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Dutch health care performance report 2008.

Westert, G.P., Berg, M.J. van den, Koolman, X., Verkleij, H. Dutch health care performance report 2008. Utrecht: Rijksinstituut voor Volksgezondheid en Milieu, 2008. 238 p.
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This is the second national report on the performance of the Dutch health care system. Its focus is on quality, access and costs in 2006/7. The Dutch Health Care Performance Report presents a broad picture based on 110 indicators. Where possible, comparisons in time and between countries are presented. Dutch health care is accessible, cost increases are average, but further improvements in quality can be made. The Netherlands has an accessible health care system. Since 2004, health care expenditure has risen annually by 5%. This rate of growth is comparable to that of neighbouring countries. Although for many aspects of care the quality is high, the Netherlands does not excel at an international level. The general public and care users are positive about the care provided, but there are differences between the various types of care. One concern is the availability of nursing and care personnel. Coordination and cooperation in health care and patient safety score relatively low. The efficiency of health care in the Netherlands is not optimal. Quality is not a driving force in the health care market.