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Research program 1985 of the Netherlands Institute of Primary Health Care.
NIVEL. Research program 1985 of the Netherlands Institute of Primary Health Care. Utrecht: NIVEL, 1985. 46 p.
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As has been the case in most industrialized countries containment of the cost of health care has been a major political objective for successive Dutch governments over the last decade. Four topics can be discerned in this cost containment policy:
1. the reduction of the number of hospital beds;
2. the containment of costs by a policy of budgetting (initially in second-line medical institutions, but later on among all proviiders of health care);
3. the strengthening of primary health care;
4. the (reluctant) imposition of price thresholds on the client's side.
The role of the central government in structuring and influencing the development of the provision of health care has been strengthened by a programme of legal and financial measures that is nearing completion. The existence of a legal requirement necessitating formal permission for the establishment of health care facilities (both institutions and private practices) and the development of an increased financial grip on prices and incomes in health care has put the Dutch government in a better position to achieve its objectives than was the case a decade ago when the intention to structure the provision of health care was clearly present, but the legal tools were not. We will not go into details about the policy of bed reduction and budgetting, but focus our attention upon the strengthening.
1. the reduction of the number of hospital beds;
2. the containment of costs by a policy of budgetting (initially in second-line medical institutions, but later on among all proviiders of health care);
3. the strengthening of primary health care;
4. the (reluctant) imposition of price thresholds on the client's side.
The role of the central government in structuring and influencing the development of the provision of health care has been strengthened by a programme of legal and financial measures that is nearing completion. The existence of a legal requirement necessitating formal permission for the establishment of health care facilities (both institutions and private practices) and the development of an increased financial grip on prices and incomes in health care has put the Dutch government in a better position to achieve its objectives than was the case a decade ago when the intention to structure the provision of health care was clearly present, but the legal tools were not. We will not go into details about the policy of bed reduction and budgetting, but focus our attention upon the strengthening.
As has been the case in most industrialized countries containment of the cost of health care has been a major political objective for successive Dutch governments over the last decade. Four topics can be discerned in this cost containment policy:
1. the reduction of the number of hospital beds;
2. the containment of costs by a policy of budgetting (initially in second-line medical institutions, but later on among all proviiders of health care);
3. the strengthening of primary health care;
4. the (reluctant) imposition of price thresholds on the client's side.
The role of the central government in structuring and influencing the development of the provision of health care has been strengthened by a programme of legal and financial measures that is nearing completion. The existence of a legal requirement necessitating formal permission for the establishment of health care facilities (both institutions and private practices) and the development of an increased financial grip on prices and incomes in health care has put the Dutch government in a better position to achieve its objectives than was the case a decade ago when the intention to structure the provision of health care was clearly present, but the legal tools were not. We will not go into details about the policy of bed reduction and budgetting, but focus our attention upon the strengthening.
1. the reduction of the number of hospital beds;
2. the containment of costs by a policy of budgetting (initially in second-line medical institutions, but later on among all proviiders of health care);
3. the strengthening of primary health care;
4. the (reluctant) imposition of price thresholds on the client's side.
The role of the central government in structuring and influencing the development of the provision of health care has been strengthened by a programme of legal and financial measures that is nearing completion. The existence of a legal requirement necessitating formal permission for the establishment of health care facilities (both institutions and private practices) and the development of an increased financial grip on prices and incomes in health care has put the Dutch government in a better position to achieve its objectives than was the case a decade ago when the intention to structure the provision of health care was clearly present, but the legal tools were not. We will not go into details about the policy of bed reduction and budgetting, but focus our attention upon the strengthening.