Expansion of 2014 Commonwealth Fund International Health Policy Survey to Include the Netherlands


Beginning in 2006, the Netherlands has participated in the Fund’s annual International Health Policy Surveys, providing a valuable opportunity to assess the performance of the Dutch healthcare system relative to the U.S. and other OECD countries as well as evaluate the impact of national policies and reforms on health system performance. The 2014 International Health Policy Survey, the 17th in the annual series, will assess health care system performance and responsiveness from the perspective of adults age 55 years and older in 11 countries, comparing access, care coordination, management of chronic conditions, home care, caregiver responsibilities, and end-of-life care. The analysis of results will highlight the extent to which variations reflect differences in country systems of health care delivery and insurance and social services policies.  The findings, to be released at the 2014 International Symposium and summarized in an article for Health Affairs, should generate substantial interest among health ministers, policymakers, researchers, and the media and will inform U.S. delivery system reform efforts and the Fund’s strategic priorities around high need/high cost patients with complex conditions. The Netherlands is a particularly important comparator country because of its private insurance system, individual mandate, insurance exchanges and use of sophisticated risk-adjustment, bundled payment reforms for chronic conditions, and strong primary care infrastructure. As a country that performs well in the International Health Policy surveys, but also struggles with costs, the second highest for health spending as a percentage of GDP after the United States, it contributes to the meaningfulness of the survey findings from the perspective of a U.S. policy audience.

Grant Details

Grantee Organization:
Scientific Institute for Quality of Healthcare
Principal Investigator:
Gert Westert, Ph.D.
Award Amount:
Approval Date:
February 7, 2014

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