Health and welfare

Health and welfare

As of this year, the number of people aged 12 and over who are included in the Dutch organ donor register has increased to over 6.3 million. This is equivalent to 42 percent of the population.

In 2017, 46 percent of Bonaire’s population aged 15 years or older paid a visit to the dentist.

In 2017, the number of deaths in the Netherlands stood at 150 thousand. The most common death cause with 47 thousand cases (31 percent) was cancer.

Over one-fifth of the Dutch population aged 18 years or older consider themselves very happy. They rate their degree of happiness with a score of 9 or 10.

One percent of the Dutch population aged 20 years or older are morbidly obese.

Over half of all children aged 4 to 11 years complied with the Health Council's Physical Activity Guidelines in 2017.

New, experimental figures from CBS on the weekly turnover of hay fever medication at pharmacies.

How many people are smokers, ex-smokers or never-smokers, according to age, sex and education level. The highest incidence of smoking is among low-skilled men between the ages of 25 and 44.

Smoking behaviour, alcohol consumption, physical activity and obesity by sex and age, per municipality in the Caribbean Netherlands, 2017

In 2017, 29 percent of 18 to 24-year-olds were addicted to social media in their own view.

Highly educated people often have a higher level of well-being than lower educated people but are more often victims of crime.

In 2017, more cyclists than car occupants died in traffic accidents, of whom 1/4 on an e-bike.

Nearly nine in ten adults say they are happy. This share has been stable for years.

Life expectancy without physical limitations and in good self-perceived health is projected to rise until 2040.

20 percent of Dutch people aged 12 years and over say they have sleeping problems.

In 2016, 61 children under the age of 15 died of cancer. Fifty years ago, this number was over four times as high.

Cancer has been the main cause of death among men for years, since 2016 also among women

Most 18 to 24-year-olds are satisfied with their lives in general and social lives in particular.

Many children aged 1 to 11 years do not eat the recommended amounts of fruit, vegetables and fish.

People aged 45 and over with type 2 diabetes are more likely to suffer from other long-term disorders.

Advice and encouragement from a health care provider is one of the main motivating factors to stop smoking.

Elderly who live independently feel progressively unhealthy while those living in care homes feel relatively healthier.

One in four heavy smokers die before they turn 65

A Bayesian analyses is applied in the framework of adaptive survey

Dementia was again the main cause of death in 2016 with over 15 thousand related cases.

Most Dutch are happy. Increased happiness perceptions are related to good health and a good relationship.

Last 4 November, Statistics Netherlands published an exploratory report on the measurement of SDGs for the Netherlands

Last year 4.8 percent in the Dutch population reported to have diabetes.

Nine out of ten 12 to 25-year-olds are satisfied with life, as indicated by a study in 2015.

Last year, 1,871 people in the Netherlands committed suicide, the highest number ever.

One-quarter of lowest educated obese

Among European countries, the Netherlands prescribed the lowest volume of antibiotics (2013) while Greece prescribed the highest. Within the Netherlands, there are regional differences in the volume of antibiotics prescribed. In some municipalities, twice as many patients received antibiotics as in other municipalities.

Nearly one-quarter in the population aged 12 years and older have given explicit permission for their organs or tissues to be donated after death. More women than men have given permission for organ donation.

Male life expectancy at birth for boys in the Netherlands was 79.9 years (2014). Male life expectancy is marginally higher in Norway, Sweden, Italy, Spain and Switzerland. Dutch girls have 83.3 years ahead of them. Their life expectancy is below the average level for European girls.

The Netherlands spends relatively more money on short-term admissions for mental and behaviourial disorders than other OECD countries. At hospitals (including GGZ institutions) expenditure on these disorders takes up nearly a quarter of the total <<link 1>>, more than twice the amount spent in other OECD countries.

Dutch people rate their life satisfaction at 7.8, taking them to fifth place within the EU.

Men have more positive emotions than women: they are more calm and composed, and are often happier. Women find life more meaningful

In 2014, more than 1 in 10 Dutch people aged 12 or up suffered from psychological complaints. Women had more mental health problems than men. In particular girls between 16 and 20 and older women aged 65 and up often felt gloomy or depressed more frequently than their male peers.

In 2014, 1,835 inhabitants of the Netherlands ended their own lives, on average five per day. The suicide rate did not go up for the first time in years. Six in ten people who committed suicide were middle-aged The province of Groningen has the highest suicide rate.

In 2014, over 139 thousand people deceased in the Netherlands. The number of deaths from an acute heart infarct in the Netherlands has been declining steadily since the 1970s, a trend which continued through 2014. Nearly one third of total mortality was linked to cancer and over a quarter to cardiovascular diseases. The largest specific cause of death was dementia.

