Skip to main content

2021 | OriginalPaper | Buchkapitel

54. Netherlands: The Potentials of Integrating Care Via Payment Reforms

The Case of Dutch Diabetes Care

verfasst von : Jeroen N. Struijs, Hanneke W. Drewes, Richard Heijink, Caroline A. Baan

Erschienen in: Handbook Integrated Care

Verlag: Springer International Publishing

Aktivieren Sie unsere intelligente Suche, um passende Fachinhalte oder Patente zu finden.

search-config
loading …

Abstract

This chapter provides insight in the potential of integrating care through payment reform in the Netherlands. We begin by briefly outlining the main characteristics of the Dutch health care system, which has been transformed into a system of managed competition in the past decade. We focus on health care, because our case study is situated in this setting. We then describe the implementation of the bundled payment for diabetes care as one main example of stimulating nationwide implementation of integrated diabetes care in the Netherlands.

Sie haben noch keine Lizenz? Dann Informieren Sie sich jetzt über unsere Produkte:

Springer Professional "Wirtschaft+Technik"

Online-Abonnement

Mit Springer Professional "Wirtschaft+Technik" erhalten Sie Zugriff auf:

  • über 102.000 Bücher
  • über 537 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Maschinenbau + Werkstoffe
  • Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

Springer Professional "Wirtschaft"

Online-Abonnement

Mit Springer Professional "Wirtschaft" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 340 Zeitschriften

aus folgenden Fachgebieten:

  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Versicherung + Risiko




Jetzt Wissensvorsprung sichern!

Springer Professional "Technik"

Online-Abonnement

Mit Springer Professional "Technik" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 390 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Maschinenbau + Werkstoffe




 

Jetzt Wissensvorsprung sichern!

