Cost-sharing in Dutch healthcare: results from a survey among elderly people

Item does not contain fulltext127th Annual Meeting, 10 november 199

The management of confidentiality in general medical practice: A comparative study in the U.S.A. and the Netherlands

This paper describes the results of two studies in New Jersey and the eastern part of the Netherlands into the management of confidentiality among physicians in general medical practice. The physicians were presented with vignettes about confidentiality and were asked what course of action they would pursue. The results suggest that the physicians in New Jersey are less willing to disclose information without the patient's consent to insurance physicians or occupational health physicians than their Dutch colleagues. However, in more conflicting situations the American physicians tend to favor more disclosure of information than their Dutch counterparts. Explanations of these differences include aspects of the legal system in New Jersey and the Netherlands.confidentiality physicians comparative legal

New technology and cost of health care: a cross national comparison of American and Dutch attitudes

Item does not contain fulltextcongres EUPHA, 14 december 20001 p

Quality and cost of healthcare: a cross-national comparison of American and Dutch attitudes

Objective: To compare attitudes of consumers in America and Holland toward the quality and cost of healthcare. Study Design: Data were derived from one American (n = 466) and two Dutch (n = 260, n = 1629) surveys. Patients and Methods: Questionnaires were completed by respondents. Pairwise comparisons requiring respondents to compare statements with one another were used to assess preferences for quality of care. Respondents were asked to "indicate the extent to which each of the factors listed plays a role in placing demands on the American (Dutch) healthcare system." Factors included the public's tendency to consume, high technology, defensive medicine, decrease in informal care, increase in standard diagnostic procedures, and medicalization. Results: Americans reported comparatively greater concern with empathy, whereas the Dutch were more interested in the continuity of care. Effectiveness, knowledge, information, and patient-physician relationships were ranked higher in both nations than waiting time, autonomy, and efficiency. Respondents in both countries attributed the increase in healthcare cost primarily to the high cost of technology. Compared with their Dutch peers, Americans were less likely to attribute increases in the cost of healthcare to the public tendency to consume and to the decrease in informal care and were move likely to implicate defensive medicine and an increase in diagnostic procedures. Conclusion: As both nations experience pressures to reduce costs while maintaining and augmenting the quality of healthcare, planners and government officials should tailor their approaches to each nation's problems within the context of their public perspectives. Replication of such studies should help assess the impact of changing societal values on healthcare delivery