Public Health Status and Forecasts. The health status of the Dutch population over the period 1950-2010
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TitlePublic Health Status and Forecasts. The health status of the Dutch population over the period 1950-2010
Translated TitleVolksgezondheid Toekomst Verkenning. De gezondheidstoestand van de Nederlandse bevolking in de periode 1950-2010
PubliekssamenvattingDit document verschaft een overzicht van: 1) de gezondheidstoestand van de Nederlandse bevolking ; 2) factoren (determinanten) welke bepalend zijn voor de huidige gezondheidstoestand ; 3) trends uit het verleden en mogelijke toekomstige ontwikkelingen ; 4) een evaluatie van de verzamelde informatie. De Volksgezondheid Toekomstverkenningen dient als basis voor het Nederlandse gezondheidsbeleid (zorgbeleid, preventiebeleid en facetbeleid). Hiertoe zijn verschillende soorten informatie middels een conceptueel model in hun onderling verband geplaatst. Indicatoren als sterfte, levensverwachting en voorkomen van ziekten zijn in de structuur van dit model opgenomen.<br>
With this document a large amount of health data on the Dutch population is presented in a way which highlights the various interrelationships involved. Data on the status of public health; determinants, defined as factors that influence the health status; developments in public health and forecasts are combined using a conceptual model. In the structure of this model indicators such as mortality, health expectancy, presence of diseases an disorders find a place. This document serves as a basis for the Dutch Health policy (health-care policy, prevention policy and intersectoral policy).<br>
Descriptionavailable from authorized bookhops<br>publishing house: Sdu Uitgeverij Plantijnstraat, Den Haag<br>
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Strategische analyse gegevensvoorziening VTV en Zorgbalans : Naar betere informatie over volksgezondheid en zorgNugteren R; van den Berg MJ; Verschuuren M; Picavet HSJ; Verkleij HGM; Hoeymans N; VTV; vz (Rijksinstituut voor Volksgezondheid en Milieu RIVM, 2012-10-23)In order to make the Dutch Public Health Status and Forecasts (VTV) and the Dutch Health Care Performance (Zorgbalans) reports and associated websites, data is required to measure the quality, efficiency and accessibility of health care and to monitor public health. These products are at the base of health policy made by the Ministry of Health, Welfare and Sport (VWS). Research by the National Institute for Health and the Environment (RIVM) shows that the VTV and the Zorgbalans do not always have sufficiently reliable and high quality data at their disposal. To solve this problem, VWS should know who collects what data, why and under what conditions, e.g. funding. At present, this is not always clear. Where possible, VWS should direct the collection of data to improve its availability, accessibility and quality of the sources. Data on public health and health care require permanent direction Data from approximately one hundred sources (registrations, surveys, cohort studies, monitors and scientific research) were used to draw up the VTV and Zorgbalans reports. The aim was to answer questions like: How many people smoke? How is life expectancy developing in the Netherlands? Do people receive the right care, at the right time and is there enough care supply to choose from? On behalf of VWS, the RIVM has made an inventory of whether the data resources needed to answer these questions are available and which problems have been encountered. One of the recommendations made is to ensure that data are available on time, and that proper and accurate measurements are being done, according to clear and transparent quality criteria. Furthermore, it is important to promote the linking and comparison of data. This also requires full transparency about which data is available and to whom. Developments that require coherent policy The government should monitor the quality of health care and share this information with citizens. A coherent information policy, combined with some other recent developments, is therefore of great importance. Citizens put an increasing value on health and health care. Technological developments have opened up more and more opportunites, for example, for linking data. Finally, current market forces in health care mean that parties which deliver data are more susceptible to data manipulation for the benefit of their own positions.