The research presented in this paper has been done in the context of the further development of the methodology of calculating the Hospital Standardised Mortality Ratio (HSMR) in the Netherlands. It has been funded by Dutch Hospital Data (DHD). The goal of this research is to investigate the effect of adding post-discharge mortality to the HSMR. The advantage of adding post-discharge mortality, is that the mortality indicator becomes less dependent on the discharge policies of hospitals. Pouw et al. (2013) have investigated the possibilities and effects of adding post-discharge to the mortality indicator in the Netherlands. They concluded that this would lead to an improvement of the indicator. However, they did not investigate what the optimal period should be in which the post-discharge mortality is taken into account, whether or not the length of the period should differ between diagnosis groups and whether this period should be from admission or from discharge. These questions have been investigated by Statistics Netherlands and the results are presented in this paper (in Dutch).

Last year, 570 people were killed in traffic accidents in the Netherlands. After a substantial decline by 12 percent in 2013, the number of traffic deaths remained stable in 2014.

The Dutch do not eat enough fruit, vegetables and fish. About a quarter of the population meets the doses recommended by the Dutch Health council. People with foreign backgrounds meet the standards more often than people with a Dutch background.

The annual gender ratio at birth for the Netherlands is 105 boys to every 100 girls. This ‘male surplus’ is still reflected in young adults: there are more 20 to 24-year-old men than women in the Netherlands, but a different situation occurs in the four major Dutch cities, where young women constituted the majority in 2014. Statistics Netherlands announced today that the gender ratio in the municipality of Utrecht is 138 young women to every 100 young men.

The population growth rate in the Netherlands has risen again in 2014. The population grew by nearly 73 thousand last year. Immigration increased further to a record high of 181 thousand. Emigration remained more or less stable. The number of live births increased for the first time in half a decade.

In 2013, 141,245 people in the Netherlands died, most of them from cancer and cardiovascular disease: 30 percent and 27 percent respectively. Causes of death were partly coded automatically in 2013.

Compared with other countries in Europe, in the Netherlands hospital admissions are relatively short: less than two days to have a baby and less than six days for an acute heart attack. The number of smokers in the population is also relatively small.

According to figures released this week by Statistics Netherlands, the percentage of people in the Netherlands reporting that they have diabetes has risen substantially since the beginning of this century. Type 2 diabetes, in particular, has become more prevalent, mainly among the over-55s.

Generally, lower educated persons more often receive health care services than higher educated people. Factors like age, gender, state of health and income partially account for the differences between higher and lower educated. If these differences are taken into consideration, higher educated people are more frequent consumers of health care than lower educated people.

Nearly 950 thousand persons received long-term care in 2012. Due to the ageing population, the number of long-term care recipients has increased dramatically over the period 2004-2012. Because the over-65 population has grown more rapidly than the number of long-term care consumers, the share of over-65 long-term care recipients has declined.

Parents of nearly 95 percent of under-fives in the Netherlands report that they had taken their child to a child health centre. For under-twos this percentage was even higher. On average parents give child health centres a mark of just over 7 out of 10.

For women in the Netherlands, the risk of dying during pregnancy or childbirth has decreased more than tenfold since the middle of the twentieth century. The largest decrease was in the period 1950-1970. Since 2007, fewer than ten women a year have died during pregnancy and childbirth.

Although Dutch people are living to older ages, they are no longer doing so in perfect health. The number of years they have to cope with a physical disability is increasing. These are mostly minor limitations, such as hearing, visual and mobility problems. The number of years people live with more serious disabilities is not increasing.

Due to chronic disorders, older employees are more often absent from work than their younger counterparts. Older employees more often suffer from disorders related to high sickness absence rates, e.g. cardiovascular diseases and back, back of the neck and joint problems. Among employees without chronic disorders, the sickness absence rates vary little by age category.

Many people in the Netherlands suffer from one or more chronic disorders. A large part of them do not feel healthy. An unhealthy lifestyle, e.g. not taking enough exercise and smoking in fact often go hand in hand with rating one’s own health as poor.

If the trend observed in the past three decades with respect to mortality and health is to continue, the age until which people in the Netherlands are free from physical limitations in mobility, sight and hearing will rise further. People’s healthy life expectancy will also increase.

In the first quarter of 2014, 35 thousand people died, 4.6 thousand fewer than in the first quarter of 2013 and 2.6 thousand fewer than in the first quarter of 2012.

Last year, total spending on care rose by 1.6 percent, i.e. less than in prior years. This is partly due to the fact that the growth in medicine consumption slowed down and the average price level of medicines fell further. Rates and compensations for health care and welfare services also declined, in particular for care and nursing services. According to the Central Bureau of Statistics (CBS), overall expenditure on health care and welfare was in excess of 94.2 billion euros.

