Ware Kennis Volgt uit de Ervaring. Markthervormingen in de Curatieve Gezondheidszorg: Ethische Reflectie vanuit de Hermeneutische Fenomenologie van Hans-Georg Gadamer

Abstract

Recent Dutch Health Care reforms show an increased market-orientation, with more emphasis on efficiency and the central position of the customer. In this thesis, these reforms are critically scrutinised. Critique is given from both an internal perspective, which takes the market-orientation as its starting point, as from an external perspective. From the latter follows that the current market reforms do not do justice to the perspective of a person who fell ill.

To onderstand the perspective of someone who fell ill, the phenomenology of Hans-Georg Gadamer is used. According to Gadamer, falling ill means that one can no longer onderstand their own existence, which leads to anxiety and commotion. When this perspective is taken seriously, it will follow that the patient will not be able to fulfill the role of critica consumer, a role which is needed to let the market reforms succeed.

Although market reforms may have contributed to certain aspects of health care (especially in the long-term care), in the curative sector the market reforms may have a negative influence on the health care relationship.