Chapter 4: healthcare 
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At a hospital

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The start

We start with some videos.

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And if there is no video in your language, these are the topics:
1. When you are sick you go to the doctor ("dokter" or "huisarts")).
2. If you have problems with your teeth, you go to the dentist ("tandarts).
3. You can also get help at home if you can no longer do certain things yourself ("thuiszorg").
4. For a special treatment you have to go to the hospital. Only the doctor can make it possible that you go to the hospital ("ziekenhuis").
5. We call the doctor in the hospital: specialist
6. If you are going to live in the Netherlands, you have to look for a doctor yourself.
You make an appointment and the doctor determines whether he will be your doctor.
7. You make an appointment with the doctor through his assistant (usually a woman="assistente")
8. The doctor can prescribe medicines ("medicijnen").
9. Then you go to the pharmacy with a letter from the doctor.
We call that letter the recipe ("recept")
10. The doctor can also prescribe physiotherapy ("fysiotherapie")

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2. Living healthy

Living healthy means making good choices for our body and mind. This helps us feel good and live longer.

How to Live Healthy

Eating Right:
Eat different foods like vegetables, fruits, grains, and meat.
Eat three times a day. Don't skip breakfast.
Drink lots of water.
Don't eat too much sugar, salt, or fat.
Check food dates and keep food clean.

Moving and Playing:
Do things like walking, cycling, or playing sports.
Try to move for 30 minutes every day.

Sleeping Well: Sleep enough every night to feel rested.

Relaxing: Do fun things or relax to feel calm.

No Bad Habits:
Don't smoke. It's bad for the lungs.
Don't drink too much alcohol.

Doctor Visits: See a doctor sometimes to check if you're healthy.

Feeling Good Inside: Talk to friends and family. Ask for help if you feel very sad.

Drinking Water: Drink water often. Don't drink too many sweet drinks.

Being Safe with Others:
Girls can take a pill.
Boys can use something called a condom.
Be safe to not get sick.
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Healthcare


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hospital

How healthcare is organized in the Netherlands


In the Netherlands, we call healthcare "zorg".

Health Insurance: Everyone must have health insurance. You pick a company and pay them every month. This helps pay for doctor visits, hospital stays, and medicines. This insurance is called "basisverzekering".

Seeing a Doctor: If you're sick, you see a general doctor first. This doctor is like your main health helper. If you need more help, this doctor tells you where to go next.

Paying for Healthcare: Your insurance pays for most things, but sometimes you pay a little too. How much you pay depends on how much money you make.

Medications: If a doctor gives you medicine, you get it from a store called a pharmacy. Insurance pays for some of it, but you might pay a little. The store only can give special medicines if your doctor describes these medicines.

Teeth Care: Going to the dentist is not fully paid by the main insurance. You might need to buy extra insurance or pay yourself.

Long-Term Care: If someone needs help for a long time, like staying in a special home, there's a different system to help pay for it.


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Hospital care

Basis insurance, more information
Dutch "basisverzekering"

In the Netherlands, everyone is required to have basic insurance, which is managed by private insurance companies. The basic insurance covers:
1. Going to the Doctor: Visiting a doctor when you are sick or need medical advice.
2. Hospital Care: Getting treatment and care in a hospital, including surgeries and emergency care.
3. Medications: Prescription medicines that are approved and listed by the insurance.
4. Maternity Care: Services related to pregnancy, childbirth, and postnatal care.
5. Mental Healthcare: Help and treatment for mental health issues.
6. Rehabilitation: Therapy and exercises to help recover from an injury or illness.
7. Specialist Care: Seeing specialized doctors for specific health conditions.
8. Medical Equipment: Certain devices and aids like wheelchairs or crutches when needed.
9. Preventive Care: Vaccinations and screenings to catch health problems early.

Remember that there might still be some costs involved, like deductibles or small payments for certain services.

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Talking about...

First appointment with doctor (Dutch: "huisarts")

If you want to make an appointment with a general practitioner (GP= "huisarts") ) for the first time in the Netherlands, you can follow these steps:

Register with a GP practice: To make an appointment with a GP, you need to first register with a GP practice. You can find a GP in your area and sign up with their practice.

Call or make an appointment online: Once you're registered, you can make an appointment with the GP. This can usually be done over the phone or online via the GP practice's website.

State the reason for your visit: When making an appointment, state the reason for your visit. This will help the GP to suggest the appropriate treatment or examination.

