Reflections on demand-oriented and demand-driven care within the current health care system.
The authors describe models for the approach to demand-orientated and demand-driven health care as experienced in the Netherlands. The practical operation of the scheme is discussed including implications for financing and other aspects of regulation. The paper concludes that at present a demand-orientated system is feasible, but changes of a fundamental nature would be necessary to institute a successful operation of demand-driven health care, at least in the country the subject of this study.
Rijckmans
Madeleine
M
Tilburg University, Faculty of Social and Behavioural Sciences, 5000 LE Tilburg, The Netherlands.
Garretsen
Henk
H
Rijckmans
Jean-François
JF
Janssen
Richard
R
D003695:Delivery of Health Care / Q000379:methods*; D005102:Health Expenditures; D006291:Health Policy; D006301:Health Services Needs and Demand; D006801:Humans; D009426:Netherlands; D010358:Patient Participation; D011788:Quality of Life