Organisation of ambulance care - Towards structural legislation in 2020
SiRM recommends to appoint healthcare insurers or the Ministry of Health, Welfare and Sport to be the reponsible authorities of ambulance care in the Netherlands. Both have disadvantages that can largely be overcome by giving Regional Acute Care Organisations (ROAZ) a non-binding advisory role.
SiRM also advises to allow both public and private providers of ambulance care, with or without the possibility of payment of dividend, to provide ambulance care.
The Ministry of Health, Welfare and Sport is according to EU legislation obliged to tender in order to select ambulance care providers. Health insurers are not yet obliged to tender for the selection of ambulance providers. In the case of periodic selection by means of tender it is very important that the continuity of care and safety is not compromised.