Literatur
Zurück zum Zitat Baan, C. A., van Baal, P. H., Jacobs-van der Bruggen, M. A., Verkley, H., Poos, M. J., Hoogenveen, R. T., et al. (2009). Diabetes mellitus in the Netherlands: Estimate of the current disease burden and prognosis for 2025. Nederlands Tijdschrift Voor Geneeskunde, 153(22), 1052–1058. Baan, C. A., van Baal, P. H., Jacobs-van der Bruggen, M. A., Verkley, H., Poos, M. J., Hoogenveen, R. T., et al. (2009). Diabetes mellitus in the Netherlands: Estimate of the current disease burden and prognosis for 2025. Nederlands Tijdschrift Voor Geneeskunde, 153(22), 1052–1058.
Zurück zum Zitat Berwick, D. M., Nolan, T. W., & Whittington, J. (2008). The triple aim: Care, health, and cost. Health Affairs (Project Hope), 27(3), 759–769.CrossRef Berwick, D. M., Nolan, T. W., & Whittington, J. (2008). The triple aim: Care, health, and cost. Health Affairs (Project Hope), 27(3), 759–769.CrossRef
Zurück zum Zitat Chernew, M. E., Mechanic, R. E., Landon, B. E., & Safran, D. G. (2011). Private-payer innovation in Massachusetts: The ‘alternative quality contract.’ Health Affairs (Millwood), 30(1), 51–61.CrossRef Chernew, M. E., Mechanic, R. E., Landon, B. E., & Safran, D. G. (2011). Private-payer innovation in Massachusetts: The ‘alternative quality contract.’ Health Affairs (Millwood), 30(1), 51–61.CrossRef
Zurück zum Zitat de Bakker, D. H., Struijs, J. N., Baan, C. B., Raams, J., de Wildt, J. E., Vrijhoef, H. J., et al. (2012). Early results from adoption of bundled payment for diabetes care in the Netherlands show improvement in care coordination. Health Affairs (Project Hope), 31(2), 426–433.CrossRef de Bakker, D. H., Struijs, J. N., Baan, C. B., Raams, J., de Wildt, J. E., Vrijhoef, H. J., et al. (2012). Early results from adoption of bundled payment for diabetes care in the Netherlands show improvement in care coordination. Health Affairs (Project Hope), 31(2), 426–433.CrossRef
Zurück zum Zitat de Bruin, S. R., van Oostrom, S. H., Drewes, H. W., de Jong-van Til, J. T., Baan, C. A., & Struijs, J. N. (2013). Quality of diabetes care in Dutch care groups: No differences between diabetes patients with and without co-morbidity. International Journal of Integrated Care, 13, e057.CrossRef de Bruin, S. R., van Oostrom, S. H., Drewes, H. W., de Jong-van Til, J. T., Baan, C. A., & Struijs, J. N. (2013). Quality of diabetes care in Dutch care groups: No differences between diabetes patients with and without co-morbidity. International Journal of Integrated Care, 13, e057.CrossRef
Zurück zum Zitat de Jong-van Til, J. T., Lemmens, L. C., Baan, C. A., Struijs, J. N. (2013). The organization of care groups in 2011. Current State of affairs and developments during last years [in Dutch] (Report No.: 260131003/2012). Bilthoven: National Institute for Public Health and the Environment (RIVM). de Jong-van Til, J. T., Lemmens, L. C., Baan, C. A., Struijs, J. N. (2013). The organization of care groups in 2011. Current State of affairs and developments during last years [in Dutch] (Report No.: 260131003/2012). Bilthoven: National Institute for Public Health and the Environment (RIVM).
Zurück zum Zitat Drewes, H. W., Heijink, R., Struijs, J. N., & Baan, C. A. (2015). Working together towards sustainable care. Bilthoven: National Insitute for Public Health and the Environment (RIVM). Drewes, H. W., Heijink, R., Struijs, J. N., & Baan, C. A. (2015). Working together towards sustainable care. Bilthoven: National Insitute for Public Health and the Environment (RIVM).
Zurück zum Zitat Dutch Diabetes Federation. (2007). Health Care Standard. Transparency and quality of diabetes health care for patients with diabetes type 2. Amersfoort: Dutch Diabetes Federation. Dutch Diabetes Federation. (2007). Health Care Standard. Transparency and quality of diabetes health care for patients with diabetes type 2. Amersfoort: Dutch Diabetes Federation.
Zurück zum Zitat Ferrer, L. (forthcoming). Development of the Domain ‘People’. Copenhagen: Working paper for the WHO Regional Office for Europe. Ferrer, L. (forthcoming). Development of the Domain ‘People’. Copenhagen: Working paper for the WHO Regional Office for Europe.
Zurück zum Zitat Goodwin, N., Sonola, L., Thiel, V., & Kodner, D. (2014). Co-ordinated care for people with complex chronic conditions. Key lessons and markers for success. Goodwin, N., Sonola, L., Thiel, V., & Kodner, D. (2014). Co-ordinated care for people with complex chronic conditions. Key lessons and markers for success.
Zurück zum Zitat Hayen, A. P., van den Berg, M. J., Meijboom, B. R., Struijs, J. N., & Westert, G. P. (2015). Incorporating shared savings programs into primary care: From theory to practice. BMC Health Services Research, 15, 580.CrossRef Hayen, A. P., van den Berg, M. J., Meijboom, B. R., Struijs, J. N., & Westert, G. P. (2015). Incorporating shared savings programs into primary care: From theory to practice. BMC Health Services Research, 15, 580.CrossRef
