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1990 QOL 1990 1990 1 1 2008 1640 14.5 78.4 82.4 65 1 1 48

OECD GDP 2007 9.8 OECD 8.9 2 2 NIVEL 10 2006 135,000 77,000 40,000 10,000 8,000 1996 2006 6 3 1 70 4 3 2 2006 31 28 25 11 5 4 0 5000 10000 15000 0 5 5 10 10 15 15 20 20 25 25 30 30 35 35 40 40 45 75 41 36 46 53 92 182 376 777 45 50 1472 50 55 2470 55 60 4032 60 65 5056 65 70 6308 70 75 8768 75 80 11867 80 85 13973 85 90 12144 90 95 7167 95 2430 Velden, van der, Fancke, Hingstman, & Willems (2009), p. 5 Figure 2 1 2006 49

Autumn 2009 No. 168 0 25 50 75 100 28 25 11 31 5 31 20 7 37 5 25 30 14 26 5 Velden, van der, Fancke, Hingstman, & Willems (2009), p. 8 Figure 5 22006 70 2 WHO 1990 2002 5 WHO 1990 VvOV 1996 QOL 6 QOL WHO WHO Janssens & Have WHO terminale 50

WHO WHO 7 3 1 1990 2 1996 3 1 1990 1970 8 1975 Antonius Ijsselmonde 1993 1991 Johannes Hospice 1992 Hospice Kuria 1994 Hospice Rozenheuvel 9 10 1996 Netwerk Palliatieve Zorg voor Terminale Patienten Nederland:NPTN EAPC 2 1996 11 51

Autumn 2009 No. 168 12 3 ZonMW 6 COPZs PIH 1997 2002 1998 2003 6 16 9 IKC 2001 IKC 1999 2001 3 5 13 3 2000 2006 2008 1999 2000 406 2004 5,289 14 15 16 17 52

4 1 24 palliatieve zorg unit hospice afdeling 2009 92 387 18 2 65 12 2009 48 115 19 3 1990 2009 46 266 20 21 4 hospicehuis bijna-thuis-huis 1 6 53

Autumn 2009 No. 168 22 2009 52 181 23 CIZ 2008 Zorgwaartepakket: ZZP 24 10 10 VV10 3 5 2009 130 8 2 25 2009 13 48 26 5 1 GP GP 54

2000 GP 2007 8,700 35 27 2 120 2009 67 28 CIZ PTZ: Palliatieve Terminale Zorg 1 12.6 :2009 4 29 3 1980 Stichting Landelijke Samenwerking Terminale Thuiszorg Nederlandse Hospice beweging 2004 Landelijk Steunpunt voor Vrijwillgers Palliatieve Terminale Zorg 2008 210 70 8,000 420 8 2009 1200 30 7 31 55

Autumn 2009 No. 168 6 2 3 2006 18 Zorgverzekeringswet 32 1 Wet op zorgtoeslag Algemene Wet Bijzonder Ziektekosten Persoonsgebonden budget 2007 Wet op Maatschappelijk Ondersteuning 2007 39 29 33 1990 QOL 56

