Imodeli yezimali yokunakekelwa kwezempilo yezengqondo (ukunakekelwa kwezempilo yengqondo) kulindeleke ukuthi kufakwe omunye, amaqembu amaningi ahlukene avumelana ngalokhu. Ku- 2015 waqala iDutch Healthcare Authority (NZa), ethunywe nguMnyango Wezempilo, Ezenhlalakahle Nezemidlalo (I-VWS), ngakho-ke inqubo yokuqhubeka nokuthuthukisa imodeli yeqoqo lokunakekelwa kwenye indlela. Zonke izinhlaka ezithintekayo zibambe iqhaza 2015 ukuzibophezela kwabo, kodwa umzila wabanjwa 2018 i-spaak.

Kuhlelo lwamanje, ngemuva kokuxilongwa, umhlinzeki wezokunakekelwa kwezempilo wenza uhlelo lokwelashwa olususelwa enhlanganisweni yokwelashwa kokuxilongwa(dbc)-isakhiwo somkhiqizo. Uhlelo lwezimali luxhumene nalokhu. Inkinga ngale ndlela ukuthi izinhlanganisela zokwelashwa ezichazwe kusengaphambili zithola ukuxhumana okuncane nokwenziwa kwamakhasimende ngamanye. Ngemuva kwakho konke, akuzona zonke iziguli ezinokuhlonza okufanayo ezizuza ekwelashweni okufanayo; ukucindezeleka okukodwa akuyona enye. Ngaphezu kwalokho, lesi sakhiwo senza kube nzima ukuqagela izindleko zokunakekelwa kwezempilo, kwakha umthwalo omkhulu wokuphatha futhi kuqukethe izikhuthazo zezimali ezonakele eziholela ekuziphatheni okukhokhisayo kwamasu.

Kungakho kube nesidingo sokuthi isikhashana singafakelwa, kepha ukunakekelwa kwesidingo njengesiqalo samamodeli wokunakekelwa kudinga ukuthayipha nokuxhasa ngemali. Ngaphezu kwalokho, imodeli entsha kufanele yenze ukusetshenziswa kwemali kube nokulingana futhi kusebenze kahle. "Imodeli yesiNgisi", noma imodeli yeqoqo lezempilo, lapho iziguli zehlukaniswe ngamaqoqo ahlukene ngokususelwa ebunzimeni besidingo sazo sokunakekelwa, kwabonakala njengenye indlela efanelekayo.

Ku- 2015 amaqembu ahlukahlukene abandakanyeka esakhiweni somkhiqizo we-dbc akha umfelandawonye obanzi (Ipulatifomu Kazwelonke Yezempilo Yezengqondo (LPGGz), I-Netherlands Institute for Psychologists (I-NIP), Inhlangano Yezibhedlela ZaseDashi (I-NVZ), ukunakekelwa kwempilo yengqondo yaseDashi, Izikhungo Zokwelapha ZaseDashi (I-NFU), I-Dutch Psychiatric Association (I-NVvP), I-Federation of Medical Specialists (I-FMS), I-National Association of Independent Psychologists kanye ne-Psychotherapists (I-LVVP), NZa, Umnyango Wokunakekelwa Kwezobunhloli (I-DForZo)/Isikhungo Sezikhungo Zokugcina (DJI) kanye ne-Association for the Disabled Care Netherlands (VGN). Ngokubambisana banikeze uNgqongqoshe uSchippers "i-Ajenda yokusetshenziswa okufanele kanye nokwenza izinto obala", lapho baphakamise khona imodeli yesiNgisi njengenye indlela. Ngaphansi kobuholi beNZa, amaqembu ahlala phansi ukuthuthukisa imodeli yamaqoqo ezempilo yesiNgisi futhi ayenze ilungele isimo saseDashi.. Lokhu kwenzeke emikhondweni emibili ehambisanayo: uhlelo lwezimali kanye nohlaka oluhlobene nokunakekelwa, noma ukuhlukaniswa kwesidingo sokunakekelwa.