Zurück zum Zitat Lemmens, L. C., de Bruin, S. R., Struijs, J. N., Rijken, M., Nijpels, G., & Baan, C. A. (2015). Patient involvement in diabetes care: Experiences in nine diabetes care groups. International Journal of Integrated Care, 15, e044.CrossRef Lemmens, L. C., de Bruin, S. R., Struijs, J. N., Rijken, M., Nijpels, G., & Baan, C. A. (2015). Patient involvement in diabetes care: Experiences in nine diabetes care groups. International Journal of Integrated Care, 15, e044.CrossRef
Zurück zum Zitat Mohnen, S. M., Baan, C. A., & Struijs, J. N. (2015). The impact of bundled payments for diabetes care on curative health care costs growth. A 2-year follow-up study based on Dutch nationwide health claims data. American Journal of Accountable Care, 12, 60–63. Mohnen, S. M., Baan, C. A., & Struijs, J. N. (2015). The impact of bundled payments for diabetes care on curative health care costs growth. A 2-year follow-up study based on Dutch nationwide health claims data. American Journal of Accountable Care, 12, 60–63.
Zurück zum Zitat Mohnen, S. M., Molema, C. C., Steenbeek, W., van den Berg, M. J., de Bruin, S. R., Baan, C. A., et al. (2017). Cost Variation in Diabetes Care across Dutch Care Groups? Health Services Research, 52, 93–112.CrossRef Mohnen, S. M., Molema, C. C., Steenbeek, W., van den Berg, M. J., de Bruin, S. R., Baan, C. A., et al. (2017). Cost Variation in Diabetes Care across Dutch Care Groups? Health Services Research, 52, 93–112.CrossRef
Zurück zum Zitat Plexus, K. (2016). Advice bundled payment for pregnancy and child birth. Amstelveen : KMPG. Plexus, K. (2016). Advice bundled payment for pregnancy and child birth. Amstelveen : KMPG.
Zurück zum Zitat Raaijmakers, L. G., Kremers, S. P., Schaper, N. C., de Weerdt, I., Martens, M. K., Hesselink, A. E., et al. (2015). The implementation of national action program diabetes in the Netherlands: Lessons learned. BMC Health Services Research, 15, 217. Raaijmakers, L. G., Kremers, S. P., Schaper, N. C., de Weerdt, I., Martens, M. K., Hesselink, A. E., et al. (2015). The implementation of national action program diabetes in the Netherlands: Lessons learned. BMC Health Services Research, 15, 217.
Zurück zum Zitat Ruwaard, S., Douven, R., Struijs, J., & Polder, J. (2014). Hoe kopen zorgverzekeraars in bij ziekenhuizen. Een analyse van de contracten tussen verzekeraars en ziekenhuizen. TPEdigitaal, 8(2), 98–117. Ruwaard, S., Douven, R., Struijs, J., & Polder, J. (2014). Hoe kopen zorgverzekeraars in bij ziekenhuizen. Een analyse van de contracten tussen verzekeraars en ziekenhuizen. TPEdigitaal, 8(2), 98–117.
Zurück zum Zitat Schäfer, W., Kroneman, M., Boerma, W., van den Berg, M., Westert, G., Devillé, W., & van Ginneken, E. (2010). The Netherlands: Health system review. Health Systems in Transition, 12, 1–229 Schäfer, W., Kroneman, M., Boerma, W., van den Berg, M., Westert, G., Devillé, W., & van Ginneken, E. (2010). The Netherlands: Health system review. Health Systems in Transition, 12, 1–229
Zurück zum Zitat Song, Z., Safran, D. G., Landon, B. E., He, Y., Ellis, R. P., Mechanic, R. E., et al. (2011). Health care spending and quality in year 1 of the alternative quality contract. The New England Journal of Medicine, 365(10), 909–918.CrossRef Song, Z., Safran, D. G., Landon, B. E., He, Y., Ellis, R. P., Mechanic, R. E., et al. (2011). Health care spending and quality in year 1 of the alternative quality contract. The New England Journal of Medicine, 365(10), 909–918.CrossRef
Zurück zum Zitat Song, Z., Safran, D. G., Landon, B. E., Landrum, M. B., He, Y., Mechanic, R. E., et al. (2012). The ‘Alternative Quality Contract’, based on a global budget, lowered medical spending and improved quality. Health Affairs (Project Hope), 31(8), 1885–1894.CrossRef Song, Z., Safran, D. G., Landon, B. E., Landrum, M. B., He, Y., Mechanic, R. E., et al. (2012). The ‘Alternative Quality Contract’, based on a global budget, lowered medical spending and improved quality. Health Affairs (Project Hope), 31(8), 1885–1894.CrossRef
Zurück zum Zitat Steenkamer, B. M., Drewes, H. W., Heijink, R., Baan, C. A., & Struijs, J. N. (2017). Defining population health management. A scoping review of the literature. Population Health Man- Agement, 20, 74–85.CrossRef Steenkamer, B. M., Drewes, H. W., Heijink, R., Baan, C. A., & Struijs, J. N. (2017). Defining population health management. A scoping review of the literature. Population Health Man- Agement, 20, 74–85.CrossRef
Zurück zum Zitat Struijs, J. N. (2013). Payment reform and integrated care: The need for evaluation. International Journal of Integrated Care, 13, e056. Struijs, J. N. (2013). Payment reform and integrated care: The need for evaluation. International Journal of Integrated Care, 13, e056.
Zurück zum Zitat Struijs, J. N. (2015a). How Dutch Health care Bundled payments are working in the Netherlands. New England Journal of Medicine Insight Center. Struijs, J. N. (2015a). How Dutch Health care Bundled payments are working in the Netherlands. New England Journal of Medicine Insight Center.
Zurück zum Zitat Struijs, J. N. (2015b). How health care bundled payments are working in the Netherlands. Harvard Business Review. Struijs, J. N. (2015b). How health care bundled payments are working in the Netherlands. Harvard Business Review.
