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Health access reforms in the Caribbean Netherlands from 2010-2023.

Nathan Shuftan1, Jane O'Flynn2, Judith Meijer3

  • 1Department of Healthcare Management, Technische Universität Berlin, H 80, Straße des 17. Juni 135, 10623 Berlin, Germany; European Observatory on Health Systems and Policies, WHO European Centre for Health Policy, Eurostation (Office 07C020), Place Victor Horta/Victor Hortaplein, 40/10, 1060 Brussels, Belgium.

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Summary
This summary is machine-generated.

The Dutch Caribbean islands saw significant health system improvements after 2010, including increased funding and universal health insurance. Data gaps remain a challenge for future evidence-based health policy.

Keywords:
AccessCross-border careFinancingInfrastructureService delivery

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Area of Science:

  • Public Health
  • Health Policy
  • Healthcare Reform

Background:

  • Bonaire, Sint Eustatius, and Saba integrated into the Netherlands in 2010, prompting health system reforms.
  • The Dutch Government aimed for healthcare standards acceptable within the Netherlands, considering island-specific circumstances.

Purpose of the Study:

  • To evaluate the impact of health system reforms in the Dutch Caribbean post-2010.
  • To assess the progress towards achieving acceptable and equivalent healthcare levels.

Main Methods:

  • Analysis of health budget changes and service provision expansion.
  • Review of healthcare facility upgrades and establishment of new providers.
  • Examination of the introduction of mandatory, universal health insurance coverage.

Main Results:

  • The health budget doubled over a decade, with upgraded and new on-island facilities.
  • Availability, quality of care, and specialist services significantly increased.
  • Mandatory universal health insurance was implemented, offering broad benefits and financial protection.

Conclusions:

  • Healthcare levels have improved, moving towards "acceptable" standards, with a future goal of "equivalent" care to the European Netherlands.
  • Persistent data landscape gaps hinder evidence-based policymaking and comprehensive performance assessment.
  • Addressing data deficiencies is crucial for health system improvement and relevant for other Caribbean health systems.