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College aantekeningen, samenvatting
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Alle college aantekeningen om te leren voor het tentamen
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LeerdoelenHC1
The student can describe and explain
- Developments in the Dutch healthcare system of the last decades.
HC2
The student is able to:
- describe the characteristics of the current healthcare system of the Netherlands and
provide examples of current practice.
- explain the underlying economic theory of the Dutch health care system.
- describe concepts from regulated competition in the healthcare sector.
- use health economic theory to analyse and to explain the design and functioning of
the current Dutch healthcare system.
- discuss when competition and governmental interference is desirable in a health care
system.
HC3
The student is able to:
- list relevant differences between care and cure from a policy perspective.
- list differences between the organization structure of the ZVw, the AWBZ, the WLZ
and the WMO.
- describe the role of ‘Centrum Indicatiestelling Zorg’.
- provide a problem analysis of the AWBZ.
- provide possible policy options regarding future developments in the long-term care
and a well-argued judgment.
HC4
De student kan recente trends in het gebruik van ouderenzorg beschrijven.
HC5
The student is able to:
- identify and describe the guidelines for the health care sector in the Competition act
- describe the role of ACM and NZA regarding the health care sector and substantiate
the extent to which these rules apply in health care.
HC6
The student can described the current policy issues regarding de Wet Maatschappelijke
Ondersteuning.
HC7
- describe the relationship between the organization structure of health providers and
the financing of provided care.
- describe the funding for specific types of care.
- compare different financing types considering prices, costs, volume and quality of
care.
,HC8
HC9
The student is able to:
- describe the difference between the cure and mental health care system.
- describe the functioning of the mental health care system
HC10
Students can
- Describe the role of health insurers in the Dutch curative health system (cure)
according to economy theory.
- Describe and evaluate the extent to which health insurers are able to comply with this
role in practice.
HC11
HC12
Students can
- describe the current issues of the financing of medical specialist care regarding the
accessibility of health care.
- describe the development in birth care financing and new procurement contracts.
HC13
HC14
The student is able to:-
- describe trends and patterns in disability.
- describe the case for social insurance of sick pay and disability risk.
- describe the implementation of disability insurance (DI) systems.
- describe past reforms in the Netherlands.
,Hoorcollege 1
Michael Moore’s Sicko
Geschiedenis → ontstaan zorgstelsel
- Gouden eeuw, gem leeftijd 30 door <5 mortality
- Vanaf de gouden eeuw → regulering 1800 → kwakzalvers verminderen
- 1870-1941 Ontstaan behandelingen (bijv penicilline) veel konden het alleen niet
betalen
- Vanaf 1941 verplicht ziekenfonds onder loongrens (ziekenfondsenbesluit)
1972 7% van BBP naar zorg
oliecrisis BBP Omlaag en zorg omhoog
Percentage van BBP zorg → Wat is goed en wat is slecht?
- Groene ijn meestijgen met economie
- Demografische factoren → vergrijzing
- Roch meer zorguitgaven door innovaties
- Wetenschappelijke vereniging van artsen beslissen of en hoe de zorgkosten zijn
- Bovenste lijn heeft de politiek weinig invloed op
- Sociale zekerheid, alternatieve inkomen, uitkeringen subsidies
- Kabinet heeft eigenlijk geen invloed op de zorgkosten
, Bezuinigingen zorg lastig door verhogen populatie dat zorg nodig heeft
Preventie
Helpt niet, gezonde levende zijn duurder omdat ze langer leven
Longkanker is goedkoper dan langer leven
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