van de Ven Wynand P M M, Schut Frederik T
Institute of Health Policy and Management at Erasmus University in Rotterdam, the Netherlands.
Health Aff (Millwood). 2008 May-Jun;27(3):771-81. doi: 10.1377/hlthaff.27.3.771.
Policy analysts consider the Netherlands health system a possible model for the United States. Since 2006 all Dutch citizens have to buy standardized individual health insurance coverage from a private insurer. Consumers have an annual choice among insurers, and insurers can selectively contract or integrate with health care providers. Subsidies make health insurance affordable for everyone. A Risk Equalization Fund compensates insurers for enrollees with predictably high medical expenses. The reform is a work in progress. So far the emphasis has been on the health insurance market. The challenge is now to successfully reform the market for the provision of health care.
政策分析人士认为荷兰医疗体系有可能成为美国的典范。自2006年起，所有荷兰公民都必须从私人保险公司购买标准化的个人医疗保险。消费者每年可在保险公司之间进行选择，保险公司可以有选择地与医疗服务提供者签约或整合。补贴使每个人都能负担得起医疗保险。风险均等基金对承保预计医疗费用高的参保人的保险公司进行补偿。这项改革仍在进行中。到目前为止，重点一直放在医疗保险市场。现在的挑战是成功改革医疗服务提供市场。
