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The politics of health-care reform in the Netherlands since 2006

Published online by Cambridge University Press:  26 January 2011

Hans Maarse*
Affiliation:
Faculty of Health, Medicine and Life Sciences, Department of Health Organisation, Policy and Economics, University of Maastricht, The Netherlands
Aggie Paulus
Affiliation:
Faculty of Health, Medicine and Life Sciences, Department of Health Organisation, Policy and Economics, University of Maastricht, The Netherlands
*
Correspondence to: Hans Maarse, Faculty of Health, Medicine and Life Sciences, Department of Health Organisation, Policy and Economics, University of Maastricht, PO Box 616, 6200 MD Maastricht, The Netherlands. Email: h.maarse@maastrichtuniversity.nl

Abstract

This article comments on Schut and van de Ven's overview of the results of purchaser competition in Dutch health care, which concludes that the glass can be seen as half full or half empty. Although it is true that results have been achieved, we believe that the evidence is incomplete and in some respects flimsy. More importantly, however, Schut and van de Ven neglect the political context of the market reform introduced in 2006. The reform is far from finished and there has been a constant need for political compromise. Optimism about the market's potential also seems to be on the wane. Several insurer and provider initiatives have provoked political resistance. As a result, there are good reasons to argue that the reform's future is uncertain.

Type
Debate
Copyright
Copyright © Cambridge University Press 2011

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References

Baarsma, B., van Damme, E., van Dijk, Th., Ottervanger, T., Verloren van Themaat, W. (2009), ‘Eindrapport commissie verticale integratie tussen zorgverzekeraars en zorgaanbieders’ (report).Google Scholar
Boonen, L. (2009), ‘Consumer channeling in health care: (im)possible?’, PhD thesis, Erasmus University, Rotterdam.Google Scholar
Bos, W. (2010), ‘De derde weg voorbij’. DenUyl Lecture. Amsterdam.Google Scholar
CVZ (College voor Zorgverzekeringen) (2009), Zorgcijfers Kwartaalbericht: 1e kwartaal 2009, Amstelveen (report).Google Scholar
Lodewick, L. (2008), Ziekenhuiszorg in de polders. Een herontwerp, Maastricht (report).Google Scholar
Maarse, H.Normand, C. H. (2009), ‘Market Competition in European Hospital Care’, in B. Rechel, S. Wright, N. Edwards, B. Dowesdill and M. McKee (eds), Investing in Hospitals of the Future, Denmark: WHO, 103122.Google Scholar
Putters, K. (2001), ‘Geboeid ondernemen’, PhD thesis, Erasmus University, Rotterdam.Google Scholar
Raad van State (2010), Jaarverslag 2009, Den Haag (report).Google Scholar
RVZ (Raad voor de Volksgezondheid en Zorg) (2009), ‘Steunverlening zorginstellingen’ (report). Zoetermeer.Google Scholar
Schut, F.van de Ven, W. (2011), ‘Effects of purchaser competition in the Dutch health care system: is the glass half full or half empty?’, Health Economics, Policy and Law, 6(1): 109123.CrossRefGoogle ScholarPubMed
van de Ven, W.Schut, F. (2008), ‘Universal mandatory health insurance in the Netherlands’, Health Affairs, 3: 371381.Google Scholar
Vektis (2009), Jaarcijfers 2009, Zeist.Google Scholar