Healthcare is important for everyone, but the sustainability of the system is under severe pressure in the Netherlands. To cope with the challenges in the coming decades, the system will have to become more sustainable and adaptive, with a greater focus on cooperation, shared responsibility and openness and development. In addition, COVID-19 and increased risks of other pandemics due to infectious diseases have created a new reality. Work will also have to be done on crisis resilience in healthcare. Smart ICT innovations are indispensable in this sector.
Central mission
The above agreements and programmes focus on promoting healthy life expectancy and reducing health inequalities. The central mission statement reads: By 2040, all people in the Netherlands will live at least five years longer in good health, and the health gap between the lowest and highest socio-economic groups will have decreased by 30 per cent. This includes a focus on a healthy lifestyle and living environment, accessibility of care, quality of life and participation in society. There are five underlying missions related to this:
- That by 2040, the burden of disease due to unhealthy lifestyles and environments will be reduced by 30%;
- That by 2030, at least 50% more care will be organised in people's own living environment, together with the network around people;
- That by 2030, the proportion of people with a chronic illness or lifelong disability who can participate in society as they wish and are able will have increased by 25%;
- That by 2030, the quality of life of people with dementia will have increased by 25%;
- That by 2035, the population will be better protected against socially disruptive health threats.
Transformation cannot happen without cooperation
Achieving these ambitions will require a major transformation of healthcare. This will require intensive cooperation between government, industry, knowledge institutions and other organisations.
In recent years, a powerful ecosystem of public-private partnerships has been built up in our country. Data is an important part of the central mission solution. The trick is to safely draw lessons from anonymised and encrypted data. Regardless of technology, when sharing data, it is essential to capture 'informed consent'. Technology and methods such as AI, the Personal Health Train and FAIR combined with well-filled monitoring and data management roles (also known as data stewards) help in this regard. Data ethics should also be high on the agenda.