Gerrits O
Health Procurement, Zilveren Kruis, Leusden, The Netherlands.
Neth Heart J. 2019 Jan;27(1):3-4. doi: 10.1007/s12471-018-1204-3.
According to the Euro Health Consumer Index, the Dutch healthcare system is the champion of Europe. Yet we are living for longer, prosperity is increasing and the population is growing. If we do not continue to adjust our healthcare system to these trends, medical expenses in the Netherlands will double to € 174 billion (in 2040). We are also facing job market difficulties in healthcare. We risk a shortfall of 125 thousand employees in 2022. It is therefore time to restructure healthcare. Not tomorrow but today. Healthcare will increasingly be organised around the day-to-day lives of patients-at home or work, with offline and online healthcare seamlessly matching up to each other. The shortage of personnel also demands a different attitude to healthcare provision. As a health insurer we can help to improve healthcare, for instance by giving healthcare providers the financial capacity to organise their care differently. Or by conducting independent research so that conclusions can be drawn on the legal criterion of 'the state of science and practice'. This is how it was possible, in conjunction with the Dutch Cardiology Centres, the Netherlands Society of Cardiology and FocusCura, to include the 'Hartwacht' telemonitoring service in health insurance policies.
根据欧洲健康消费者指数，荷兰的医疗体系在欧洲独占鳌头。然而，我们的寿命在延长，繁荣程度在提高，人口也在增长。如果我们不继续让医疗体系适应这些趋势，荷兰的医疗费用将翻倍至1740亿欧元（到2040年）。我们在医疗领域还面临就业市场难题。到2022年，我们可能会短缺12.5万名员工。因此，是时候对医疗体系进行重组了。不是明天，而是今天。医疗将越来越围绕患者的日常生活来组织——无论是在家中还是工作场所，线下和线上医疗将无缝对接。人员短缺也要求我们对医疗服务提供采取不同的态度。作为健康保险公司，我们可以帮助改善医疗服务，例如给予医疗服务提供者以不同方式组织护理的资金能力。或者通过开展独立研究，以便能依据“科学与实践状况”这一法律标准得出结论。这就是与荷兰心脏病中心、荷兰心脏病学会和FocusCura合作，将“心脏监护”远程监测服务纳入健康保险政策的方式。
