A fresh look at long-term care

Learning from Dutch and international evidence
Date
Thursday 23 May 2024, 10:30 - 14:30
Type
Symposium
Spoken Language
English
Building
Q Building
Location
Campus Woudestein
Ticket information

Tickets are free of charge.

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Health Care

The Netherlands is world champion in public spending on long-term care, spending more than 4 percent of its GDP. While the Netherlands is often praised internationally for its extensive and comprehensive long-term care system, the already high costs combined with population ageing raise concerns about the sustainability of the Dutch system. 

Dutch policy makers face important questions on how to keep long-term care affordable, while at the same time maintaining good quality and accessible care for all. Empirical evidence on long-term care in but also outside of the Netherlands is crucial in informing policy makers to formulate answers to these difficult, yet important, societal challenges. 

This programme is chaired by Prof. Erik Schut of Erasmus School of Health Policy & Management. 

  • (10:30-10.45h) Walk-in and coffee
  • (10.45-11.15h) Dr. Bram Wouterse (ESHPM) – Too much of a good thing? Empirical evidence on costs, efficiency, and equity in the Dutch long-term care system 
  • (11.15-12.00h) Prof. Anne Margriet Pot (IGJ-ESHPM) – Lancet Commission on Long Term Care 
  • (12.00-13.00h) Lunch
  • (13.00-13:45h) Prof. Iris Kesternich (University of Hamburg) – The German long-term care system: Competition between non-profit and for-profit homes and consumer choice between cash and care.
  • (13.45-14.15h) Prof. Marike Knoef (SER) and Prof. Dr. Erik Schut (ESHPM) – Reflection on challenges and lessons from and for long-term care policy research by Marike Knoef and discussion with audience, chaired by Erik Schut.
  • (14.15-14.30h) End

Frederik T. (Erik) Schut is a professor of health economics and health policy at the Erasmus School of Health Policy and Management (ESHPM). His research focuses on competition and regulation and the role of consumer behavior in health care, long-term care and health insurance markets and he has published extensively about these subjects. He is allied as academic partner to the Netherlands Bureau for Economic Policy Analysis (CPB), and member of the editorial board of Health, Economics, Policy and Law. He participated in several advisory committees to the government. He also served as a member of the Advisory board of the Dutch Healthcare Authority (NZa) and as advisory member the Social and Economic Council (SER).

Bram Wouterse is an associate professor in health economics at the Erasmus School of Health Policy & Management. His research focuses on the modeling of health and health care costs over the lifecycle, the fiscal sustainability of health care spending, long-term care, prevention, and socioeconomic inequalities in health and health care use. He has worked extensively on long-term care, focusing on the effects on fiscal sustainability, individual affordability, optimal allocation between home care and nursing home care, and quality of care providers.

Anne Margriet Pot is endowed professor at the Erasmus School of Health Policy and Management in Rotterdam, and strategic advisor Long-Term Care at the Health and Youth Care Inspectorate, Ministry of Health, the Netherlands. In addition, she is extraordinary professor at Optentia, North West University, Johannesburg, South Africa and President-elect of the International Psychogeriatric Association. For over the past 30 years, she has dedicated her work to improving the quality of long-term care, for older people in particular. She is co-chair of the Lancet Commission on Long-Term Care for Older Persons.

Iris Kesternich is Nucleus Professor for Economics, in particular Empirical Health Economics, at the Department of Economics at the Universität Hamburg and Professor for Behavioral Economics at the Department of Economics at the University of Leuven. Her research focuses on incentives and the interaction of the market participants in health and labor markets. She analyzes both the demand and supply side in health care markets: decisions of consumers in a newly established market for description drugs, the pricing of insurance companies in an oligopolistic setting, and the interaction of profit- and non-profit firms in the long-term care market.

Marike Knoef is Dean of the Tilburg School of Economics and Management, and professor of Economics at Tilburg University. She previously held the position of professor at Leiden University. In addition, she was the general director of Network for Studies on Pensions, Aging and Retirement. Her research interests include household finance, pensions, social security, health, and the labor market. She is crown member of the Social and Economic Council (SER), a chair of the committee socio-economic differences in health and a member of the committee social security and health care (focusing on sustainability of care for older people) at the SER.

On May 23 2024, four researchers will present their work on long-term care research in the Netherlands and abroad, and will reflect on the lessons for and from Dutch long-term care policy. Bram Wouterse will present recent research on spending growth, efficiency and equity carried out by the Long-Term Care group at the Health Economics section of the Erasmus School of Health Policy & Management. Anne Margriet Pot will discuss the work of the Lancet Commission on Long-Term Care focused on person-centered care, human rights, and the optimizing the functional ability and wellbeing of older people. Iris Kesternich will present her research on the German long-term care system, focusing on competition between non-profit and for-profit homes and consumer choice between cash and care, which are issues with an increasing relevance for the Dutch system as well. Finally, Marike Knoef will reflect on the implications of the presented findings for the discussion on the future of the Dutch long-term care system.

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