Today, Statistics Netherlands (CBS) and the Ministry of Infrastructure and the Environment have released figures on traffic mortality. Last year, 570 people died in traffic accidents in the Netherlands, a reduction by 80 relative to 2012.

In 2012, 103 thousand young people (approximately 3 percent) received youth care. Amsterdam has the highest number of children in youth care, but the highest proportion of children in youth care was recorded in the municipality of Kerkrade.

There were over 250 thousand chronically ill, disabled or elderly people in the Netherlands who required support in organising the practical matters of everyday life in 2012. This form of support without stay in a care institution is financed by the AWBZ (Exceptional Medical Expenses Act). It is most current in the northern and eastern provinces and Limburg.

In the period 2010-2012, an average of nearly 1 million people reported to have consulted alternative healers in the past year, i.e. nearly 6 percent in the Dutch population. Acupuncture treatments are quite popular. Women, 30 to 65-year-olds, higher educated and people with supplementary insurance coverage most often consult alternative healers.

Three in four people aged 15 and older in the Caribbean Netherlands rate their health as good or very good. Sixty percent of the population are overweight. Three-quarters of the population had consulted their GP at least once in the past year, while more than half had visited their dentist.

In 2013, the number of children attending day care centres has fallen for the second year in a row. On 31 December 2011, 322 thousand 0 to 3-year-old children attended day care centres versus 284 thousand at the end of 2013.

One in ten people in the Netherlands suffered from obesity in 2012. They are much more likely to develop diabetes type 2, high blood pressure, degenerative joint disease and cardiovascular disease than non-obese people.

The majority of adults in the Netherlands are satisfied with life in general. They are the most positive about the homes they live in, the least positive about their financial situation.

Just over 10 percent of the Dutch population reported that they had felt sombre or depressed in 2012, and nearly 6 percent were prescribed anti-depressants in 2011. Feelings of depression are much more common among Turkish women and Moroccan men.

By the end of last year, 5.6 percent in the Dutch population aged 18 years or older received long-term AWBZ funded care on medical grounds. The proportion is considerably higher in older age categories and varies by region.

The growth of spending on health care has been levelling off in recent years in the Netherlands and other OECD countries. The number of medical doctors per one thousand inhabitants is slightly below the OECD average, despite a hefty increase since 2001. The share of people who smoke every day has dwindled in the Netherlands and approached the OECD average in 2011.

The share of over-55s among medical professionals is higher than among other professionals employed in the care sector. Since the beginning of the 21st century, ageing in the care sector is above the average level in other sectors.

A vast majority in the population wear glasses or contact lenses. For older people, it is extremely rare not to use glasses or contact lenses. Furthermore, nearly one third of over-75 men use hearing aids and more than one third of over-75 women use walking frames, wheeled walkers or mobility scooters.

The number of people who die from melanoma, a frequent type of skin cancer has increased significantly in the Netherlands, in particular among over-60s. In the European Union, the Netherlands is among the countries with the highest melanoma mortality.

Nearly six in ten deaths are caused by cancer or cardiovascular diseases. Cancer has been the main cause of death in the male population for many years now. Cardiovascular diseases are the main cause of death for women.

There are regional differences in the Netherlands with respect to overweight and smoking and drinking behaviour as figures from the first Health Monitor, collectively published by regional health authorities (GGDs), Statistics Netherlands (CBS) and the National Institute for Public Health and the Environment (RIVM) show. Last year, more than 387,000 adults aged 19 years and older participated in a large-scale health and lifestyle survey.

Approximately 15 percent of 2 to 25-year-olds struggle with overweight. Young members of low-income households are more often overweight and have more GP contacts than their counterparts in the households with the highest incomes.

Out-patient hospital admissions are becoming more and more common. The number of out-patient hospital admissions for chronic enteritis (e.g. Crohn’s disease) has risen far above average.

Summary: Over seven in ten people in the Dutch population see their general practitioner (GP) every year; eight in ten visit their dentist at least once a year.

Last year, male and female life expectancy were virtually the same as in 2011, but life expectancy is anticipated to increase further over the years to come.

The share of workers with a flexible employment contract has risen from 12 percent (2001) to 16 percent (2012) of the Dutch employed labour force.

Last year, spending on health care and welfare in the Netherlands amounted to 92.7 billion euros, i.e. an increase by 3.7 percent from 2011.

Last year, 650 people died in traffic accidents in the Netherlands, i.e. 11 fewer than in 2011. The number of traffic fatalities has dropped by 19.9 percent relative to 2006. The traffic death toll was notably lower in 2012 among 15 to 20-year-olds and among over-80s, compared to 2011, but higher among car drivers and passengers in the age category 20-60 and among cyclists in the 60-80 age bracket.

