling and increasing health costs of longevity and how to (ethically) control the costs in the last years of our life?
Nevertheless, the Dutch system can be an inspiring example for countries like the US and the UK.
Let's conclude with an interesting development. In an 2009 article called A Strategy for Health Care Reform, Michael E. Porter presents the principles for a new health system, based on the idea that the central focus must be on increasing value for patients.