Tilburg University
Handicap en chronische ziekte
Zoontjens, P.J.J.
Published in: Gelijke behandeling Publication date: 2010 Document VersionPeer reviewed version
Link to publication in Tilburg University Research Portal
Citation for published version (APA):
Zoontjens, P. J. J. (2010). Handicap en chronische ziekte. In C. J. Forder (editor), Gelijke behandeling: Oordelen en commentaar 2009 (blz. 169-188). Wolf Legal Publishers (WLP).
http://www.cgb.nl/publicaties/publicatie/221043/gelijke_behandeling_oordelen_en_commentaar_2009
General rights
Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights. • Users may download and print one copy of any publication from the public portal for the purpose of private study or research. • You may not further distribute the material or use it for any profit-making activity or commercial gain
• You may freely distribute the URL identifying the publication in the public portal Take down policy
If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.
Handicap en chronische ziekte
3URIPU3--=RRQWMHQV
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
ZOONTJENS
EHVORRW ]LM RP HHQ NODFKW WHJHQ EHVOLVVLQJHQ YDQ GH &%5 QLHW LQ EHKDQGHOLQJ WH QHPHQRPGDWGH:JEKF]KDDUGDDUWRHGHEHYRHJGKHLGRQW]HJW´'H&RPPLVVLHLV VOHFKWVEHYRHJGRPWHRRUGHOHQRYHURQJHOLMNHEHKDQGHOLQJLQEHSDDOGHJHYDOOHQ2P HHQNODFKWLQEHKDQGHOLQJWHNXQQHQQHPHQPRHWVSUDNH]LMQYDQRQJHOLMNHEHKDQGH OLQJELMGHDUEHLG«RIELMGHWRHJDQJWRWHQKHWDDQELHGHQYDQEHURHSVRQGHUZLMVµ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w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¶PDWWHURIJHQHUDORUSXEOLFLQWHUHVW·'HYHU GDFKWH XLWWH ]LMQ WHNVWHQ ERYHQGLHQ QLHW DOV SROLWLFXV RI MRXUQDOLVW PDDU DOV SULYp LQWHUQHWGHHOQHPHURQGHUSVHXGRQLHP9HUGHUZRUGWGRRUGHSODDWVLQJYDQGHWHNVWHQ RSHHQLQWHUQHWVLWHRS]HWRSRSHQEDDUKHLGEHZH]HQJHDFKW'DDUDDQGRHWQLHWDIGDW LQWHUQHWJHEUXLNHUVGHVLWHPRHVWHQDDQNOLNNHQHQDOGXVQLHW¶RQJHYUDDJG·PHWGHXLW ODWLQJHQLQDDQUDNLQJNZDPHQ´7RHJDQJWRWGHIHLWHOLMNHLQKRXGYDQGHZHEVLWHLQ FDVXGHJHZUDDNWHWHNVWHQZDVYULMHQZHUGQLHWPHWHHQZDFKWZRRUGEHVFKHUPGµ +HWEHSHUNWHDDQWDO]DNHQLQGHUHFKWVSUDDNHQELMGH&RPPLVVLHVWDDWLQ]HNHUH]LQ KDDNVRSGHEHGULMYLJKHLGGLHHURSKHWYODNYDQEHOHLGHQUHJHOJHYLQJLVJHZHHVWLQ 'DDURSZRUGWHHUVWQDGHULQJHJDDQLQGHYROJHQGHSDUDJUDDI .2RRUGHHORNWREHURQGHUNHQPHUN&*%0*UHYHQDOV.2RRUGHHOGHFHPEHU RQGHUNHQPHUN&*%0*U 2PGDWLQGHPRGHUQHRSYDWWLQJ¶KDQGLFDS·YRRUDODOVHHQVRFLDDOIHQRPHHQZRUGWEHVFKRXZG]LMQDDQGXLGLQJHQ DOV¶PHQVHQPHWHHQEHSHUNLQJ·RI¶PHWHHQEHOHPPHULQJ·PHHULQ]ZDQJ,NJHEUXLNKLHUHFKWHUFRQVHTXHQWGH WHUPHQ¶KDQGLFDS· HQ¶JHKDQGLFDSWH· RPGDW GLH RRN LQ GH:JEKF] HQ KHW91*HKDQGLFDSWHQYHUGUDJ ZRUGHQ JHEUXLNW=LHKLHUQDRRNSDUDJUDDIRQGHUKHWNRSMH´%HKRHIWHDDQKHOGHUHMXULGLVFKHEHJULSVYRUPLQJµ 7HZLM]HQYDOWRS(+50GHFHPEHU]DDNQU*QG]WHJHQ7XUNLMHHQ(+50MXOL ]DDNQU(UEDNDQWHJHQ7XUNLMH
