European health care systems

The coming years the health care systems in Europe will be confronted with a number of communal problems such as demographical shifts (ageing, migration) and rising costs. In a lot of countries changes to the health care system are also being made because of this. In 2010, an update of the current situation in the Netherlands is published in the Health in Transition (HIT) publication series for the WHO/European Observatory on Health Systems and Policies, a collaboration between WHO-Europe and several European governments. In 2010, NIVEL will also conduct research in cooperation with European partners in several countries into the organization, funding and provision of home care, into the strength and position of primary care, broadly considered, and into good practices in the accessibility of care to migrants. The coming years a new European project will study the correlation between the quality of primary care and its costs.

The importance of efficient and high-quality primary health care is becoming clearer and clearer internationally. Dutch expertise in this area is also appreciated by the WHO. As a WHO Collaborating Centre, NIVEL developed instruments for the monitoring of the quality of primary care, and of its integration. These will be implemented in the next few years in several countries in Central/Eastern Europe and Central Asia.

Research into health care (systems) calls for a specific kind of researchers. NIVEL maintains exchanges and cooperation, geared towards improving health care, with facilities and individual researchers in Lithuania, Belarus and Ukraine. Finally, in 2010 NIVEL prepared and organized a European conference in cooperation with several European partners. The aim of this conference was to set the agenda for future health care research in Europe.