Samfurin tallafi na kula da lafiyar hankali (kula da lafiyar kwakwalwa) ya kasance saboda sauyawa, jam'iyyun daban daban sun amince da hakan. A cikin 2015 ya fara Hukumar Kula da Lafiya ta Dutch (NZa), Ma'aikatar Lafiya ce ta dauki nauyin, Jindadi da Wasanni (VWS), sabili da haka tsari don ci gaba da haɓaka samfurin tarin tsarin kulawa. Duk bangarorin da abin ya shafa sun halarci 2015 sadaukar da kai, amma yanayin ya kama 2018 spaak.

A cikin tsarin yanzu, bayan ganewar asali, mai ba da sabis na kiwon lafiya ya tsara shirin magani bisa ga haɗin maganin-ganewar asali(dbc)-tsarin samfur. Tsarin kuɗi yana da alaƙa da wannan. Matsalar wannan hanyar ita ce, abubuwan da aka ƙaddara game da cututtukan-maganin ba su da wata alaƙa da al'adar kowane abokin ciniki. Bayan duk, ba duk marasa lafiyar da ke da cutar iri ɗaya suke amfana daga ainihin magani ɗaya ba; daya bakin ciki ba daya bane. Bugu da ƙari, wannan tsarin yana da wahalar hango koshin lafiya, yana haifar da babban nauyi na gudanarwa kuma yana ƙunshe da lalatattun sha'anin kuɗi da ke haifar da dabarun biyan kuɗi.

Wannan shine dalilin da ya sa aka buƙaci ɗan lokaci don samarwa, amma don kulawa da buƙata a matsayin tushen farawa don ƙira don buga buƙatun kulawa da kuɗi. Bugu da ƙari, sabon ƙira ya kamata kashe kuɗi ya zama mafi daidaito da inganci. "Misalin Turanci", ko tsarin kiwon lafiya, wanda aka raba marasa lafiya zuwa gungu daban-daban dangane da tsananin buƙatar kulawarsu, ya zama kamar madadin da ya dace.

A cikin 2015 bangarori daban-daban da suka shafi tsarin samfuran dbc sun kulla kawance mai fadi (Tsarin Lafiyar Lafiya na Kasa (LPGGz), Cibiyar Holanda ta Horo don Ilimin Hauka (NIP), Hospungiyar Asibitocin Dutch (NVZ), kula da lafiyar kwakwalwa ta Dutch, Dutchungiyar Yaren mutanen Holland na Cibiyoyin Likitocin Jami’o’i (NFU), Psyungiyar Psywararrun Dutchwararrun Dutchasar Holland (NVvP), Tarayyar Kwararrun Likitoci (FMS), Nationalungiyar ofungiyar Independentwararrun Psychowararrun Psychowararrun Independentwararru da Psychowararrun Psychowararrun .wararru (LVVP), NZa, Sashen Kula da Lafiya na Lafiya (DForZo)/Hukumar Kula da Gidaje (DJI) da forungiyar Kula da Nakasassun Netherlands (VGN). Tare sun miƙa wa Ministan Schippers "Tsarin don amfani mai kyau da nuna gaskiya", a cikin abin da suka gabatar da samfurin Turanci a matsayin madadin. A ƙarƙashin jagorancin NZa, ɓangarorin sun zauna don ci gaba da haɓaka ƙirar rukuni na kiwon lafiyar Ingilishi kuma su dace da yanayin Dutch.. Wannan ya faru akan waƙoƙi guda biyu masu layi ɗaya: tsarin bayar da kudade da kuma tsarin kulawa, ko kuma rarrabuwar bukatar kulawa.

A cikin 2017 fara matukin jirgi da sabon samfurin. NZa ta ƙaddamar da gidan yanar gizon zsarkarinku.nl, inda masu aikatawa zasu iya yin rajista da kammala tambayoyin game da marasa lafiya da bukatun kulawarsu. Dangane da waɗannan jerin, an ba da shawarar abin da ake kira gungu-gungu wanda zai iya dacewa da bukatun kulawa da mai haƙuri, tare da manufar ɗayan 22 gungu. Matukin jirgin ya gudu har 31 Disamba 2019.

A cikin 2015 bangarori daban-daban da suka shafi tsarin samfuran dbc sun kulla kawance mai fadi (Tsarin Lafiyar Lafiya na Kasa (LPGGz), Cibiyar Holanda ta Horo don Ilimin Hauka (NIP), Hospungiyar Asibitocin Dutch (NVZ), kula da lafiyar kwakwalwa ta Dutch, Dutchungiyar Yaren mutanen Holland na Cibiyoyin Likitocin Jami’o’i (NFU), Psyungiyar Psywararrun Dutchwararrun Dutchasar Holland (NVvP), Tarayyar Kwararrun Likitoci (FMS), Nationalungiyar ofungiyar Independentwararrun Psychowararrun Psychowararrun Independentwararru da Psychowararrun Psychowararrun .wararru (LVVP), NZa, Sashen Kula da Lafiya na Lafiya (DForZo)/Hukumar Kula da Gidaje (DJI) da forungiyar Kula da Nakasassun Netherlands (VGN). Tare sun miƙa wa Ministan Schippers "Tsarin don amfani mai kyau da nuna gaskiya", a cikin abin da suka gabatar da samfurin Turanci a matsayin madadin. A ƙarƙashin jagorancin NZa, ɓangarorin sun zauna don ci gaba da haɓaka ƙirar rukuni na kiwon lafiyar Ingilishi kuma su dace da yanayin Dutch.. Wannan ya faru akan waƙoƙi guda biyu masu layi ɗaya: tsarin bayar da kudade da kuma tsarin kulawa, ko kuma rarrabuwar bukatar kulawa.

Yayin aiwatarwar ba da daɗewa ba ya bayyana cewa zai yi wuya a cimma yarjejeniya. Wasu jam'iyyun suna ganin cewa an zaɓi samfurin Ingilishi cikin sauri azaman jagora kuma ana zaton ba daidai bane ayi aiki a Netherlands (An kuma tabo batun nasarar da aka samu a Burtaniya).

Gani ya fara bambanta kuma haɗin kai ya zama ƙasa da ƙasa da ƙarancin amfani. Tsoma baki ba zai iya hana bangarori daban-daban shiga ba 2018 sun janye goyon bayansu, kafin karshen matukin jirgin. A cikin kimantawar tsarin da ke tattare da haɓakar samfurin abokin ciniki na kulawa, ɓangarori daban-daban suna nuna cewa yana da mahimmanci dukkan ɓangarorin su shiga, duka bangarorin filin da doka- da masu mulki.

A nacewar Ma'aikatar Lafiya, Jin Dadi da Wasanni, duk da haka bangarorin sun ci gaba da kirkirar sabon tsari. A cikin 2019 wani gamayyar da aka gyara ta ba da shawarar wani samfurin, tsarin kula da lafiyar hankali da fz. A yayin haɓaka wannan ƙirar, an haɗa darussan daga tsarin tsarin ƙungiyar tari na kulawa. An riga an haɓaka ingantaccen tsarin ƙungiyar kulawa kuma ana nuna shi cikin ƙirar kulawa mai kulawa azaman kayan aiki don buƙatar buƙatun kulawa. A cikin ingantaccen sigar, nauyin aikin gudanarwa ya ragu kuma musamman za a iya fahimtar ƙungiyoyin haƙuri masu nauyi. Samfurin zai kasance ta 2022 aiwatar.