More than one and a half million people in the Netherlands provide intensive or long-term voluntary care; 1 in 7 carers - about 220 thousand people - feel burdened to some extent. Most voluntary carers are aged between 50 and 65, but over-85s are most active, providing 24 hours of voluntary care on a weekly basis.

The Dutch population thinks the government should play a more active role in various areas of society. Especially when it comes to taking care of people who are not at all or to a lesser degree able to take care of themselves, e.g. disabled and older people

The average costs per capita covered by the basic health care insurance policy were 2,100 euro in 2010. The average costs were higher for women than for men. More than half concerned costs for hospital care.

People experience a fairly short period of happiness when they become first-time parents. After the baby is born, the feeling of happiness gradually fades and 1 to 2 years after childbirth it appears to be back at the pre-pregnancy level.

On average, 373 teenagers in the age category 10–20 annually died in the Netherlands in the past decade. Nearly half of them died from non-natural causes. Traffic accidents are the most common non-natural cause of death. Since the 1970s, teenage mortality has declined by 75 percent, mainly due to a reduction in the number of fatal traffic accidents.

Nearly all women who give birth in the Netherlands make use of maternity care. However, relatively fewer women with a non-western background than native Dutch women do so. The share of women with a non-western foreign background who make use of maternity care has increased though. Most of the women interviewed were very satisfied with the maternity care they received.

In 2011 the rise in the Dutch care volume was primarily responsible for the rise in care expenditure. The Dutch care volume grew faster in 2011 than in 2010.

Approximately 9 in 10 adults in the Netherlands feel happy. This applies in particular to people living together with a partner.

In the period 2002-2011, a total of 862 children in the age category 0-14 died from cancer. Two thirds of them died from brain tumours or leukaemia. The childhood cancer mortality rate in the Netherlands is the same as the EU average, but marginally higher than in the neighbouring countries.

The average weight of Dutch men and women has increased more rapidly over the past two decades than their average length. As a result, the number of overweight people has grown significantly.

Men and women from high-income households on average live about 8 and 7 years longer respectively than their counterparts in low-income households. The difference with respect to the number of years lived in good health is even higher, i.e. nearly 18 years for both genders.

There were 165 victims of murder and manslaughter in the  Netherlands in 2011. That is 7 more than in 2010.

The revenues of Dutch care institutions did not grow as fast in 2010 and 2011 as in the previous three years. At the same time the care institutions were able to prevent costs from rising.

Profits of independently practising medical specialists in the Netherlands rose by an average 8.3 percent annually in the period 2001 to 2009. Independent general practitioners and dentists realised 5.6 and 4.4 percent more profit per year on average.

Dutch residents are in general happy with their GP. The average mark older people and people in good health give their GP on a scale from one to ten is 6 or higher. Overall, people are also positive about other care providers - medical specialists, dentists and physiotherapists. Their average mark ranged between 7.5 and 7.9.

The life expectancy for 65-year-olds has risen over the past three decades. They live longer and the period, during which they define their health as good after reaching the age of 65 is also longer. The number of years spent without physical limitations is increasing. On the other hand, the period they have to deal with physical limitations is longer too.

The costs of long-term care provided under the Exceptional Medical Expenses Act (AWBZ) have risen continually in recent years but revenues fell short. The deficit amounted to 3.3 billion euro in 2011. For the third consecutive year the deficit exceeded 3 billion euro.

Last year, 1,647 Dutch residents committed suicide, an increase by 47 relative to 2010.

Last year, 48 percent of employees in the health care sector had to cope with workplace aggression, versus 33 percent of all employees.

Nearly six in every ten deaths in 2010 involved medical end-of-life decisions. In 2.8 percent of cases, euthanasia was carried out.

Over the past three decades, the proportion of overweight people in the Netherlands has grown among adults as well as among 4 to 20-year-olds.

More than one quarter of over-75s have serious problems with one or more daily activities, e.g. go up and down the stairs or getting (un)dressed. These problems are more frequent among women than among men. Chronic disorders are also more often found in the older population.

People who have accepted a job are more often satisfied than they were in the years prior to employment. The same applies people in their first years of retirement.

In 2011, spending on health car and welfare in the Netherlands amounted to 90.0 billion euro. This is 3.2 percent more than in 2010.

Last year, 661 people died in road accidents in the Netherlands, i.e. a 3.3 percent increase from 2010 with 640 fatal accidents. The death toll was particularly high among older cyclists.

Over half of the adult population in the Netherlands indicate they are prepared to donate their organs after death. Nearly two thirds would like to receive an organ, when in need of a transplant.

On an average day in 2010, nearly half of over-75s were housebound. Physical limitations in particular prevented them from leaving the house.

