Abstract
The dutch health system is based on the Bismark model of health insurance which has been adapted and adopted by the Romanian health system, too. Since more than ten years ago, the health insurance system in Romania is based on health insurance; the private health insurance is an alternative which was been taken into account inclusively by the current government; by identifying and analyzing the best practices of the private health insurance systems in Europe, we can guide the development of private health insurance market in Romania. The dutch health system is one of the efficient European models in this area. The main way to improve health system efficiency remains competition between Dutch health insurance companies alongside of the implementation of special payment systems based on performance, the monitoring systems for performance, the local and national programmes on the infrastructure and logistics development in health . Keywords: the Dutch health system, health insurance, competition, private health insurance.
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