Table 2.
Legal instruments | Condition | Communicative instruments | Condition | Financial instruments | Condition |
---|---|---|---|---|---|
Insurers may choose the policy forms they offer [45] |
F |
Media campaign from the government about the new health insurance system [37,42-44] |
F |
Financial incentives (e.g. co-payments) [37,39,40,43,49,56,63] |
I |
Patients have the right to choose from the available policy forms [45] |
F |
Developing quality/performance indicators [30,31,41,43,44,57,58,70,71] |
I |
Subsidies from government [44,72-75] |
I |
With a payment-in-kind policy, providers are obliged to deliver care as agreed within a reasonable time and at a reasonable distance [76] |
F |
Developing comparative information, e.g. for kiesbeter.nl or the Healthcare Inspectorate (IGZ) [31,49,57,77-79] |
I |
|
|
With a payment-in-kind policy or a preferred provider policy, patients have the right to receive compensation when they choose a non-contracted provider in the Netherlands and in Europe [50] |
F |
Comparative information, e.g. kiesbeter.nl, physical desks, telephone, papers, healthcare providers, insurers and user organizations (peer contact and information provision) [30,37,38,41-43,46,53,54,57,59,70,80,81] |
I |
|
|
With a reimbursement policy or a personal budget, patients are allowed to choose their preferred provider freely without intervention from the insurer [42] |
F |
Advice and support for people who are unable to choose independently (e.g. by MEE) [56,74,82] |
I |
|
|
Providers are obliged to publish comparative information [53] |
I |
|
|
|
|
Providers are obliged to make the information understandable, effective and correct [54] |
I |
|
|
|
|
The information providers provide may not be misleading and must comply with the legislation [55] | I |
W = willing/able to choose; F = freedom of choice; I = Informed.