Visit the GP practice: On the day of the appointment, go to the GP practice and check in at the reception desk. You will then be taken to the waiting room and the GP will call you in at the agreed time.

Discuss medical history: At the first appointment, the GP will review your medical history with you to get a better understanding of your health. It is helpful to have your medication records and details of any previous medical treatment available.

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finding a doctor

Searching for a General Practitioner (GP)

A GP decides if you can become their patient. Sometimes they say on the phone that there's no space. Then you have to call another GP.

Sometimes it can be hard to find a GP. Many GPs have too many patients.

Here are some tips:
First, look close to your home.
Call many GP's and ask if they have space.
Ask people you know if they know a good GP.
There's a website for GP's. You can look there too.

If you really can't find one, ask for help at the municipality. They can help you.

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Learn basic words


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1 head    hair      eye eyes      ear ears

2 neck   chest    shoulder    arm     elbow

3 hand     fist      finger     thumb

4 leg      knee     foot      toe


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1 pain in the abdomen      headache      pain in the muscle       back pain

2 pain     nausea      fever        dizzy

3 pharmacy      prescription     pills      bed

4 hospital       ambulance           emergency


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1 where is a doctor?

2 where is the hospital?

3 where is the pharmacy?

4 hallo dokter         ik ben ziek 


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At the doctor


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1 doctor

2 I'm sick

3 I have a fever

4 I don't feel well

5 I'm in pain

6 it hurts here

7 I'm nauseous

8 I'm tired


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Doctor's reply


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1 please sit down

2 lie down here

3 I am going to examine you

4 what are the complaints?

5 How long have the complaints lasted?

6 have you had this before

7 you will receive a prescription from me

8 you must pick it up at the pharmacy 


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Medicine

How to get medicine (Dutch: "medicijnen")


1. See a Doctor: If you feel sick or have a health problem, you go to a doctor. They examine you and decide if you need medicine.

2. Doctor's Prescription: If the doctor thinks medicine will help, they write a prescription. It's like a special note with details about the medicine you need. Medicine like aspirin you can obtain at shops like DG, Kruitvat and Trekpleister.

3. Go to the Pharmacy: Take the prescription to a pharmacy. There are many pharmacies in the Netherlands, and you can choose any one you like.

4. Get the Medicine: Give the prescription to the pharmacist at the pharmacy. They will give you the medicine and explain how to take it correctly.

5. Paying for Medicine: You might have to pay for part of the medicine's cost. This depends on your health insurance. The pharmacist will let you know how much you need to pay.

6. Repeating Prescriptions: If you need more of the same medicine later, you can ask your doctor for a repeat prescription. This saves you from visiting the doctor again for the same medicine.

If you have any questions about the medicine or how to take it, you can ask the pharmacist. They are there to help you and can give you advice.
Remember, it's important to follow the doctor's instructions and take the medicine as prescribed.

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1 pharmacy

2 I would like medicine for:

3 cold

4 flu

5 cough

6 nausea

7 pain

8 how many times a day?

9 how much does that cost?

10 pays the insurance 



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More about making an appointment


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hallo doctor

 Dutch: "een afspraak maken" 

To make an appointment, you must always call the assistant first and provide the following information:
• Spell last name (e.g. ALBAHOUTI)
• Date of birth (e.g. February 12, 1974)
• Date and time of the appointment (e.g. January 6 at midnight)
• Location and name of the healthcare provider (e.g. in Eindhoven with Dokter Jansen)

Appointments with the doctor take place at a fixed time (for example in the morning) and you must arrive on time. If you are unable to come, you must call at least 24 hours in advance to reschedule. Otherwise you will still receive a bill that you have to pay.

If you do not speak the Dutch language well, you can bring someone who does speak Dutch well or call the interpreting center for an interpreter on the telephone.

Apply for a housing permit: In some municipalities you need a housing permit. You can request this from your municipality.

Comply with housing corporation requirements: The housing association may set requirements for the size of your family. Or the level of your income.

Membership and registration: To participate in a housing cooperative, you usually need to become a member. Check the specific requirements for membership, which may include criteria such as income limits or other eligibility criteria. Register with the cooperative by submitting the necessary documents and completing any application forms.

Joining waiting lists:
Housing cooperatives often have waiting lists for available properties. Once you become a member, you may need to join the waiting list for the specific types of properties or neighborhoods you're interested in. The waiting times can vary widely, ranging from a few months to several years, depending on demand and availability.

