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Factual information Health care/ education
| Posted on 22 december 2008, 16:47 uur by Ellen Offers |
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The three (four?) labour market pilots within DC NOISE concern the health care sector in different countries (Norway, Belgium, Germany and The Netherlands). From the reactions in the DC NOISE check, I concluded that the confinement of our pilot within the health sector was not clear. To improve mutual understanding it might be helpful to know a little bit more about the different health care systems and the corresponding educational systems. And, of course, the way the pilot fits in. Therefore I give an overview of our systems. I invite you to do the same.
In the Netherlands the health care sector consists of several branches, the main branches are:
· Primary healthcare. Primary healthcare is provided by neighbourhood GPs.
· Hospitals. Hospitals provide specialist services, with or without hospitalization.
· Psychiatric hospitals. Psychiatric hospitals provide long term hospitalized treatments and polyclinical treatments.
· Homes for disabled. Homes for the disabled provide housing and treatment for mentally or physically disabled persons.
· Homes for the elderly. Homes for the elderly or residential care homes provide accommodation and basic care for elder people.
· Long stay hospitals. Long stay hospitals or nursing homes provide long lasting nursing for ill people.
· Domiciliary care. Domiciliary care is provided to people in their own homes who are ill, disabled, or otherwise incapacitated.
In our pilot all previously mentioned institutions are involved, except the primary healthcare by GPs.
Within the health care professions we distinguish medical ((specialist) doctors), para-medical (e.g. physiotherapists, dietician), nursing and caring professions. In our project we confine ourselves to the nursing and caring professions.
The system for vocational education in the Netherlands consists of five levels (with corresponding caring and nursing profession in bad English translation):
· secondary vocational education - training to assistant level (MBO – level 1): ½-1 yr (assistant helper)
· secondary vocational education - basic vocational training (MBO – level 2): 2-3 yrs (helper)
· secondary vocational education - professional training (MBO – level 3): 2-4 yrs (carer)
· secondary vocational education - middle management training (MBO – level 4): 3-4 yrs (nurse, level 4)
· higher professional education (HBO-bachelor) (nurse, level 5)
The secondary vocational training is provided in two models:
· the ‘school model’: next to lessons at school, the student gains practical experience in internships.
· the dual model: the student is employed by an health care institution and attends the school one day a week.
I intended to give some background of our pilot. I am curious to know if the Dutch systems are quite the same or very different from other national health care and educational systems. I hope to hear from you.
By the way, I am not sure I used the right English terms for the described phenomena. I hope, nevertheless, you will understand.
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| Posted on 14 januari 2009, 12:32 uur by Anne Skjævestad |
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Thanks Ellen, for an informative overview of the dutch healthcare system and the corresponding educational systems. This is very helpful information, and it gives us an insight into the dutch system and serves for purposes of comparison. There is much similarity between the dutch and the norwegian systems, something which enhances the transferrability of ideas and strategies between the two pilots.
The healthcare system in Norway is organized as follows: primary healthcare is provided by the municipalities, and secondary healthcare (specialist services, including hospitals) is provided by the state. The main services and institutions provided by the municipalities are:
• Homes for the elderly
• Domiciliary care
• Homes for physically or mentally disabled people
• Homes for people with mental afflictions
• Primary healthcare such as health services, physiotherapy and psychiatric nursing
Our pilot mainly deals with nursing and caring professions. Healthcare workers complete four years of secondary vocational education, of which the last two as apprentices. However, adults may also add a one-year theory course to their practice in order to be qualified as healthcare workers, provided that they have sufficient and relevant practice. In addition, schools can adapt the study programme to fit the needs of particular target groups – adults, immigrants, school leavers etc. The degree of nurse is a separate education, and is obtained through a bachelor programme.
So that’s just a short summary, hope it was clear! If anything needs further explanation, please don’t hesitate to contact me.
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