Ku- 2017 uqale umshayeli ngemodeli entsha. I-NZa yethule iwebhusayithi zorgclustertool.nl, lapho abasebenza khona bengabhalisa futhi bagcwalise uhlu lwemibuzo mayelana neziguli zabo nezidingo zabo zokunakekelwa. Ngokwesisekelo salolu hlu, kuhlongozwa lokho okubizwa ngokuthi amaqoqo angahlangabezana nezidingo zokunakekelwa kwesiguli, ngenhloso eyodwa ye- 22 amaqoqo. Umshayeli wendiza wagijima waze 31 udisemba 2019.

Ku- 2015 amaqembu ahlukahlukene abandakanyeka esakhiweni somkhiqizo we-dbc akha umfelandawonye obanzi (Ipulatifomu Kazwelonke Yezempilo Yezengqondo (LPGGz), I-Netherlands Institute for Psychologists (I-NIP), Inhlangano Yezibhedlela ZaseDashi (I-NVZ), ukunakekelwa kwempilo yengqondo yaseDashi, Izikhungo Zokwelapha ZaseDashi (I-NFU), I-Dutch Psychiatric Association (I-NVvP), I-Federation of Medical Specialists (I-FMS), I-National Association of Independent Psychologists kanye ne-Psychotherapists (I-LVVP), NZa, Umnyango Wokunakekelwa Kwezobunhloli (I-DForZo)/Isikhungo Sezikhungo Zokugcina (DJI) kanye ne-Association for the Disabled Care Netherlands (VGN). Ngokubambisana banikeze uNgqongqoshe uSchippers "i-Ajenda yokusetshenziswa okufanele kanye nokwenza izinto obala", lapho baphakamise khona imodeli yesiNgisi njengenye indlela. Ngaphansi kobuholi beNZa, amaqembu ahlala phansi ukuthuthukisa imodeli yamaqoqo ezempilo yesiNgisi futhi ayenze ilungele isimo saseDashi.. Lokhu kwenzeke emikhondweni emibili ehambisanayo: uhlelo lwezimali kanye nohlaka oluhlobene nokunakekelwa, noma ukuhlukaniswa kwesidingo sokunakekelwa.

Ngesikhathi kwenziwa lolu hlelo kusheshe kwabonakala ukuthi kuzoba nzima ukufinyelela esivumelwaneni. Amanye amaqembu abenomuzwa wokuthi imodeli yaseNgilandi ikhethwe ngokuxhamazela njengesiqondiso nokuthi bekucatshangwa ukuthi ayisebenzi eNetherlands (Impumelelo e-United Kingdom nayo yangatshazwa).

Imibono yaqala ukwehluka futhi ukubambisana kwaya ngokuya ngokuncipha. Ukungenelela akukwazanga ukuvimbela amaqembu ehlukene ukuthi angene 2018 wahoxisa ukwesekwa kwabo, ngaphambi kokuphela komshayeli wendiza. Ekuhlolweni kwenqubo ezungeze ukuthuthukiswa kwemodeli yamakhasimende okunakekela, amaqembu ahlukahlukene akhombisa ukuthi kubalulekile ukuthi wonke amaqembu abambe iqhaza, amaqembu womabili womkhakha kanye nomthetho- nabalawuli.

Ngokuphikelela koMnyango Wezempilo, Ezenhlalakahle kanye nezeMidlalo, amaqembu aqhubeka nokwakha imodeli entsha. Ku- 2019 umfelandawonye oguquliwe waphakamisa enye imodeli, imodeli yokusebenza kokunakekelwa kwezempilo yengqondo kanye ne-fz. Ekuthuthukisweni kwalesi simodeli, izifundo ezivela kwinqubo yemodeli yamaqoqo okunakekelwa zifakiwe. Imodeli yeqoqo lokunakekela selokhu yathuthukiswa futhi yathuthukiswa futhi ibonakala kwimodeli yokusebenza kokunakekelwa njengethuluzi lokuthayipha okufuna ukunakekelwa. Enguqulweni ethuthukisiwe, umthwalo wokuphatha uyehliswa futhi ikakhulukazi amaqembu eziguli ezisindayo angabonakala kangcono. Imodeli izoba nge 2022 kwenziwe.