• Kosten van preventie in Nederland 2003. Zorg voor euro's - 4

      de Bekker-Grob EW; Polder JJ; Witte KE; Mackenbach JP; Meerding WJ; VTV (Rijksinstituut voor Volksgezondheid en Milieu RIVMErasmus MCAfdeling Maatschappelijke Gezondheidszorg, 2006-06-06)
      Preventive measures in the public health arena are carried out in numerous areas of policy such drinking-water, sewerage systems, road safety, smoking and employment conditions. Good quality, topical regulations taken up in these policy areas led in the 20th century to great improvements in public health in the Netherlands. The focus on research into costs and efficiency (cost-effectiveness) in healthcare is on the increase. The structural evaluations also make it easier to plan future healthcare provisions. Making choices about directions in policy and inter-sectoral discussion is becoming easier too. It is against this background that insights into the costs of preventive measures are lacking. Presented here then is a complete as possible overview of preventive measures, both inside and outside the public health arena, in which the costs per disease are broken down both for individual diseases and for age groups and gender.
    • Kosten van ziekten in Nederland 2003. Zorg voor euro's - 1

      Slobbe LCJ; Kommer GJ; Smit JM; Groen J; Meerding WJ; Polder JJ; VTV (Rijksinstituut voor Volksgezondheid en Milieu RIVMCentraal Bureau voor de Statistiek CBSErasmus MCAfdeling Maatschappelijke Gezondheidszorg, 2006-06-06)
      The Netherlands spent 57.5 billion euro on health care in 2003, an equivalent to about 12% of the Gross National Product (GNP) or 3,550 euro per capita. In this report health expenditure is described by aspects of healthcare demand (disease, age and gender), supply (providers and functions) and funding. The treatment of particular diseases involved 82.5% of the total healthcare costs. Mental illnesses represent the most expensive diagnosis group (12.7 billion euro) including costs for the mentally retarded and those afflicted by dementia. The costs for heart disease amounted to 5.3 billion euro and for diseases of the digestive system to 4.6 billion euro. The costs for symptomatic complaints and incompletely described syndromes (4.2 billion euro), along with disorders of the musculoskeletal system (3.9 billion euro) complete the list of the top five most expensive disease groups. Healthcare costs depend heavily on age, and amounted in 2003 up to about 40,000 euro per inhabitant in the highest age groups. Men participated in healthcare costs with 42% and women with 58%. This is partly due to the extra costs related to pregnancy and childbirth, but meanly results from the higher life expectancy of women. The above-mentioned costs are based on the Dutch Health and Social Care Accounts. Because other perspectives on health expenditure are important as well, all costs are also specified according the Healthcare Budget Framework (BKZ) of the Dutch Ministry of Health and the OECD's System of Health Accounts (SHA).