1 CBS (2009), p. 1 2 OECD (2009), p. 1OECD OECD 720 2006 GDP 14 CBS (2008) p. 78 3 Velden, van der, Fancke, Hingstman, & Willems (2009), p. 3 4 Velden, van der, Fancke, Hingstman, & Willems (2009), pp. 9-10 5 WHO 1990 2002 2009 6 Have & Jannsens (eds.)(2001), p. 14, p. 27 7 Have & Jannsens (eds.)(2001), pp. 14-17 8 Martin-Moreno, Harris, Gorgojo, Clark Normand and Centeno (2008), pp. 1-2 9 Schumann (2005), p. 231 Francke (2003), p. 31, 10 Have & Jannsens (eds.)(2001), p. 9 11 Have & Jannsens (eds.)(2001), p. 18 12 Francke (2003), p. 27 13 Francke (2003), p. 20 14 Kooiker (2008), p. 98, 15 Ministerie van Volksgezondheid, Welzijn en Sport (2005), pp. 85-86 16 Kooiker (2008), p.97 Kuin (et.al)(2004), pp. 59-60 17 Schumann (2005) p. 231 18 Agora (2009), p. 1 19 Agora (2009), p. 1 20 Agora (2009), p. 1 21 Schumann (2005), p. 252, Have & Jannsens (eds.)(2001), pp. 22-23 22 Have & Jannsens (eds.)(2001), p. 22 23 Agora (2009), p. 1 24 Ministerie van Volksgezondheid, Welzijn en Sport (2009), p. 1 25 Gronemeyer, Fink, Globisch, & Schumann (2005), p. 238 26 Agora (2009), p. 1 272008 pp. 50-51 28 Agora (2009), p. 1 29 CAK (2009), pp. 21-22 30 VPTZ (2009), p. 1 31 Kooiker (2008), p. 97 32 2006 33 Jansen, Visers, Zuurmond, van Montfort, Rhebergen, and Loer (2009), pp. 2-5 Agora (2005), Themamiddag Palliatieve zorg in verpleeg-en verzorgingshuizen Agora, Utrecht CAK (2009), Eigen bijdrage Zorg zonder Verblijf 2009, CAK, Den Haag CBS (2008), Statistical Yearbook 2008, CBS Voorburg Francke, Anneke L. (2003), Palliative care for terminally ill patients in the Netherlands, Ministerie van Volksgezondheid, Welzijn, en Sport, Den Haag Have, H..ten & R.Janssens (eds.)(2001). Palliative Care in Europe, IOS Press, Amsterdam Have, H..ten & Jos Welie (2005), Dutch and Medical Power, Open University Press, London Jansen, Wim J.J., Kris C.P. Vissers, Wouter W.A. Zuurmond, Guus P.W.P. Monfort van, Andre Rhebergen, and Stephan A.Loer (2009), Palliative care is not yet a well-defined product within the Dutch health care insurance system, in Health Policy 19 Elsevier Janssens, Rien JPA & Henk AM ten Have (2001), The Concept of palliative care in the Netherlands, in Palliative Medicine, Vol.15 No.6 SAGE, London 57

Autumn 2009 No. 168 Kompanje, Erwin J.O. (2006), Care for the dying in intensive care in the Netherlands, in Intensive Care Med, 32 Kooiker, Sjoerd (2008), Dying with dignity in Campen, Cretien van (ed.), Values on a grey scale, SCP, Den Haag Kuin, Annemieke, Annemie M.Courtens, Luc Deliens,Myrra J.F.J. Vernooij-Dessen, Lia van Zuylen, Barbara van der Linden, and Gerrit van der Wal (2004), Palliative Care Consultation in the Netherlands, in Journal of Pain and Symptom Management, Vol.27, No.1, Elsevier, Luijkx, Katrien & Jos. M.G.A.Schols (2009), Volunteers in Palliative Care Make a Difference, in Journal of Palliative Care, Spring 2009, 25-1 Centre de recherche, Institut universitaire de geriatrie de Montreal Martin-Moreno, Jose M, Meggan Harris, Sydia Gorgojo, David Clark, Charles Normand, and Corlos Centeno (2008), Palliative Care in the European Union, European Paliament Ministerie van Volksgezondheid, Welzijn en Sport (2005), Ouderenbeleid in het perspectief van de vergrijzing, (English version: Policy for older persons in the perspective of an ageing population), VWS, Den Haag Schumann, Felix (2005), Netherlands, in Reimer Gronemeyer, Mechaela Fink, Marcel Globisch, Felix Schumann, Helping People at the End of their Lives, Lit verlag, Berlin Velden, Lud FJ van der, Anneke L Fancke, Lammert Hingstman, and Dick L Willenms (2009), Dying from cancer or other chronic diseases in the Nethelrnads in BMC Palliative Care (online february 4), BMC, Utrecht VPTZ (2009), VPTZ FACR SHEET, VPTZ, Bunnik 2006 No.70 2008 2007 CBS (2009), Pupulation ; Key figures, http://statline.cbs. Ministerie van Volksgezondheid, Welzijn en Sport (2009), Zorgzwaartebekostiging, http://www.minvws.nl/dossiers/ zorgzwaartebekostiging/voor-clienten OECD (2009), OECD Health Data 2009 How Does the Netherlands Compare, http://www.oecd.org/dataoecd/ 46/8/38980162.pdf Rijksinstituut voor Volksgezondheid en Milieu (2009), Nationale Atlas Volksgezondheid, RIVM Bilthoven http://www.zorgatlas.nl 2009 http://hpcj.org/what/definition.html 58