This report describes the work carried out in the Netherlands Pilot Project on Morbidity Statistics, co-funded by Eurostat. The project was carried out by Statistics Netherlands (CBS) and the National Institute for Public Health and the Environment (RIVM). The aim of this pilot was to test the feasibility of the methodological approach for producing diagnosis-specific morbidity statistics required for the ESS (under Regulation (EC) 1338/2008) in the Netherlands.

The average retirement age of employees had risen to more than 63 years in 2011.

In nearly all countries of the world, more men than women smoke. Also, the percentage of people who smoke daily decreased nearly everywhere between 1999 and 2009.

There has been a sharp rise in the nursing professionals over 50 working in health care.

50 people died of aids in the Netherlands in 2010, 41 men and 9 women. Aids deaths have been stable over the last five years.

On 31 December 2009, there were 900 transsexuals in the Netherlands; 850 of them were included in the 15-65 age category (potential labour force).

In August 2011, 825 thousand people in the Netherlands were claiming a disability benefit. Nearly half of them received a benefit because of mental health problems or a behavioural disorder.

The proportion of obese people in the Dutch population has doubled within the last two decades, but is still below the average level across the OECD countries. At the same time, health care expenditure in the Netherlands is above the OECD average.

Between 2000 and 2010 the life expectancy of newborn babies has increased substantially. For males it rose from 75.5 to 78.8 years and for females from 80.6 to 82.7. The remaining life expectancy at 65 increased from 15.3 to 17.6 years for men.

The proportion of employed developing burnout symptoms has grown between 2007 and 2010. The burnout rate is marginally higher among higher educated than among lower educated and relatively low among young employed.

The sickness absence rate among employees in the Netherlands was 4.1 percent in the second quarter of 2011.

Over half the Dutch population think that smokers and heavy drinkers should have to pay more for their medical insurance.

Many women in the Netherlands respond to invitations for preventive screening for cervical and breast cancer. One quarter of men aged 40 years or older are screened for the risk of prostate cancer.

The quality of life is high in the Netherlands compared to other European countries, but it seems impossible to retain this level of prosperity in the long run.

The majority of the Dutch population perceive their own health as good or very good. Women and older people less often feel healthy. Health perception also depends on the number of chronic diseases.

Proportionally, more first-generation people with a non-western background than native Dutch take anti-diabetics. The most recent figures published by Statistics Netherlands show that, with respect to the second-generation, the difference has disappeared altogether. The figures also show that more than seven in every ten native Dutch were prescribed at least one medicine in 2009.

Over the past decade, the amount of jobs in the care sector increased by 385 thousand. Overall employment growth in the Netherlands was 515 thousand, so three quarters of new jobs in the past ten years were created in the care sector.

Although the number of elderly people in the Netherlands is growing rapidly, the number of them living in care and nursing homes is decreasing.

Results of the Dutch National Survey on Working Conditions carried out in the fall of 2010 by TNO and Statistics Netherlands show that over 15 percent of all employees was hindered in their work by unnecessary administration.

The number of multiple births has been in decline in the Netherlands since 2003. In recent years, usually only 1 egg cell is replaced in the uterus during in vitro fertilisation, resulting in a considerable reduction in twin births.

According to the most recent figures, the costs of health care and welfare amounted to 87.6 billion euro in 2010, a 3.6 percent increase relative to 2009. Over the period 2004-2008, the costs of care increased at an accelerated rate to 7.0 percent in 2008.

The health and lifestyle of people who live in deprived urban neighbourhoods in the Netherlands are not as good as those of people living outside these neighbourhoods. However, the mental health and perceived health of these residents have improved in recent years, and the number of smokers has dropped.

Last year, 184 thousand children were born in the Netherlands. Three quarters were hospital births, one quarter home births.

640 people were killed in traffic accidents in the Netherlands in 2010. This is 11 percent fewer than the 720 deaths in 2009, and continues the downward trend observed in the last few years.

Over two thirds of youths do not take enough exercise, smoke, drink excessively or consume cannabis.

On 1 May 2010 136 thousand people living in the Netherlands were not insured for medical costs. This is 10 percent fewer than twelve months previously.

Statistics Netherlands (SN) has been publishing figures on health expectancy (HE) for several years. So far we have published about various variants of health expectancy, broken down by various subpopulations. However, the way to determine health expectancy and the way to publish about it are subject to discussion. We have made choices, but these could and perhaps should have been somewhat different. SN is convinced that supplying proper information on health expectancy is very useful. In the future we want to be leading in this area. Therefore it is important to evaluate the work of recent years to see where improvement can be made.

The risk of dying from cancer is declining. The risk for men and women to die from cancer dropped by 14 and 5 percent respectively in 2010 relative to 2000, but the cancer death toll has increased due to population growth and demographic ageing.

