Sunday, November 8, 2009
From the article, it seems like the Netherlands government try to provide the well-designed comprehensive health care services to their people; the basic coverage are thoughtful for the people and the coverage for vulnerable population are also included. The Netherlands government allowed the free market-based insurance companies to provide profit-based insurance and are under watch by the Supervisory Board for Health Insurance (CTZ); I think that’s the alternative way to deal with the regulation of total expenditure on health care, which could also be the stimulation of the health care industry and insure the medical providers perform better to compete with each other. But there still would have some weaknesses of this approach; the payment plan of Netherlands health care system are base on the patient numbers and health services which make the quality of care is difficult to measure. Even with the national inspectorate, it’s still hard to define the quality of the private hospital, clinics, and medical providers are good enough or not. The health industry will have to provide enough number of services to get enough operation funds; the balance between overall quality and economic efficiency become the central issue and would have a huge impact on both aspects. The distribution of the operation funds within the health industry will also be more profit orientated, there could be more emphasize on the services which are expensive instead of primary care services. It seems really hard to tell the new reform of Netherlands health system will work significantly or alter the basic of health system.
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