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Researchers from Purdue University in Indiana, found overweight and obese men on low-calorie, high-protein diets felt more satisfied and less hungry when they ate three times a day compared to when they ate six times a day.

The HCP was aware that tightening the criteria for Infant mortality, where the NL does not really excel, would lower the Dutch score, tightening the race for the 1 position.

As Switzerland also got its Green score on this indicator reduced to Yellow, the suspense factor did not benefit from these changes.

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As stated above, the tightening of some indicator criteria seems to reward more affluent countries, with the NL still leading on points, down only 3 points since Switzerland is also holding out well on points, down 6 since The most obvious change from is the point gap now visible between the 12 countries of the Club, and those behind.

Rewarding real excellence in treatment results would help the more affluent countries in the ranking. The changes in rank should not at all be dismissed as an effect of changing indicators, of which there are 46 in the EHCIas three indicators where almost all countries scores Green have been removed as non-discriminating.

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The Netherlands is the only country which has consistently been among the top three in the total ranking of any European Index the Health Consumer Powerhouse HCP has published since The Netherlands is sub-discipline winner, sarcoma cancer from radiation joint winner, in three of the six sub-disciplines of the EHCI The Dutch healthcare system does not seem to have any really hpv vaccine nhs price spots, having made improvement regarding the waiting times situation, where some central European states excel.

There should be a lot to learn from looking deeply into the Dutch progress! Bronze medallists are Denmark at points.

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Denmark was silver medallist some years ago, and has had hpv vaccine nhs price dip in the ranking, which was probably linked to the tightening of regulations for access to healthcare services. Inwith clinical excellence being more obviously rewarded, Danes seem to have learned to live with the access rules and are back on the podium.

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Norway 4th, pointsis losing out of the missing points from a perfect on their totally inexplicable waiting list situation! Luxembourg is sharing the 4th position at points. The very wise decision not to provide all forms of care at home, even though LUX could hpv vaccine nhs price it, and allow their citizens to seek care in other EU countries, makes data availability slightly troublesome — it is likely that perfect data availability would give Luxembourg a higher score.

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Finland 6th, points seems to have used traditional Finnish pragmatism to get out of the Waiting List swamp of a few years ago, and treatment results have also become first class. Out of the Swedish gap of to a perfectpoints are lost due to an abysmal waiting time situation.

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Thanks to clinical excellence, inSweden is still in 12th place but at points, 21 up since the previous year. The only countries scoring lower on Accessibility are Ireland alone in the bottom position of this sub-discipline and the U.

Portugal, still 14th at points 28 down fromties this position with the U.

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In southern Europe, Spain and Italy provide healthcare services where medical excellence can be found in many places. Real excellence in southern European healthcare seems to be a bit hpv vaccine nhs price much dependent on the consumers' ability to afford private healthcare as a supplement to public healthcare.

Also, both Spain and Italy show large regional variation which tends to result in a lot of Yellow scores for these countries. Some eastern European EU member systems are doing surprisingly well, particularly Slovakia due to improved Accessibility, Slovenia, the Czech Republic, and Estonia, considering their much smaller healthcare spend in Purchasing Power Parity PPP adjusted dollars per capita.

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Inhpv vaccine nhs price FYR Macedonia made the most remarkable advance in the EHCI scoring of any country in the history of the Index, from 27th to 16th place, largely due to more or less eliminating waiting lists by implementing their hpv vaccine nhs price time e-Booking system!

Montenegro climbs from 34th to 25th! The fact that Montenegro is a small country with people does not diminish this achievement — large countries could do the same, regionalised if not nationwide.

The Netherlands is the only country which has consistently been among the top three in the total ranking of any European Index the Health Consumer Powerhouse has published since The points in are even more impressive, particularly as the score criteria have been tightened for the EHCI in order to register differences.

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The NL hpv vaccine nhs price three of the six sub-disciplines of the Index, and the large victory margin to all competitors except Switzerland seems essentially be due to that the Dutch healthcare system does not seem to have any really weak spots, except possibly some scope for improvement regarding the waiting times situation, where some central European countries excel.

The Netherlands is unique as the only country consistently appearing among the top 3 — 4, regardless what aspects of healthcare which are studied. Also, the NL probably has the best and most structured arrangement for patient organisation participation in healthcare decision and policymaking in Europe.

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Also, the Dutch healthcare system has addressed one of its few traditional weak spots, Hpv vaccine nhs price, by setting up primary care centres which have open surgeries 24 hours a day, 7 days a week. Given the small size of the country, this should hpv vaccine nhs price an open clinic within easy reach for anybody. Here comes the speculation: one hpv vaccine nhs price net effect of the NL healthcare system structure would be that healthcare operative decisions are taken, to an unusually high degree, by medical professionals with patient co-participation.

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Financing agencies and healthcare amateurs such as politicians and bureaucrats seem farther removed from operative healthcare decisions in the NL than in almost any other European country. The NL scores well or very well in all sub-disciplines, except possibly Accessibility and Prevention, where the score is more mediocre — on the other hand, so are those of most other countries. The historic Dutch problem of mediocre scores for Waiting times has to a great extent been rectified by — As can be seen from the hpv vaccine nhs price given in Section 7.

Also, hpv vaccine nhs price can be seen in Section 4.

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ByThe Netherlands are on par with Sweden and Germany for healthcare spend!