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Health care performance

Every four years, RIVM produces a Health Care Performance Report and the fourth report was published in 2014. The report sets out the performance of Dutch health care with regard to the quality, accessibility and affordability on the basis of 140 indicators.


Health care in the Netherlands is of high quality and also compared to other countries. There are many favourable trends. Neonatal deaths, which were relatively high in 2008, are reducing and so too are the number of hospital acquired infections. Matters for attention are care of the elderly, which is under pressure because of the high workload, and large differences between health care providers (doctors and hospitals) in treating the same type of complaint and the quality delivered.


The Netherlands has a very accessible health care system. In general, throughout the country there is sufficient health care (general practitioners, physiotherapists, midwives and hospitals) and are accessible within a reasonable time. Hospital waiting times have greatly decreased. The number waiting for long-term care is still considerable but there are few problems. Financial accessibility has reduced, with one in ten adults not visiting a doctor or having medical investigations because of the cost.


Affordability concerns the total amount spent on health care in the Netherlands. There is a clear change in the trend, with costs now increasing less rapidly than was previously the case. Up until 2013, the increase was on average 5.5% per year but was 2% in 2013. This can be partly explained by the economic crisis, and partly by policy with regard to pharmaceutical prices, preferential policy of health care insurers and cutting back on prevention.

The Dutch Health Care Performance report is prepared in cooperation with many external experts and from data provided from some 65 sources.

More information

Dutch Health Care Performance Report