The policy and politics of the 2015 long-term care reform in the Netherlands

Maarse, J.A.M.; Jeurissen, Patrick

doi:10.1016/j.healthpol.2016.01.014

Cited by 166 publications

(148 citation statements)

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“…In 2012, waiting lists for nursing homes and home care were short (CVZ, 2013). Mandatory social security contributions and general government revenue pay for nine-tenth of total costs (Schut et al, 2013); in 2012, only 8% was financed through cost-sharing (Maarse & Jeurissen, 2016). 8 Co-payments increase with income, yet they do not exceed the cost of care nor the user's income.…”

Section: The Dutch Long-term Care Systemmentioning

confidence: 99%

Equal long‐term care for equal needs with universal and comprehensive coverage? An assessment using Dutch administrative data

2020

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The Netherlands is one of the few countries that offer generous universal public coverage of long‐term care (LTC). Does this ensure that the Dutch elderly with similar care needs receive similar LTC, irrespective of their income? In contrast with previous studies of inequity in care use that relied on a statistically derived variable of needs, our paper exploits a readily available, administrative measure of LTC needs stemming from the eligibility assessment organized by the Dutch LTC assessment agency. Using exhaustive administrative register data on 616,934 individuals aged 60 and older eligible for public LTC, we find a substantial pro‐poor concentration of LTC use that is only partially explained by poorer individuals' greater needs. Among those eligible for institutional care, higher‐income individuals are more likely to use—less costly—home care. This pattern may be explained by differences in preferences, but also by their higher copayments for nursing homes and by greater feasibility of home‐based LTC arrangements for richer elderly. At face value, our findings suggest that the Dutch LTC insurance “overshoots” its target to ensure that LTC is accessible to poorer elderly. Yet, the implications depend on the origins of the difference and one's normative stance.

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Section: The Dutch Long-term Care Systemmentioning

confidence: 99%

Equal long‐term care for equal needs with universal and comprehensive coverage? An assessment using Dutch administrative data

2020

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“…church groups), before committing to providing these services from the public tax-funded budget (Maarse and Jeurissen, 2016).…”

Section: Irelandmentioning

confidence: 99%

The impact of slow economic growth on health sector reform: a cross-national perspective

Saltman

2018

HEPL

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This paper assesses recent health sector reform strategies across Europe adopted since the onset of the 2008 financial crisis. It begins with a brief overview of the continued economic pressure on public funding for health care services, particularly in tax-funded Northern European health care systems. While economic growth rates across Europe have risen a bit in the last year, they remain below the level necessary to provide the needed expansion of public health sector revenues. This continued public revenue shortage has become the central challenge that policymakers in these health systems confront, and increasingly constrains their potential range of policy options. The paper then examines the types of targeted reforms that various European governments have introduced in response to this increased fiscal stringency. Particularly in tax-funded health systems, these efforts have been focused on two types of changes on the production side of their health systems: consolidating and/or centralizing administrative authority over public hospitals, and revamping secondary and primary health services as well as social services to reduce the volume, cost and less-than-optimal outcomes of existing public elderly care programs. While revamping elderly care services also was pursued in the social health insurance (SHI) system in the Netherlands, both the Dutch and the German health systems also made important changes on the financing side of their health systems. Both types of targeted reforms are illustrated through short country case studies. Each of these country assessments flags up new mechanisms that have been introduced and which potentially could be reshaped and applied in other national health sector contexts. Reflecting the tax-funded structure of the Canadian health system, the preponderance of cases discussed focus on tax-funded countries (Norway, Denmark, Sweden, Finland, England, Ireland), with additional brief assessments of recent changes in the SHI-funded health systems in the Netherlands and Germany. The paper concludes that post-2008 European reforms have helped stretch existing public funds more effectively, but ☆

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“…3. Unfortunately, the lack of a clear and uniform set of rules prevented us from including in the study of countries such as Denmark (Schulz, 2010), Italy (Da Roit & Le Bihan, 2010;Gori, 2012), the Netherlands (Maarse & Jeurissen, 2016;Mot &Aouragh, 2010), andSweden (Socialstyrelsen, 2009). Finally, we could not include Scotland for two reasons: first, from the institutional point of view Scotland is a hybrid, since the regulation defines four levels of need-of-care (critical, substantial, moderate, low), where only the first two grant eligibility for care, but, to our knowledge, Scotland does not adopt nation-wide guidelines on how the assessment of need should be performed, so that the criteria are defined at the council level; second, results from the Scottish health survey Healthy Ageing in Scotland (HAGIS) have not yet been released to the scientific community, as its first wave was launched in 2016.…”

Section: Dimensions and Main Outcomes Of Vulnerability In The Europeamentioning

confidence: 99%

31. Eligibility regulations and formal home-care utilisation among the vulnerable older people in SHARE Wave 5

Carrino¹,

Orso²

2015

Ageing in Europe - Supporting Policies for an Inclusive Society

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The policy and politics of the 2015 long-term care reform in the Netherlands

Cited by 166 publications

References 1 publication

Equal long‐term care for equal needs with universal and comprehensive coverage? An assessment using Dutch administrative data

Equal long‐term care for equal needs with universal and comprehensive coverage? An assessment using Dutch administrative data

The impact of slow economic growth on health sector reform: a cross-national perspective

31. Eligibility regulations and formal home-care utilisation among the vulnerable older people in SHARE Wave 5

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