People working in the health care and welfare sector think their jobs are physically and emotionally demanding. They are nevertheless more than averagely pleased with their jobs.

Over the past 30 years, the use of health care facilities has obviously increased. The proportion of people consulting a GP, dentist or physiotherapist has risen and people take more medicines.

In the period 2001–2009, an average 14 percent of Dutch adults had mental problems. Mental problems are most frequently found in women, over-75s and lower educated.

The turnover of health care institutions increased greatly in 2009, as it had in 2008, despite the recession in the Netherlands. Profits also rose substantially.

Some 400 thousand people in the Netherlands give blood. This 4 percent of 18-69 year-olds, the age group that is permitted to give blood.

Some nine out of ten people aged over 75 in the Netherlands consulted their general practitioner at least once in 2008.

The proportion of happy and contented people among those recently divorced or widowed is significantly below average. Newlyweds, on the other hand, are happy.

The proportion of cannabis users whose state of mental health is less good is twice as high as in the group of non-users. In the period 2007/2009, more than 4 percent of 15 to 65-year-olds have smokes cannabis.

One in ten 15 to 65-year-olds look after chronically ill or disabled relatives. In most cases, the care is provided to one or both parents. Women in the age category 45-55 more often provide care than men and young people.

People working in jobs at elementary or lower level feel less healthy than those employed in higher-level jobs.

In 2008, Moroccans were less often admitted to hospital for cancer and cardiovascular diseases than other ethnic groups. Turks were most often admitted for cardiovascular diseases, followed by Surinamese.

The proportion of car drivers in fatal road accidents is higher in the 18–25 age category than among over-25s. Young drivers also more often crash into trees, crash barriers or posts.

Last year, Dutch expenditure on health care and welfare amounted to 83.8 billion euro.

Dutch people aged 12 years or older – including those who never drink - drink 1 unit of alcohol a day on average.

Last year, 720 people were killed on Dutch roads, a reduction by 30 (4 percent) relative to 2008. The reduction is mainly recorded among 30 to 60-year-olds and motorists.

On 1 May last year, 152 thousand Dutch residents had no insurance against medical costs, almost as many as last year. The distribution of uninsured by gender and age also hardly changed, but there are differences with respect to ethnic background.

Last year, 4 percent of people in the Netherlands were diabetic patients. Among them are more older, male and overweight people than among non-diabetics.

The Dutch have not been very successful in recent years in their pursuit of a healthier lifestyle.

The proportion of people in relatively poor mental health had dropped to 9 percent in 2008. The reduction was mainly recorded in the female population.

Over the past 15 years, the total amount of day-patient hospital admissions has soared. The number of in-patient hospital admissions, defined as admissions including at least one overnight hospital stay, did not increase.

Between 2001 and 2007, labour productivity in the sector elderly care increased by an average of 1.4 percent annually. The labour productivity growth was entirely realised after 2004 when the volume of care provided grew more rapidly than the labour volume.

In the period 2006-2008, 4 in every 10 persons suffered from cold, influenza, throat infection or sinusitis. There is an obvious relation between the prevalence of these infectious diseases and the seasons.

Vwo (pre-university education) pupils who were admitted in hospital once or more run a greater risk to leave secondary education without a regular diploma than vwo pupils who were never admitted in hospital.Other types of (secondary) education appear not to be affected by hospital admissions.

The average life expectancy of people living in households with incomes below the poverty line is approximately 5 years shorter than the life expectancy of higher incomes. The healthy life expectancy of higher incomes is no less than 14 years longer.

People with a healthy lifestyle are happier and more satisfied about their lives than others.

Tthere were 304 thousand people who defaulted on the Dutch health insurance payments on 1 September 2009.

This paper on lifestyle and well-being was written for the '3rd OECD World Forum' held in Busan, South Korea from 27-30 October 2009.

The financial position of care-providing institutions is often poor in comparison to educational institutions and commercial service providers. This situation has barely improved in recent years.

Chronic diseases are often accompanied by other long-lasting disorders, especially in older people. People with chronic arthritis nearly always suffer from at least one and often more than one other chronic diseases.

Obese and underweight persons are more often depressive than people in the normal body weight range.

In the period 2004-2005, perinatal mortality in children of people with a non-western background belonging to the first generation had grown by more than half compared to children of native Dutch parents. The highest perinatal and infant mortality rates were recorded among children of Antillean, Aruban and Surinamese mothers.

More women died from breast cancer in 2008 than in 2007. Breast cancer is indeed the most common cause of death among 35 to 55-year-old women.

In 2006, the Dutch cancer mortality rate was 187 in every 100 thousand, marginally above the average in the EU 27 of 175 per 100 thousand residents.

