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OECD Economic Surveys: Netherlands 2012

OECD Publishing, June 2012, Pages: 128

The government is facing both short- and long-term challenges

The economy is expected to emerge from the recent weakness in the course of 2012. As the recovery gathers pace, a major task for the government will be to maintain its fiscal consolidation efforts, which are necessary to restore fiscal sustainability.

In the longer term, the government is faced with the challenge of ensuring that the economy continues to benefit from globalisation, which requires efforts in adjusting business sector and labour market policies (the subjects of Chapters 1 and 2, respectively). The government also needs to prepare the economy for population ageing by expanding the revenue base by extending working lives, mobilising underutilised labour resources and containing pension and health care costs. The last requires a cost-efficient health sector, which the government is promoting via more competition (Chapter 3).

OECD's 2012 survey of the Dutch economy examines recent economic developments, policies and prospects and takes a special look at harvesting the benefits of globalisation, the labour market, and health care reform.

Executive summary

Assessment and recommendations

The government is facing both short- and long-term challenges

Sizeable fiscal consolidation is under way

Globalisation and policies for the business sector

Preparing the labour market for further globalisation and population ageing

Promoting competition and cost control in the health care sector

Bibliography



Annex A1 Progress in structural reform



Chapter 1 Reforming policies for the business sector to harvest the benefits

of globalisation

The benefits and challenges of globalisation

Benefiting from globalisation by strengthening the business environment

Notes

Bibliography



Chapter 2 The Dutch labour market: Preparing for the future

The effect of globalisation on labour demand

Policies to foster labour mobility

Notes

Bibliography



Chapter 3 Health care reform and long-term care in the Netherlands

Performance of the health care system

The health care sector was substantially reformed in the second half of the 2000s

The next wave of reform

Population ageing will put pressure on a costly long-term care system

Conclusion

Notes

Bibliography



Boxes



1 Correcting external imbalances via structural reform

2 Mortgage indebtedness of households

3 The Spring 2012 fiscal consolidation package

4 Global warming and flood protection

5 The ambitiousness of the Dutch social model induces high ageing costs

6 Main fiscal policy recommendations

7 Main business sector policy recommendations

8 Main labour market recommendations

9 Main health policy recommendations

11 The port of Rotterdam and the surge in re-exports

12 New policies for the business sector

13 Top Consortia for Knowledge and Innovation (TKIs)

14 The design of R&D tax credits

15 Reducing red tape

16 Recommendations to strengthen the business environment

21 Wage bargaining and a shift to decentralisation

22 Life-long learning incentives

23 Polices to attract high-skilled workers

24 Integrating the disabled in the labour market

25 Recommendations to support labour reallocation and activation of underutilised labour resources

31 Mental health care reform – a step too far?

32 Will the organisation of GPs into primary care groups improve cost-efficiency?

33 Main reform measures in the hospital sector 2012-15

34 A comprehensive public long-term care system

35 The decentralisation of home help has improved cost-efficiency

36 The government’s reform agenda for long-term care

37 Recommendations to promote a more efficient and competitive health sector



Tables



1 Demand, output and prices



2 Households’ mortgage debt



3 Public and private age-related spending

11 Foreign controlled enterprise activity

12 The main dates in the formulation of the new policies of the business sector

13 Tax measures to foster innovative activities (main features per scheme)

14 Top 10 problematic factors for doing business in the Netherlands

21 Workers covered by collective agreements

22 Lowest collective agreement wage per age category

31 Mortality rates of infants and mortality by leading causes

32 Private spending as a share of total health expenditure

33 Public expenditures for health care and long-term care

34 Public health care expenditure (ZVW) by category

35 Profitability of health insurance

36 Concentration of the health insurance market

37 Expenditures on curative mental care covered by ZVW

38 Changes in negotiated average prices in the hospital segment B

39 Remuneration, as ratio to average wage in each country

310 General practitioners and specialists per 1 000 population



Figures



1 Short-term economic indicators

2 Labour market developments

3 The average funding ratio and share of pension funds with a funding ratio below the legal minimum

4 Interest rate and housing prices developments

5 Competitiveness indicators

6 Dutch export performance in selected commodities

7 Labour productivity growth

8 The fiscal stance is pro-cyclical in 2012

9 Imbalances in the euro area countries

10 Sustainability gaps in European countries

11 Public debt path before and after the crisis

12 Population ageing

13 Average total pension

14 Modest exports to emerging markets

15 Job mobility is low

16 Health care cost now and in 2060

11 Openness has increased

12 Competitiveness indicators

13 Re-exports have surged

14 Export performance to the emerging economies

15 Modest exports to emerging markets

16 Relatively high in- and outward FDI

17 Private R&D spending is low

18 Services exports specialised in professional business, communication as well as royalties

19 The share of graduates with a science or engineering degree is low

110 High explicit barriers to trade and investment in emerging markets

111 Dutch R&D tax incentives have strong SME focus

112 Business R&D by size class of firms

113 Excellent research system but mediocre business linkages

114 Venture capital market is relatively small

115 Administrative burdens on start-up

116 Entry regulation for a selection of sectors

117 Fast growing (innovative SME) enterprises

21 Labour market indicators

22 Beveridge curve

23 Employment shifts to knowledge intensive services

24 Employment of high-skilled workers increased

25 Wage dispersion is relatively small

26 Labour productivity growth

27 Population ageing

28 Job mobility is low

29 Employment Protection Legislation (EPL) for workers with permanent contracts remains high

210 High tenure premia for men

211 Unit labour costs have increased relatively fast

212 Immigrants in high-skill jobs

213 High incidence of female part-time employment

214 Low average annual hours actually worked per worker

215 The average retirement age is increasing

216 The number of disability recipients remains high

31 Life expectancy indicators

32 Health risks

33 The Netherlands has high health expenditures

34 Health care consultations and hospital resource use

35 Health care resources

36 Expenditure on outpatient prescription drugs
37 Main features of the envisaged reorganisation of the long-term care system

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