Zurück zum Zitat Struijs, J. N., & Baan, C. A. (2011). Integrating care through bundled payments—lessons from The Netherlands. The New England Journal of Medicine, 364(11), 990–991.CrossRef Struijs, J. N., & Baan, C. A. (2011). Integrating care through bundled payments—lessons from The Netherlands. The New England Journal of Medicine, 364(11), 990–991.CrossRef
Zurück zum Zitat Struijs, J. N., van Til, J. T., & Baan, C. A. (2010). Experimenting with a bundled payment system for diabetes care in the Netherlands: The first tangible effects (Contract No.: 260224002). Bilthoven: National Institut for Public Health and the Environment (RIVM). Struijs, J. N., van Til, J. T., & Baan, C. A. (2010). Experimenting with a bundled payment system for diabetes care in the Netherlands: The first tangible effects (Contract No.: 260224002). Bilthoven: National Institut for Public Health and the Environment (RIVM).
Zurück zum Zitat Struijs, J. N., de Jong-van Til, J. T., Lemmens, L. C., Drewes, H. W., de Bruin, S. R., & Baan, C. A. (2012a). Three years of bundled payment for diabetes care in the Netherlands: Impact on health care delivery process and the quality of care (RIVM rapport 260013002). Bilthoven: Rijksinstituut voor Volksgezondheid en Milieu. Struijs, J. N., de Jong-van Til, J. T., Lemmens, L. C., Drewes, H. W., de Bruin, S. R., & Baan, C. A. (2012a). Three years of bundled payment for diabetes care in the Netherlands: Impact on health care delivery process and the quality of care (RIVM rapport 260013002). Bilthoven: Rijksinstituut voor Volksgezondheid en Milieu.
Zurück zum Zitat Struijs, J. N., Mohnen, S. M., Molema, C. C. M., De Jong-van Til, J. T., & Baan, C. A. (2012b). Effects of bundled payment on curative health care costs in the Netherlands. An analysis for diabetes care and vascular risk management based on nationwide claim data, 2007–2010 (Report No.: RIVM rapport 270551008). Bilthoven: Rijksinstituut voor Volksgezondheid en Milieu. Struijs, J. N., Mohnen, S. M., Molema, C. C. M., De Jong-van Til, J. T., & Baan, C. A. (2012b). Effects of bundled payment on curative health care costs in the Netherlands. An analysis for diabetes care and vascular risk management based on nationwide claim data, 2007–2010 (Report No.: RIVM rapport 270551008). Bilthoven: Rijksinstituut voor Volksgezondheid en Milieu.
Zurück zum Zitat Struijs, J. N., Drewes, H. W., Heijink, R., & Baan, C. A. (2015). How to evaluate population management? Transforming the Care Continuum Alliance population health guide toward a broadly applicable analytical framework. Health Policy, 119(4), 522–529.CrossRef Struijs, J. N., Drewes, H. W., Heijink, R., & Baan, C. A. (2015). How to evaluate population management? Transforming the Care Continuum Alliance population health guide toward a broadly applicable analytical framework. Health Policy, 119(4), 522–529.CrossRef
Zurück zum Zitat Struijs, J. N., Drewes, H. W., & Stein, K. V. (2015b). Beyond integrated care. Challenges on the way towards population health management. International Jouranal of Integrated Care, 15(4). Struijs, J. N., Drewes, H. W., & Stein, K. V. (2015b). Beyond integrated care. Challenges on the way towards population health management. International Jouranal of Integrated Care, 15(4).
Zurück zum Zitat Struijs, J. N., Heijink, R., Kooistra, M., & Baan, C. A. (2016). Toward bundled payments of birth care (Report No.: 2016–0031). Bilthoven: National Institute for Public Health and the Environment (RIVM). Struijs, J. N., Heijink, R., Kooistra, M., & Baan, C. A. (2016). Toward bundled payments of birth care (Report No.: 2016–0031). Bilthoven: National Institute for Public Health and the Environment (RIVM).
Zurück zum Zitat Tsiachristas, A., Waters, B. H., Adams, S. A., Bal, R., & Molken, M. P. (2014). Identifying and explaining the variability in development and implementation costs of disease management programs in the Netherlands. BMC Health Services Research, 14, 518.CrossRef Tsiachristas, A., Waters, B. H., Adams, S. A., Bal, R., & Molken, M. P. (2014). Identifying and explaining the variability in development and implementation costs of disease management programs in the Netherlands. BMC Health Services Research, 14, 518.CrossRef
Zurück zum Zitat Van de Ven, W. P., & Schut, F. T. (2009). Managed competition in the Netherlands: Still work-in- progress. Health Economics, 18(3), 253–255.CrossRef Van de Ven, W. P., & Schut, F. T. (2009). Managed competition in the Netherlands: Still work-in- progress. Health Economics, 18(3), 253–255.CrossRef
Zurück zum Zitat Van den Berg, M. J., De Boer, D., Gijsen, R., Heijink, R., Limburg, L. C. M., & SLN, Z. (2014). Zorgbalans 2014. De prestaties van de Nederlandse gezondheidszorg. Bilthoven: RIVM Van den Berg, M. J., De Boer, D., Gijsen, R., Heijink, R., Limburg, L. C. M., & SLN, Z. (2014). Zorgbalans 2014. De prestaties van de Nederlandse gezondheidszorg. Bilthoven: RIVM
Metadaten
Titel
Netherlands: The Potentials of Integrating Care Via Payment Reforms
verfasst von
Jeroen N. Struijs
Hanneke W. Drewes
Richard Heijink
Caroline A. Baan
Copyright-Jahr
2021
DOI
https://doi.org/10.1007/978-3-030-69262-9_54

Premium Partner