TRANSITIES IN HEALTHY URBAN UTRECHT
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The document discusses health care and social services in the city of Utrecht, the Netherlands. It addresses how care is funded through taxes and contributions from health insurance companies. It also examines decentralization of care services, the rise of local social initiatives, and ways to create a healthier city through mixed housing, public transportation, community spaces, and social networks.
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TRANSITIES IN HEALTHY URBAN UTRECHT
- 1. TRANSITIES IN DE GEZONDE STAD UTRECHT Wouter Veldhuis MUST Stedebouw 2 juni 2016
- 3. CONTRIBUTION SALARY EVERT ZOUDENBACH HUIS K.F. HEINFONDS JOHAN VAN DRONGELENSTICHTING Evert Zoudenbach founded orphanage in Utrecht 1491 Karl Friedrich Hein started foundation in 1938 Ridderlijke Duitse Orde Balije van Utrecht STICHTING NOODHULP UTRECHT U-CENTRAAL LADYFIT AL AMAL STICHTING PRESENT HANDJE HELPEN SODA PRODUCTIONS STICHTING ME’KAAR LEGER DES HEILS CARE AGENCY ACHMEA CARE AGENCYELDERY CAREHOMES WLZ AXIONCONTINU VECHT EN IJSSEL CAREYN ADDITIONAL SOCIAL DISTRICT TEAM DOMESTIC HELP ? MENTAL HEALTH CARE DAYCARE SOCIAL ACTIVITIES LOKALISINCLUSIO SOCIAL YOOUTH & FAMILY BUURTTEAMS AXIONCONTINU DE TUSSENVOORZIENING LEGER DES HEILS YOUKÉ DE RADING TZORG CAREYN TSN THUISZORG Jeugd- wet Partici- patie- wet HEALTH INSURANCE PRIMARY CARE SECONDARY CARE ST. ANTONIUSZIEKENHUIS UMC UTRECHT WILHELMINA KINDERZIEKENHUIS DIAKONESSENHUIS GENERA NER DENTISTS PHYSIOTHERAPISTS PSYCHOLOGISTS PHARMACISTS SOCIAL WORKERS HOME CAREBUURTZORG NL CAREYN DE RIJNHOVEN KLEURRIJK ZORG STICHTING ZORGWACHT THUISHULP ZORGZAAM ZVW Municipality of Utrecht HET NEDERLANDSE ZORGSYSTEEM
- 8. ZVW WLZ WMO JEUGDWET 90-95% is spend on health care funded by taxes Taxes WLZ-contribution personal ADDITIONAL Income-related contribution Personal payments Health allowance Health insurance € 1211 € 1577 € 1029 € 1186 total € 5075 average contribution care € 369 -€ 297 healthinsurance companies fundedbycontribution 62% 27% 7% 3% 1% Primary care Secondary care UMC WKZ St. Antonius Diakonessenhuis Mental health care Medication District nursing Hospital transport Education Additional Nursing homes 11% 50% 8% 14% 7% 2% 3% 5% Careyn AxionContinu Vecht en IJssel Health providers including buurtteams payments ZVW WLZ WMO DE VERDELING VAN HET ZORGBUDGET
- 9. 66% of Achmea revenue comes from health insurance premiums. DAMAGE& EARNINGS RETIREM ENT & LIFE INTERNATIONAL € 20 billion premium revenue HEALTH CARE HEALTH INSURANCE 4 large companies own 90% of the total health insurance market! is spend on health care 90-95% PRIMARY CARE SECONDARY CARE DSWONVZ ZORGENZEKERHEID ASR ENO MENZIS CZ VGZ ACHMEA 32% 100% ABN AMRO 30% RABOBANK 5% PRIVATE SHAREHOLDERS ZVW DE ZORGECONOMIE CONSOLIDEERT
- 10. SOCIAL AREAS social spacing and less profitable living arrangements HEALTHY ENVIRONMENT EXCESS SOCIAL VALUE STICHTING STUDENTEN HUISVESTING DAMAGE& EARNINGS RETIREM ENT & LIFE INTERNATIONAL HEALTH CARE ACHMEA PRIVATE SECTOR RENTAL HOUSING NON-RENTAL HOUSING SOCIAL HOUSING INVESTMENT HEALTHYPEOPLE PROGRAMOF CAPITAL REQUIREMENTS RENT RENT PURCHASE LOWERCOSTS 32% JEBBER SYNTRUS ACHMEA BPD ZVW
- 11. DEMENTED ELDERY PEOPLE REHABILITATION ELDERY PEOPLE HOME CARE NURSING HOME CARE HOTEL / TEMPORARY STAY SERVICE- APARTEMENTS ACHMEA CARE AGENCY ZVW CIZ INDICATION PGB PGB HEALTH INSURANCE ZVW HEALTH INSURANCE WMO GEMEENTE UTRECHT WLZ budget per day budget per indication HH assistance from informal caregiver suitable house care at home RENT CONTRIBUTIONCONTRIBUTION CONTRIBUTION CARE RESIDENCE CARE CARE RESIDENCE SOCIALACTIVITIES DOMESTICHELP ZVW WLZ WMO DECENTRALISATIE VAN DE ZORG: ONTMOETINGSRUIMTES VERDWIJNEN
- 12. 1.000 30.000 DISTRICT COMPANIES SO CIAL ENTERPRISE PROJECT MANAGEMENTDO M ESTIC HELP REM O TE HEALTH CARE 51 - 200 SCHIEDAM CO M M UNITY CENTERS GOVERNANCE HOUSING RETAIL LO G ISTICS HOSPITALITY INDUSTRY EDUCATION BUSINESS SERVICES NL BE GB HEALTHCARE BUURTTEAM SOCIAL BUURTTEAM YOUTH & FAMILY Jeugd- wet INITIATIEVEN DE OPKOMST VAN LOKALE INITIATIEFNEMERS
- 14. V E C H T C L U B X X L CREATIVE WORKSPACES DWELLINGS SOCIAL SPACES SUPPORTERS INVESTOR PURCHASE TEMPORARY USE SALE / REALIZATION PROFIT COST V E C H T C L U B X X L SOCIALVALUE HEALTYPEOPLE SOCIAL NETWORKS HEALTHY ENVIRONMENT VECHTCLUB XL RESIDENT KANALENEILAND RESIDENTRIVIERENBUURT CULTURAL ENTREPRENEUR RENT M U N I C I P A L I T Y O F U T R E C H T CAPITAL PROGRA M OFREQUIREMENTS DISCOUNTPRIC E OF LAN D INVEST M ENT PRO FIT RESIDUAL VALUE INVESTMENT PARTICIPATION RENT RENT RENT PURCHASE H E A L T H I N S U R A N C E C O M P A N Y H E A L T H I N S U R A N C E C O M P A N Y M U N I C I P A L I T Y O F U T R E C H T INITIATIEVEN ZVW WMO
- 15. HET MENGEN VAN DOELGROEPEN EN WOONVORMEN
- 16. HET VERGROTEN VAN HET DRAAGVLAK VOOR VOORZIENINGEN OM DE HOEK
- 17. HET STIMULEREN VAN GEZONDE VERPLAATSING EN OPENBAAR VERVOER
- 18. HET BESTEDEN VAN 1% PER WONING AAN ONRENDABELE ONTMOETINGSRUIMTEN
- 19. HET VERSTERKEN VAN SOCIALE NETWERKEN, WAARDOOR ER MEER SOCIALE CONTROLE IS