Health policy Aruba

January 15, 2013 8:04 AM

ORANJESTAD -- The Government of Aruba is working on a health monitor gauging the health status of Arubans and the common diseases to outline a policy. The health care sector is to pursue that policy in the coming years.

 
Furthermore, Minister of Health Richard Visser (AVP) wishes to establish this policy by law.
 
Visser stated this in Parliament during the debate on the hospital project. By anchoring the health policy in law he wants to prevent the next Minister of Health changing that policy again "based on advice from expert friends."
 
Besides setting the policy in law for the coming years he wants it made clear what Aruba has and does not have in the field of public health, or for which kinds of medical care the residents are to be treated abroad.
 
"It's impossible to offer all treatments on Aruba. Our island is too small and couldn't bear the costs," according to the minister.
 
Currently, 10 to 11 per cent of the Gross National Product (GNP) is spent on public health, which is acceptable internationally, according to Visser. However, with that money a choice is to be made on which basic package collective health insurer AZV can continue to offer.
 
The minister believes the package is still too extensive, considering the revenues. As a choice thus has to be made government already stated, for example, that the basic package is to exclude cardiology but include oncology.
 
Visser explained that Aruba could still do intervention cardiology because the costs are lower compared to those for patients receiving similar treatments abroad. However, government is clearly not choosing for major heart and vascular diseases.
 
Therefore, such medical care will be provided by international specialists and medical institutions. Nevertheless, Aruba also wishes to tag along more with neighbours Curaçao and Bonaire.
 
"It would be ideal if each island has a certain specialty. The costs involved could then be divided over 300,000 residents of these islands," according to Visser.
 
"After all, we do need sufficient volume to attract specialists otherwise it would be too expensive," added the minister. Moreover, a specialist with a limited number of patients lacks sufficient training to practice his/her profession well.
 
The main issue is that the public health monitor is necessary to determine which specialties Aruba must have or not. The monitor will be presented this year for the first time. It regards a study into all data from doctors, the hospital, medical centres and an epidemiologist will analyse this data and subsequently give feedback to the health care sector.
 
Based on this a policy plan and vision will be drawn up. These two are to determine the focus in the health care sector for the coming years.

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