The Dutch health system has been undergoing transformational reform since the mid-2000s. The 2006 reform introduced managed competition as a driving mechanism in health care. Ten years of gradual implementation have changed and continue to change the health care system and the role of stakeholders.

A second major reform in long term care (2015) aimed to move citizens away from publicly provided care, urging citizens to be more self-reliant, while also placing broader responsibilities on municipalities.

The European Observatory on Health Systems and Policies has produced a new review of the Dutch health system that gives an up-to-date assessment on both reforms, and the Dutch health system in general, and discusses important challenges for the future.

For more information about the Reform of the Dutch health system  and to download the review on the website