Background
Responsive regulation
Dutch healthcare quality regulation policies
In the Netherlands, the Dutch Healthcare Inspectorate is the body appointed by the government to supervise and regulate quality of healthcare. It is an independent part of the Ministry of Health, Welfare and Sports. The Inspectorate pays regular visits, which become more frequent if care providers do not comply with quality standards. Both care providers and the public can report incidents or lodge complaints. However, the Inspectorate’s statutory tasks mean that it cannot handle complaints by individual patients unless the complaints are structural or very severe |
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Information about the quality of care is collected and analysed to signal potential risks. Information sources include the following: |
- System based supervision (monitoring of internal quality systems and governance arrangements) |
- Performance indicators |
- Reporting of incidents (by the public or care providers) |
- Detection of prosecutable facts |
- Thematic supervision |
The Inspectorate is authorised to use the following regulation and enforcement instruments: |
- Advice and incentives (consultation, campaigns); |
- Corrective measures (impose improvement plans, strengthened monitoring); |
- Administrative measures (command, advice to the Minister to issue a direction, penal sum, administrative fine); |
-Measures under criminal or disciplinary law. |
Methods
Questionnaire
Panel
Ethics statement
Statistical analyses
Results
Number | Study sample % | Dutch population (18 and older) 2013 % | |
---|---|---|---|
Gender | 875 | ||
Female | 416 | 47.7 % | 50.5 % |
Male | 458 | 52.3 % | 49.5 % |
Age | 875 | ||
18–39 | 275 | 31.4 % | 34.0 % |
40–64 | 405 | 46.3 % | 44.8 % |
65 and older | 195 | 22.3 % | 21.2 % |
Ethnicity | 874 | ||
Dutch | 840 | 96.1 % | 78.9 % |
Other | 34 | 3.9 % | 21.1 % |
Education level | 841 | ||
Low (none, primary school or prevocational education) | 132 | 15.7 % | 30.4 %b |
Medium (secondary or vocational education) | 484 | 57.6 % | 40.3 %b |
High (professional higher education or university) | 225 | 26.8 % | 28.3 %b |
Work in healthcare | 846 | not available | |
No, I have never worked in healthcare | 590 | 69.7 % | |
Yes, I am currently working in healthcare | 122 | 14.4 % | |
Yes, I worked in healthcare in the past | 134 | 15.8 % |
Health care | Education | Food service | |
---|---|---|---|
Dutch Healthcare Inspectorate | Dutch Inspectorate of Education | Netherlands Food and Consumer Product Safety Authority | 4.42a | 4.52a | 4.36a |
Care providers | Teachers | Personnel who prepare food | 4.29a | 4.46 | 4.43 |
Minister of Health, Welfare and Sports | Minister of Education, Culture and Science | Minister of Economic Affairs | 4.17 | 4.23 | 3.74a |
Managers | 4.11a | 4.38a | 4.41 |
Direct colleagues of care providers | Direct colleagues of teachers | Direct colleagues of personnel who prepare food | 3.92a | 4.20a | 4.13a |
European Union | 3.41a | 3.48a | 3.32a |
Patients | Students and their parents | Consumers | 2.98 | 3.22 | 2.70 |