Theory and practice of regulated competition in Dutch health insurance (notice n° 582184)

détails MARC
000 -LEADER
fixed length control field 01995cam a2200217 4500500
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20250121141414.0
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title fre
042 ## - AUTHENTICATION CODE
Authentication code dc
100 10 - MAIN ENTRY--PERSONAL NAME
Personal name Hagenaars, Luc Louis
Relator term author
245 00 - TITLE STATEMENT
Title Theory and practice of regulated competition in Dutch health insurance
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2022.<br/>
500 ## - GENERAL NOTE
General note 90
520 ## - SUMMARY, ETC.
Summary, etc. The performance of the Dutch healthcare system has been attributed to the introduction of regulated competition as a guiding principle for medical care in the 2006 Health Insurance Act. The slow growth in costs over a decade can be considered a major accomplishment. However, in the day-to-day practice of this principle, several assumptions underlying the market theory have not been implemented or have proven to be problematic. The market for insurers and providers has become more concentrated. While the theory states that insurers need maximum room for maneuver, low institutional trust in insurers limits this. The hospital system has remained exclusively private non-profit, and there has been a sharp increase in the number of outpatient surgery centers. Freedom of choice has especially benefited young, highly educated, and healthy people, who can navigate the abundance of insurance information, but it also strikes a healthy balance between people who change their insurance plans and market stability. Access to good quality care is virtually universal. Two key lessons are that the “active payer” policy1 is not working as intended and—partly because of excessive administrative costs—that fragmentation is increasing. These are two major challenges.
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element health insurance
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element regulated competition
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element health system
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element health financing
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Jeurissen, Patrick Paulus Theodoor
Relator term author
786 0# - DATA SOURCE ENTRY
Note Les Tribunes de la santé | o 72 | 2 | 2022-07-20 | p. 47-57 | 1765-8888
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/journal-les-tribunes-de-la-sante-2022-2-page-47?lang=en&redirect-ssocas=7080">https://shs.cairn.info/journal-les-tribunes-de-la-sante-2022-2-page-47?lang=en&redirect-ssocas=7080</a>

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