Op weg naar een volksgezondheidsrapportage voor Caribisch Nederland : Een eerste inventarisatie van de mogelijkhedenPost NAM; Poos MJJC; van der Lucht F; VVG; V&Z (Rijksinstituut voor Volksgezondheid en Milieu RIVM, 2014-08-29)Since the dissolution of the Netherlands Antilles in October 2010, the islands of Bonaire, Saba and Sint Eustatius have enjoyed the status of 'special municipality' or 'public body' within the Kingdom of the Netherlands. As such, they are required to prepare a public health memorandum once every four years. This memorandum describes their plans regarding public health policy. This memorandum must be based on an analysis of public health which is published in the form of a so-called 'comprehensive health status report'. An inventory performed by the Dutch National Institute for Public Health and the Environment (RIVM) shows that although public health data are available for the three islands, these data are not yet suitable for preparing a comprehensive public health report. We therefore recommend restricting the scope of the initial report which will precede the 2017 memorandum, and basing that report on the data currently available. In particular, the usability of the data leaves much to be desired. The data registered by health care providers on the three islands are often incomplete and not fully accessible. In addition, data quality is currently insufficient due to inaccuracies in registration. Public health surveys on the three islands are often conducted in an ad-hoc manner, and tend to focus on just one aspect of public health. The resulting data present a limited picture of the public health situation and make it difficult to draw comparisons over time (i.e. to establish trends). Furthermore, there are not enough people who have the time and skills to collect, enter, analyze and interpret data for policy-making purposes. The usability of the available data can be improved, among other things by training healthcare professionals in data registration methods. In the short term, we recommend focusing on the information that is most useful to healthcare professionals on Bonaire, Saba and Sint Eustatius: data on chronic illnesses (particularly diabetes, cardiovascular diseases and musculoskeletal disorders), as well as data on lifestyle factors like exercise, obesity, and consumption of tobacco and alcohol. Additional information on these topics can then be gathered to gradually develop a more complete picture over time. It is also important to devise ways of gaining a more complete picture of public health on the islands. The currently available data are derived from large-scale surveys and give an indication of the health status of adults and young adults on each island. Less information is available on the health of children and young people. A solid foundation for a more comprehensive public health reporting system can be developed gradually by starting well before the 2017 memorandum, and by improving the availability and usability of data in a phased approach.
Future health expenditure in the European Union. Estimates of demographic effectsHelder JC; Achterberg PW; VTV (Rijksinstituut voor Volksgezondheid en Milieu RIVM, 1997-07-31)This report describes developments in health expenditure in the current fifteen EU countries in relation to developments in Gross Domestic Products (GDP), and to ageing and changes in population numbers. As health care costs increase strongly with age a number of age-cost functions have been drawn up which have been extrapolated in time and applied to all EU countries, departing from one age-costs distribution which has been determined (1988) for the Netherlands and using international population prospects. For the year 2020 the largest ageing-dependent increases in per capita health care costs (1990 = 1.00) are expected for Italy (1.11), Greece (1.10), Spain (1.09), Netherlands and Finland (1.08), with lesser increases in Sweden (1.00), the United Kingdom (1.01), Austria and Belgium (1.05), Denmark and Luxembourg (1.05). The average, weighted, health care costs for the EU are expected to increase (by ageing) from 1.00 in 1990 to 1.06 in 2020. Absolute increases in costs have been estimated by additional inclusion of prospects of population growth. The observed changes become larger. The largest expected increases are expected for the Netherlands (1.27), Luxembourg (1.20), Spain (1.14), France (1.14) and Finland (1.13), with lower expected increases for the United Kingdom (1.06), Portugal (1.09), Sweden, Italy and Ireland (1.10), Germany (1.11) and Austria (1.12). Retrospectively, it appears that in recent years in most EU countries, including the Netherlands, the growth of health care costs per capita has followed increases in GDP per capita quite closely. After 2020, ageing will, especially for the Netherlands, become relatively more important, however, which may cause a further rise in health care costs and leave less room for rises in costs by other causes. Epidemiological, medico-technological and socio-cultural developments, however, may well alter the future age-costs distribution of health care costs and its comparability between countries in a non-predictable way.<br>