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Updated: Aug 6, 2026
Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
An assessment of occupational health care in the Netherlands (1996-2005)
M M A De Valk1, C Oostrom, A J P Schrijvers
1Adviesgroep Intermedic, Koninginnegracht 101, 2514 AL The Hague, Zuid Holland, The Netherlands. m.devalk@intermedic.nl
Background:
The extensive Dutch occupational health care system of the past decade has not led to the desired outcomes, namely, a decrease of work absenteeism and the associated costs.
Aim:
To assess the differences between in-house and external occupational health care services in the process quality of occupational health care provided.
Methods:
In total, 26 interviews were conducted with chief executive officers of occupational health services (OHS). The responses and other relevant policy documents were analysed and described. A key component of this process was to compare differences between in-house and external services.
Results:
Notable differences in quality were found to exist between in-house and external occupational health care systems, with the in-house occupational health care services offering the highest process quality.
Conclusion:
Our findings suggest that the effectiveness of OHS is mainly dependent on their structure (in-house versus external) and on economic factors (profit driven versus not for profit).
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