Hofdijk Jacob
Casemix. Ministry of Health, The Netherlands.
Stud Health Technol Inform. 2011;169:996-9.
The impact of funding systems on the IT systems of providers has been enormous and have prevented the implementation of designs to focused on the health issue of patients. The paradigm shift the Dutch Ministry of Health has taken in funding health care has a remarkable impact on the orientation of IT systems design. Since 2007 the next step is taken: the application of the funding concept on chronic diseases using clinical standards as the norm. The focus on prevention involves the patient as an active partner in the care plan. The impact of the new dimension in funding has initiated a process directed to the development of systems to support collaborative working and an active involvement of the patient and its informal carers. This national approach will be presented to assess its international potential, as all countries face the long term care crisis lacking resources to meet the health needs of the population.
资金系统对医疗服务提供者的信息技术系统产生了巨大影响，阻碍了专注于患者健康问题的设计的实施。荷兰卫生部在医疗保健资金方面的范式转变对信息技术系统设计的导向产生了显著影响。自2007年以来，又迈出了下一步：将资金概念应用于慢性病，以临床标准作为规范。对预防的关注使患者成为护理计划中的积极合作伙伴。资金新维度的影响启动了一个旨在开发支持协作工作以及患者及其非正式护理人员积极参与的系统的过程。将介绍这种国家方法以评估其国际潜力，因为所有国家都面临长期护理危机，缺乏满足民众健康需求的资源。
