Gijsen R, Verweij A, Post N, van der Lucht F, van Blankers-Zanders M
RIVM Report 2017-0120
RIVM has developed a set of 45 indicators that can be used by the Ministry of Health, Welfare and Sport to gain insight into the performance of the public healthcare system. This set has been developed with the help of scientists, policy makers and practitioners. For 19 indicators it was possible to populate them with data. The indicator outcomes were further analysed, for example, by comparing them with other countries and over time. Follow-up steps are needed to complete the set of indicators.
The indicators are varied in nature and provide insight into the performance of the system in the Netherlands as a whole, not of individual municipal public health services or municipalities. Examples of indicators from this set are the percentage of children that has participated in the National Immunisation Programme (RVP), the percentage of municipal public health services that has drawn up a crisis plan, the percentage of young people who smoke, the percentage of schools with a Healthy School Vignette, and the percentage of young people in the fourth year of secondary education who have had contact with youth healthcare.
Public healthcare is the part of healthcare that aims to protect and promote health and prevent disease in the population or specific groups using collective measures. This includes, for example, infectious disease control, environmental medicine, health promotion, youth healthcare, healthcare for older people, and combating disasters and crises. These themes are contained in the Public Health Act and form the basis for the set of indicators. As a follow-up step, the set can be supplemented with theme-overriding indicators. This step involves experts from local and national policies.
The set of indicators has been developed as part of a programme jointly implemented by the Ministry of Health, Welfare and Sport and the Association of Dutch Municipalities (VNG) to ensure public health, also in future (Incentive Programme for Reliable Public Health).