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dentist

Dentist (Dutch "tandarts")

Dental care in the Netherlands is not completely covered by the basic health insurance. To help cover dental expenses, you can buy extra dental insurance from private companies. This insurance can pay for some of the costs of dental treatments.

Basic dental insurance usually covers routine check-ups, cleanings, and X-rays. It may also provide partial coverage for things like fillings or tooth removal. However, more extensive treatments like braces are usually not covered for adults, but children may be eligible for braces if they need them for health reasons.

Even with dental insurance, you may still need to pay some of the costs yourself. The exact amount depends on your insurance plan and the specific treatment you receive.

For children: It's important to know that dental care for children is covered by the basic health insurance, including check-ups, fillings, and necessary braces.

If you need dental treatment, it's a good idea to check what your dental insurance covers or consider getting dental insurance to help with the costs.


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Extra information dentist

Here is a summary of important information about the dentist:
Dental care is free for children up to 18 years old. For adults, dental care is covered by the basic health insurance, but there may be an out-of-pocket maximum.
Even if you are a refugee, you are entitled to the same care as Dutch citizens.
You can find a dentist through your GP, the website of the Royal Dutch Society for the Advancement of Dentistry (KNMT), or by asking friends or family.
If you do not speak Dutch well, you can ask the dentist for an interpreter.

Some tips:
Bring your identity card or residence permit to your appointment.
Tell the dentist that you are a refugee or "statushouder".
Ask the dentist for an interpreter if you do not speak Dutch well.
Take care of good oral hygiene. Brush your teeth twice a day with fluoride toothpaste and use floss or toothpicks.

Sugar is bad for you teeth.
See your dentist regularly for a check-up. The dentist can help you keep your teeth and gums healthy.

Dental care is important for your overall health. Healthy teeth and gums can help prevent infections, which can lead to other health problems. Regular visits to the dentist can help improve your oral health and protect your overall health.

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searching for a dentist

Additional tips for refugees who are having difficulty finding a dentist:

See if there is a dentist in your area that specifically caters to refugees.
Ask for help from an organization that caters to refugees. There are many organizations that can help with finding a dentist.
Consider going to a dentist in another municipality. There are often more dentists in large cities than in small villages.


Learn words and expressions


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1 tandarts

2 een afspraak maken

3 ik heb kiespijn

4 deze tand

5 deze kies

6 er is een stuk afgebroken

7 ik moet een kies trekken


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EHBO

First aid (Dutch: "spoedeisende hulp SEH/EHBO")


Eerst uitleggen wat eerste hulp is: afdeling op het ziekenhuis waar je naar toe kunt gaan als er een accuut gezondsprobleem is, bijvoorbeeld ongeval. In het ziekenhuis zit een huisartsenpost (in feite een huisarts). Daar moet je je eerst telefonisch melden. Zoek het telefoonnummer op. Indien dit niet lukt ga je direct naar het ziekenhuis en geef aan wat er aan de hand is. Is er sprake van een levensbedreigende situatie moet je 112 bellen.


Explanation of when you can go to the First Aid department at a hospital in the Netherlands:

Emergencies: If someone is in immediate danger or has a severe health problem like difficulty breathing, severe bleeding, or unconsciousness, go to the hospital's First Aid right away. Bel 112 als er sprake is van een levensbedreigende situatie

Accidents and Injuries: If you have a bad injury like a broken bone, deep cuts, burns, or a head injury, the First Aid at the hospital can help you.

Sudden Illness: If you have a sudden and serious health problem like a severe allergic reaction, signs of a stroke, or uncontrolled seizures, it's important to seek help at the hospital's First Aid.

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Ambulance

Emergency
(Dutch = "spoed")

Urgent Medical Concerns: If you have a health problem that needs immediate attention and cannot wait for a regular doctor's appointment, like a bad infection, severe pain, or complications from an existing medical condition, you can go to the First Aid at the hospital.

Remember, the First Aid department is for urgent and serious medical situations. For less urgent problems or general health concerns, it's better to visit a regular doctor during their normal working hours or call a medical helpline for advice.
If you're unsure about whether you need immediate help, you can call the hospital's First Aid department or the national emergency number (112) for guidance. They will help you understand what to do.

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surgery

Specialistic care

The healthcare system here might seem a bit confusing at first, but we hope this explanation will help you understand it better.

1. Primary and Secondary Healthcare: What's the Difference?

In the Netherlands, we distinguish between primary and secondary healthcare:

Primary care is the basic care that is directly accessible to everyone. This includes, for example, the general practitioner (GP), the dentist, and physiotherapy.

