Personal budgets in the Netherlands

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International Seminar on Social and Health systems in Europe organized by SITRA. Helsinki 7-8 September 2010. Presentation by Floris de Boer, Ministry of Health, Welfare and Sport.

Health & Medicine

Personal budgets in the Netherlands ,[object Object],[object Object]

Content ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

I. Introduction ,[object Object],[object Object],[object Object]

II. History ,[object Object],[object Object],[object Object]

III. Facts and figures ,[object Object],[object Object],[object Object]

[object Object],[object Object],(AWBZ) care (WMO) Social support

There is a whole world outside the long term care…… ,[object Object],[object Object],[object Object],[object Object],[object Object]

[1] Ramingen [2] Ramingen [3] Zonder de Wmo zouden er circa 30.000 budgethouders meer zijn 2.220 1.846 1.455 1.136 922 764 635 Expenses in million Euro’s 1.700 1.700 2.000 1.208 917 583 1.042 Average increase pro month 130.000 110.000 90.000 [3] 95.000 80.500 69.500 62.500 Number of budget holders 2009 [2] 2008 [1] 2007 2006 2005 2004 2003 Year

Way of supply Bronnen: bewerking op basis van gegevens zzp-bronbestand, NZA, CAK, CIZ en CVZ en VGZ. 18.000 71.000 500.000 Total 1.000 5.000 9.000 2.000 1.000 19.000 19.000 32.000 70.000 295.000 85.000 50.000 Demented elderly people Elderly people with somatic disorders Disabled people People with psychiatric disorders Both Personal budgets Care in kind Target groups

IV. Less satisfactory developments ,[object Object],[object Object],[object Object]

V. Necessary interventions to make the system future-proof ,[object Object],[object Object]

AWBZ in historic perspective 1 Exclusief kosten voor beheer en subsidies AWBZ. Bronnen: VWS-begroting 2008 1998 1968 12,15% 9,60% 0,41 % Premium AWBZ Circa 600.000 Circa 900.000 Circa 500.000 (excl. GGZ-extramural) Circa 55.000 Number of clients € 20,5 € 12,8 < € 1 Costs AWBZ-care 1 (billion €’s)

VI. Upcoming developments ,[object Object],[object Object],[object Object]

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5-year survival of GCP after radical procedures significantly depended on: 1) PT “early-invasive cancer”; 2) PT N0--N12; 3) Cell Ratio Factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) GC cell dynamics; 9) GC characteristics; 10) tumor localization; 11) anthropometric data; 12) surgery type. Optimal diagnosis and treatment strategies for GC are: 1) screening and early detection of GC; 2) availability of sufficient quantity of experienced abdominal surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunotherapy for GCP with unfavorable prognosis.

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