2010-2023年加勒比海荷兰的卫生获取改革.
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.
Health policy (Amsterdam, Netherlands)
|December 13, 2025
概括
荷兰加勒比海群岛在2010年后经历了显著的卫生系统改进,包括增加资金和全民医疗保险. 数据缺口仍然是未来基于证据的卫生政策面临的挑战.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 医疗保健改革 医疗保健改革
背景情况:
- 波奈尔,圣尤斯塔提乌斯和萨巴于2010年融入荷兰,促使卫生系统改革.
- 荷兰政府的目标是在荷兰接受的医疗保健标准,考虑到岛屿的特殊情况.
研究的目的:
- 评估2010年后荷兰加勒比地区卫生系统改革的影响.
- 评估实现可接受和同等医疗保健水平的进展情况.
主要方法:
- 对卫生预算变化和服务提供扩张的分析.
- 审查医疗保健设施的升级和建立新的提供者.
- 审查引入强制性,普遍的医疗保险覆盖范围.
主要成果:
- 医疗预算在十年内翻了一番,岛上有升级和新设施.
- 可用性,护理质量和专业服务显著增加.
- 实施了强制性全民健康保险,提供广泛的福利和财务保护.
结论:
- 医疗保健水平有所提高,朝着"可接受"的标准迈进,未来的目标是"相当于"欧洲荷兰的医疗保健.
- 持续存在的数据格局缺口阻碍了基于证据的政策制定和全面的绩效评估.
- 解决数据缺陷对于改善卫生系统至关重要,对加勒比其他卫生系统也很重要.
相关概念视频
Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
Issues And Trends In Healthcare Delivery System
6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K
Secondary Healthcare System
1.9K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.9K
Primary Healthcare Services
1.9K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.9K
Introduction To Health Care Delivery System
3.7K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
3.7K
Current Trends in Nursing II
3.3K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
3.3K