Secondary care is specialized care. This refers to hospital care, specialized treatments, and certain forms of mental healthcare. For secondary care, you usually need a referral from a primary care provider, like your GP.

2. How Do I Access Secondary Healthcare?

If you have a health issue that cannot be resolved by primary care, your GP will refer you to a specialist in secondary care. This could be, for example, a cardiologist, a surgeon, or a psychiatrist.

3. Costs and Insurance

In the Netherlands, everyone is required to have basic health insurance. This insurance covers the costs of most primary care, including much of secondary care. However, for some treatments in secondary care, there might be a personal contribution or deductible. It's important to check this in advance with your health insurer.


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Quality and Rights
The quality of secondary healthcare in the Netherlands is generally high. As a patient, you also have certain rights, such as the right to information, the right to privacy, and the right to file a complaint if you are not satisfied with the care.

Language Barrier
If you don't speak Dutch fluently, it can sometimes be challenging to communicate with healthcare providers. Many hospitals and clinics offer interpreter services. Ask for this if you think it's necessary.

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Birth

Pregnancy, childbirth, and child care 


In the Netherlands, status holders have the same right to healthcare as Dutch citizens, including pregnancy, childbirth, and child care. This care is covered by the basic insurance of the health insurance.

Pregnancy care
Pregnancy care for status holders is similar to care for pregnant women who are not status holders. Status holders have the right to prenatal care, education, and support.

Prenatal care
Status holders have the right to regular check-ups with a midwife or gynecologist. These checks are intended to monitor the health of the pregnant woman and her unborn child.

Education
Status holders receive information about pregnancy, childbirth, and care for the newborn child. This information is provided by the midwife or gynecologist, but also by other organizations, such as Vluchtelingenwerk Nederland.

Support
Status holders can receive support from their partner, family, and friends, as well as from professionals such as midwives and gynecologists.

Childbirth care
Status holders have the right to a safe and dignified childbirth. The birth usually takes place in a hospital or birth center.

Child care
Status holders have the right to child care for children up to the age of 4. This care includes vaccinations, check-ups, and support.

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Words and Sentences


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1 I am pregnant

2 care during pregnancy

3 birth

assistance during birth

5 childbirth

6 it was a hard birth  (difficult birth)

7 consultation agency (everything ok with the baby?)

8 check  (see if everything is ok)




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Image Description

General

Vaccinations
"Statushouders" receive the vaccinations needed to protect their child from serious diseases.

Check-ups
Children are regularly checked by a general practitioner or child health clinic. These checks are intended to monitor the health and development of the child.

Support
Parents and caregivers of young children can receive support for the care of their child. This support can be provided by the general practitioner, child health clinic, or other organizations, such as Vluchtelingenwerk Nederland.

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Tips for "statushouders"


Status holders can follow these tips to improve pregnancy, childbirth, and child care:

Seek information: There are many resources available with information about pregnancy, childbirth, and child care. This information is available in different languages, including Dutch.
Ask for help: Status holders can get help from various organizations, such as Vluchtelingenwerk Nederland. These organizations can help with finding information and care providers.
Be open about your needs: Status holders must be open about their needs in pregnancy, childbirth, and child care. This can help improve care.

Conclusion
Status holders have the same right to care as Dutch citizens, including pregnancy, childbirth, and child care. However, there are specific challenges for status holders that can make it difficult to access this care. Status holders can address these challenges by seeking information, asking for help, and being open about their needs.

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Permanent intensive care

Do you or someone you know need special care always at home or in a place for care? First, you ask the CIZ. We check if you can get this care. We do it in a good way and think about people. Each person is different. Sometimes, the person doesn't want to go to the care place. Or they can't say it. We check if they can stay without saying yes. Did you ask the SVB for extra help for your child? We tell the SVB what we think.

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Physiotherapy

Physiotherapy

Physiotherapy is a treatment method that helps people improve movement and manage pain. It's used to treat various conditions like injuries, diseases, and disorders through physical methods like exercise, massage, and other treatments instead of drugs or surgery. It also helps improve and restore physical function and fitness level. 


To go to a physiotherapist:
Doctor:: Depending on your location and health insurance, you might need a referral from a doctor. Check with your insurance if this is necessary.

Search for a Clinic: Look for physiotherapy clinics in your area. You can search online, ask friends or family for recommendations, or get a suggestion from your doctor.

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