zorgprestatie

Zorgprestatie is a term used in the Dutch health and social care system to describe a unit of care that is delivered to a client and is eligible for reimbursement or funding under the applicable rules. The concept is used to define what services count as care and to facilitate planning, contracting, and payment between care providers, insurers, and municipalities.

The scope of zorgprestatie is broad and encompasses a range of services aimed at supporting people with health or social care needs. Examples include nursing and personal care, home care and domestic assistance, rehabilitation and recuperation activities, day programs, respite care, and various forms of social or practical support. The exact composition and nomenclature of zorgprestaties can vary by sector, contract, and regulatory framework.

In policy and financing terms, zorgprestatie acts as a measurable unit that can be billed, budgeted, or contracted. It is used in the allocation of resources within care packages, care plans, and agreements between clients, care providers, insurers, and local authorities. The definitions and values assigned to zorgprestaties are determined by national regulations, sector guidelines, and local contracts, and they may be updated as policies evolve.

Because zorgprestaties are tied to funding and accountability, their interpretation can differ between municipalities, care organizations, and insurers. This can influence how care needs are assessed and how services are organized and delivered. For readers seeking specifics, the applicable zorgprestatie catalogues and reimbursement rules are found in national and local policy documents and care contracts.

See also: Dutch health care system, Wet maatschappelijke ondersteuning (Wmo), Wet langdurige zorg (Wlz), Zorgverzekeringswet (Zvw).