Life expectancy is increasing. This applies to both genders, but the extra lifetime is not always spent in good health.

More than six in ten people in the Netherlands live within 5 km from a hospital. The Randstad region has the highest hospital density.

Last year, 5.4 thousand persons in the Netherlands died a non-natural death. Non-natural death includes fatal accidents, suicide, murder and manslaughter. Most victims died in accidents.

Last year, 176 persons died as a result of murder or manslaughter, 12 more than in 2007. The increase entirely consists of men. The number of women killed as a result of murder or manslaughter has declined over the past three years.

A majority in the older population used medical aids in 2008. The proportion using aids increased over the period 2001–2005. Despite the fact that the Dutch population is ageing, the proportion did not increase further since 2005.

The introduction of the Social Support Act (Wmo) in 2007 has caused more institutions providing home and elderly care to sustain losses. This applies in particular to institutions providing home help.

Dutch municipalities expect to spend nearly 2.6 billion euro on home help and provisions for individual mobility covered by the Social Support Act (Wmo).

Most people live in the vicinity of their GP, but the road distance to the nearest out-of-hours GP centre is longer, in particular for people living in rural areas. The GP rate in rural areas is much lower than in major cities

Last year, national spending on health care and welfare totalled 79 billion euro, a 6.2 percent increase on 2007.

At the end of 2008 show that by the end of last year, one million employees (18 percent) reported they were concerned about losing their jobs.

At the end of 2008, 280 thousand people in the Netherlands were defaulting on the payment of their health insurance premiums.

Last year, 750 people died on Dutch roads.

On 1 May last year, 171 thousand (1.0 percent) of Dutch residents had no health insurance.

More than 8 percent of people in the age category 50-80 who have a partner are in poor physical or mental health. This percentage is much lower than for divorced, widowed or never-married people in the same age category.

The proportion of diabetics in the Netherlands increased from nearly 3 percent in 2001/2002 to 4 percent in 2007/2008.

The lifestyle of the Dutch population hardly improved in terms of health last year. They did not make much progress with trying to smoke less, drink less, eat less and exercise more. The positive trend in smoking and exercise observed in recent years has been slowed down.

The number of hospital admissions for pneumonia or acute bronchitis has doubled in the period 1981–2005. New cases of pneumonia are predominantly found among over-65s, while new cases of acute bronchitis mainly concerns 0 to 1-year-olds.

In the period 1972-2006, the number of beds and patient days in general and university hospitals declined considerably. Simultaneously, the number of hospital admissions and treatment and nursing staff increased.

In the period 2005–2008, 29 percent of deliveries in the Netherlands occurred at home, as against 35 percent in the period 1997–2000.

Life expectancy in the Netherlands is increasing, but people also enjoy more years without physical limitations.

Last year, cancer mortality exceeded cardiovascular mortality for the first time. Cardiovascular mortality rate is declining much more rapidly than cancer mortality.

In the early 1980s, the technique of dental implantology was introduced into the Netherlands. Currently, over 800 thousand people aged 20 years and older (6.6 percent of the Dutch population) have at least one tooth implant.

More and more people in the Netherlands are making use of mental health care. The volume of mental health care rose by an average 6.4 percent per year from 2000 to 2007.

One in five people aged 55-80 years in the Netherlands experienced one or more functional limitations in 2007. Mobility problems were the most common, although the number of older people with these problems has decreased since 1996.

In the Netherlands, 1 in every 5 children aged between 4 and 12 are chronically ill. Asthma and chronic bronchitis are the most common chronic diseases.

Altogether, nearly 19 percent of the Dutch population contacted a physiotherapist at least once in 2008: about 23 percent of women and 16 percent of men.

Last year, 66 persons in the Netherlands died from AIDS. Since 1983, the AIDS death toll in the Netherlands totals 4,344.

Lower educated people not only live shorter lives, their healthy life expectancy is shorter too. On average, men with only primary education enjoy no more than 50 years in good health, whereas well-educated men have a healthy life expectancy of 69 years.

The number of people who had a job wile also providing voluntary care for a sick relative was about the same in 2007 as in 2005. Employees did take more time off to provide this care in 2007. The use of short-term care leave in particular increased.

In 2007, 164 people were murdered in the Netherlands, five more than in 2006. This has put a stop to the recent decrease in the annual number of murder victims.

Although the Dutch have a reputation of being heavy drinkers, they are in fact not: nearly nowhere in Europe do people drink as little as in the Netherlands.

The higher the income of older age groups (50-80 years) in the population, the better their physical and mental heat

High blood pressure and migraine were the most common chronic disorders in the Netherlands in 2007.

