Health is of great importance to everyone. We realize this all the more because of the corona crisis. Everyone must be sure of appropriate and affordable care: young or old, now and in the future about how to maintain health for long life. This requires cooperation, attention to the patient, and room for everyone who works in healthcare. A healthy society also requires taking responsibility for ourselves and for each other. Our healthcare system is based on solidarity because we want everyone who needs care to have access to it. Our concern is of a high level and the system is not in question, but improvements in the system are needed. People are concerned about whether the care of tomorrow can still be provided and whether it will remain affordable. We have to work on that. We also need to look more broadly at health: education, sport, housing, livelihood security, and living environment all contribute. Vulnerable people live seven years less and fifteen years longer in less good health and children who grow up unhealthy are often at a disadvantage. We find that unacceptable. We want to keep healthcare affordable, available, and accessible for everyone. This requires good and solid choices and reforms from politicians, which take time and where appropriate care is the norm.
Corona crisis
We use the lessons from the Corona crisis, such as the importance of collaboration, decompartmentalization, and new (digital) working methods, and prepare for future health crises by strengthening pandemic preparedness. This means a (European) commitment to, among other things, independence for medicines and devices, safeguarding public interests, and setting up care reserves in consultation with experts. In addition, we want flexible scaling up and deployment of IC capacity, particularly in the area of personnel. We also strengthen public health care.
The corona crisis has demanded the utmost care and still does. Work pressure, absenteeism, and staff shortages have increased even further due to the crisis. Working in healthcare must become more attractive. That is why salaries have been increased. This also requires good employers from employers, including targeted improvements in valuation and the irregular hour's allowance. A training agreement in the Nursing and Care Homes and Home Care (VVT) sector supports this. We provide more control, an approach to the regulatory burden, good (further) training, and better cooperation between (in)formal care providers. Working more hours in healthcare should also pay off.
We are considering whether a Chief Medical Officer, who operates on the basis of technical knowledge, can contribute to better public care.
Prevention, sport, and exercise
We encourage sport and exercise in the context of promoting health. A healthy life starts at the sports club. That is why we help sports associations to be ready to get Dutch people back to sports.
We are broadening the Prevention Agreement with mental resilience.
We are raising the tax on sugary drinks and we are raising the excise tax on tobacco. We make binding agreements with the industry about healthier foods to maintain health for long life. We are looking at how we can introduce a sugar tax in the long term and reduce the VAT on fruit and vegetables to 0%.
We are investing extra in research into and tackling Alzheimer's, obesity, and cancer, for both adults and children.
To gain a better insight into the (social) impact of addictions, we are appointing a National Rapporteur on Addictions, who will periodically report on the scope and development of addiction problems.
Health system ('cure' and 'care')
Plannable and acute care must be made future-proof. Based on the right care in the right place, we ask the National Healthcare Authority (NZa) to draw up regional images, which could lead to a reorganization of the healthcare landscape in which an integrated range and appropriate care across domains is available to everyone in the Netherlands, regardless of the place of residence. are standards.
We are increasing our grip on the rising healthcare costs of expensive medicines and aids and want these to be marketed at a fair price. We are committed to transparency in price structure and negotiation, partly through European cooperation.
In combination with the commitment to appropriate care and a practice assistant general practitioner (POH), mental health care (GGZ) can focus more on complex problems, and the inflow is limited. To prevent the pressure on crisis care, we expect all professionals in mental health care to run on-call services during the evenings, nights, and weekends.
Older people should be able to age healthily in their own or appropriate environment. This means, among other things, focusing on more senior housing and other forms of housing, life-course-resistant homes, informal care, digital care, domotics, and fall prevention. Something can also be expected from people themselves. We encourage municipalities to identify potentially vulnerable elderly people at an early stage and to help facilitate longer living at home.
For future-proof care for the elderly, housing and care are gradually being separated so that living at home for longer is even more encouraged. Explicit attention is paid to innovative forms of housing and to the possibility for everyone, regardless of income, to continue to live at home affordably for longer with care.
People with a disability have unprecedented potential for society and sometimes need practical support. We will continue to invest in care for the disabled and will continue with the good initiatives from the Unlimited Participation program. The personal budget (pub) remains a suitable means for self-management, in which appropriate care must be central.
Good, timely, and appropriate youth care, with an important role in one's own environment, prevents more serious care. We clearly define what we mean by youth care and municipalities are enabled to provide this. Specialized youth care (including youth mental health care) is purchased more centrally. The youth protection chain is being improved, with the legal protection of the child and the family being central.
Everyone remains the owner of their own health data. Data and data exchange between patient/client and provider and providers themselves will be improved, in accordance with privacy legislation, whereby uniformity is necessary. A well-functioning personal health environment (PHE) for patients is the ultimate goal.
We are making the deductible smarter and more affordable. People do not have to pay their entire deductible in one go, but a payment per treatment up to a maximum of 385 euros. In addition, we want to monitor and prevent the accumulation of personal contributions. for example by maximizing out-of-pocket payments in the medicines reimbursement system (GVS).
The subscription rate has led to a limitation of the accumulation of healthcare costs and is transparent and simple to implement. Due to the increasing use of domestic help, the availability of facilities under the Social Support Act is under pressure. That is why we are working towards a fairer personal contribution for domestic help with national standards and with an eye for the affordability of low and middle incomes. This keeps help and support available.
A contract forms the basis for providers and insurers to make agreements about appropriate care, affordability, and efficiency. That is why we are improving the contracting process. If non-contracted care decreases insufficiently in mental health care and district nursing, the approach will be strengthened. Consideration is being given to compulsory quality registration and independent assessment. If this is insufficiently effective, a small personal contribution or a reduction in the reimbursement of non-contracted care will be considered. All this while retaining freedom of choice for the patient.
We are working on a good insight into the quality of the care provided and tackling care managers and entrepreneurs who do not have integrity. We act against fraud and improper use, including of real estate, especially if the basis of care is not in order. In addition, we set (further) conditions for profit distribution in order to combat or prevent excessive profit distribution by healthcare providers. Under strict preconditions, it may be possible to attract venture capital for investments in the quality of care.
Medical specialist companies also have a responsibility for the transformation to appropriate care, the manageability of hospitals, and the curbing of perverse incentives. If these medical specialist companies do not improve sufficiently within two years, regulations will be introduced so that all medical specialists are employed. Regulations are being prepared for this purpose.
A home of one's own is essential for one's livelihood. We are committed to preventing homelessness, renewing social shelter, and creating places to live with appropriate support for (threatened) homeless people.
0 Comments