Anticipating and Assessing Health Care Technology: by Scenario Commission on Future Health Care Technology, H.

By Scenario Commission on Future Health Care Technology, H. David Banta

As famous within the Foreword, this document is among the volumes because of this research of health care know-how. the aim of the learn, as formulated through the STG, was once to investigate health and wellbeing care know-how. a part of the duty was once to boost an 'early caution method' for well-being care know-how. the first objective of the venture was once to increase a listing or description of a couple of attainable and possible well-being care applied sciences, in addition to info on their significance. in the limits of money and time, this has been performed. even though, given the gigantic variety of attainable health care applied sciences, whole info at the value of every quarter couldn't be built in any intensity for all expertise. for this reason, 4 particular applied sciences have been selected and have been prospectively assessed. those destiny applied sciences have been tested in additional intensity, taking a look quite at their healthiness and coverage implications. in this case, the venture used to be prolonged to September 1987, and extra applied sciences have been selected for assessment.

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These opportunities are mostly lacking in the Netherlands. In summary, although the Netherlands invests considerably in home care, the investment is uncoordinated and is in no way clearly connected to community needs. Problems in Financing Home Care Services. The pluralism of the health care system of the Netherlands is perhaps nowhere more apparent than in the field of home care. Multiple organizations pay for home care. Again, these different payment sources are in no way coordinated. There are important gaps in people's coverage for home care, and also mUltiple overlaps.

Some Special Topics in Home Care A number of problems in the Dutch system of home care may be identified. The last part of this Section is devoted to a discussion of these problems. In a health care system with clear boundaries between first line or primary health care and other sectors of health care, there may be problems when people move from one sector to another. Two topics related to this problem will be discussed here: the field of rehabilitation and discharge from the hospital. Home Care and Rehabilitation.

Research indicates that general practitioners working together in integrated health care centers have lower referral rates, for example (252;253). ) Cooperation in professional home care/primary care assumes that different services deal with the same patients. Policy calls for an overlap of catchment populations of the core providers of professional home care/primary care of at least 80 percent. However, catchment areas actually overlap much less. Even in integrated health centers, the rationalization of catchment populations is a problem (30).

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