Breast cancer mortality declined further in 2007. For the first time, breast cancer claimed fewer victims among women than lung cancer.

A majority in the Dutch population evaluate their own health as ranging from good to excellent. Nearly one in five individuals evaluate their own state of health as rather poor.

Around 1 in 20 people in the Netherlands used cannabis in 2007. Men are more likely to use cannabis than women. The use of cannabis is especially high among men in their twenties.

The number of people in the Netherlands receiving care financed under the exceptional medical expenses act (AWBZ) who paid a contribution towards this has remained fairly constant in the period 2004-2006.

Since the turn of the century the number of smokers of cigarettes and roll-ups in the Netherlands has fallen by 17 percent. Sales of cigarettes and shag tobacco are around 20 percent lower than in 2000.

According to Statistics Netherlands’ new statistics on care institutions, the composition of the workforce in care differs between the various care sectors.

The drowning rate is higher among children from non-western countries who recently immigrated to the Netherlands than among native Dutch children.

In 2006 more 55 to 80-year-olds living on long-term low incomes consulted medical specialists and physiotherapists than people in the same age category with incomes above the low-income threshold.

In 2007, total spending on care, i.e. health care plus welfare services, amounted to 74 billion euro, a 5.1 percent increase relative to 2006.

240 thousand people had not paid for their medical insurance at the end of 2007, 26 percent more than at the end of 2006.

Last year, 791 people were killed on Dutch roads.

Between 2000 and 2005, mortality among stroke and prostate cancer patients within one year after their first hospital admission dropped by more than 25 and 21 percent respectively. The mortality rate for various other life-threatening diseases also dropped.

In recent years, the Dutch have adopted a more healthy lifestyle. The percentage of smokers and heavy drinkers has marginally declined.

Twelve per 10 thousand inhabitants were admitted to hospital as a result of an acute heart infarct in the Netherlands in 2005. This number is nearly one third down on 1995.

The volume of care provided to the elderly is growing faster than the number of patients. As a result, the volume of care per old person is increasing.

A publication just released by Statistics Netherlands on health and care in 2007 comprises seven articles on a range of recent developments in the area of health and care.

Spending on health care and welfare in the Netherlands amounted to 65.7 billion euro in 2006. This is 4.4 percent more than in 2005.

On 1 May 2006, some 241 thousand people in the Netherlands were not insured for the costs of medical care. This 1.5 percent of the Dutch population.

811 people were killed in road traffic accidents in the Netherlands in 2006.

Dutch people did not lead a more healthy lifestyle in 2006. The percentage of Dutch adults who were overweight continued to rise.

In 2004 some 16 percent of people aged 15-64 were hampered in finding or carrying out paid jobs due to chronic complaints, illness or disabilities.

Workers in the Netherlands were again less satisfied with their earnings and their prospects of promotion in 2004 than in 2003. Men were more satisfied on both aspects than women, but the differences between the sexes has diminished in recent years.

Health care and welfare cost nearly 60 billion euro in 2004. This is 4.3 percent more than 2003. Spending on care still rose by as much 10 percent annually in the period 2001-2003. The decrease in care expenditure is partly the consequence of government policy.

Traffic fatality rate fell by 19 percent last year. 881 people were killed in traffic in 2004. In the previous year 1,088 people died on Dutch roads. Far fewer men and children died in road accidents.

In 2004 the number of people in the Netherlands taking prescribed or unprescribed medicines increased further. Contraceptive pill use among women continued to decline. People had fewer GP contacts than in 2003.

Absence among Dutch employees caused by sickness was on average 4.7 percent in 2003. In 2002 it was still over 5.3 percent. On average employees reported in sick 1.3 times a year. Women, older people and people in lower wage brackets claimed more sick leave than average. Divorced and foreign workers were also absent more often.

In 2003, 28 percent of workers in the Netherlands had to work under pressure on a regular basis. This percentage has been decreasing since 1999, for both part-time and full-time workers. The percentage of people working at a computer screen continues to increase. The percentage of workers who do heavy physical work or dirty work remained about the same in the period 1999-2003.

Dutch expenditure on care in 2003 increased by 8.4 percent to almost 57 billion euro. In 2001 and 2002 care expenditure increased by 11.4 and 11.8 percent. Expenditure on health care went up by 8.2 percent last year. On social care it increased by 9.2 percent. The increase is caused by higher wage costs within the institutions (more job volume and higher wages) and increased rates among the independent practitioners.

1088 people were killed in traffic in the Netherlands in 2003 and 1066 in 2002. In the summer months of 2003 the number of traffic deaths increased substantially, but in the fourth quarter it fell. A growing number of children died in traffic. This was mainly due to the increase in the number of deaths of children in cars. The total number of traffic deaths among car passengers, however, fell in 2003.