HANDICAP EN CHRONISCHE ZIEKTE
2 ONTWIKKELINGEN 2.1 Algemeen
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
De verplichting om passend onderwijs aan te bieden
9HUPHOGHQVZDDUGLVYHUGHUGHSXEOLFDWLHLQQRYHPEHUGRRUYRRUPDOLJVWDDWVVH FUHWDULV'LMNVPDYDQ2QGHUZLMV&XOWXXUHQ:HWHQVFKDS2&:YDQQLHXZHELMJH VWHOGHYRRUQHPHQVPHWEHWUHNNLQJWRWSDVVHQGRQGHUZLMV2QGHUGHQDDP¶SDVVHQG RQGHUZLMV· ZHUGHQ LQ SODQQHQ WRW YHUQLHXZLQJ YDQ GH ]RUJVWUXFWXUHQ LQ KHW IXQGHUHQGRQGHUZLMVJHw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²GHVFKROHQ²HQQLHWGHYUDJHUVGHRXGHUVHQOHHUOLQJHQ ,QGHKXLGLJHVLWXDWLHNRPWKHWUHJHOPDWLJYRRUGDWRXGHUVKXQNLQGPRHWHQODWHQ WKXLV]LWWHQRPGDWHUJHHQSOHNRSHHQVFKRRONDQZRUGHQJHYRQGHQ%LMKHWV\VWHHP YDQ¶SDVVHQG RQGHUZLMV· ]RX GDW GXV QLHW PHHU NXQQHQ YRRUNRPHQ 2YHU GH ]RUJ SOLFKW HQ GH WH YHUZDFKWHQ HIIHFWHQ ZDDUYDQ YRRUDO GLH LQ ILQDQFLsOH ]LQ GLVFXVVLH RSULHSHQLVVLQGVXLWYRHULJJHSROGHUGPHWKHWVFKROHQYHOGHQZHO]RGDQLJGDW PHQLJHHQ KHW ]LFKW NZLMWUDDNWH RS KHW HLJHQOLMNH SHUVSHFWLHI 0HW KDDU EULHI YDQ QRYHPEHUKHHIWGHVWDDWVVHFUHWDULVJHWUDFKWGDWSHUVSHFWLHIRSQLHXZFHQWUDDOWH VWHOOHQ 'H ]RUJSOLFKW YRRU SDVVHQG RQGHUZLMV ]DO RS PLGGHOODQJH WHUPLMQ ZRUGHQ LQJHYRHUG
=LH,QOHLGLQJHQ-6FKRRQKHLP+DQGLFDSHQFKURQLVFKH]LHNWHLQ-+*HUDUGV3--=RRQWMHQVKRRIGUHGDFWLH
*HOLMNHEHKDQGHOLQJRRUGHOHQHQFRPPHQWDDU1LMPHJHQ:ROI/HJDO3XEOLVKHUVSUHVS
ZOONTJENS (HQGULHWDOHOHPHQWHQYDOWRSLQGHQLHXZHEHOHLGVYRRUQHPHQV'H]RUJSOLFKWPRHW ZHHUYRRURSZRUGHQJHVWHOG2XGHUVYDQ]RUJOHHUOLQJHQPRHWHQHU]HNHUYDQNXQQHQ ]LMQGDWKXQNLQGDGHTXDDWRQGHUZLMVNULMJW2PKHWDDQERGGLHQRYHUHHQNRPVWLJWH YHUEUHGHQZRUGHQVFKROHQYHUSOLFKWWRWVDPHQZHUNLQJLQUHJLRQDOH¶VDPHQZHUNLQJV YHUEDQGHQ·GLHHURYHULJHQVDO]LMQHQWRWKHWRQWZLNNHOHQYDQHHQ¶VOXLWHQG]RUJDDQ ERG·$OVKHWQLHWOXNWHHQVOXLWHQGRIGHNNHQGDDQERGWHUHDOLVHUHQZDDUELMLQYRO GRHQGHPDWHUHNHQLQJLVJHKRXGHQPHWGHZHQVHQHQYRRUNHXUHQYDQGHRXGHUV]RX HHQJHVFKLOOHQUHJHOLQJXLWNRPVWNXQQHQELHGHQ,QGHWZHHGHSODDWVYDOWRSGDW²HQ GDWVWDDWKDDNVRSGHKHOHEHZHJLQJGLHPHW¶SDVVHQGRQGHUZLMV·LQGHULFKWLQJYDQGH RQGHUZLMVYUDJHU OHHN WH ZRUGHQ JHPDDNW ²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valuatie Wgbh/cz
'H:JEKF] LV RS GHFHPEHU LQ ZHUNLQJ JHWUHGHQ$UWLNHO YDQ GH ZHW YHUSOLFKWGHPLQLVWHUYDQ9RONVJH]RQGKHLG:HO]LMQHQ6SRUW9:6LQRYHUHHQVWHP PLQJPHWGHEHWURNNHQEHZLQGVOLHGHQYDQDQGHUHGHSDUWHPHQWHQELQQHQMDDUHHQ HYDOXDWLHYHUVODJXLWWHEUHQJHQDDQGH6WDWHQ*HQHUDDORYHU´GHGRHOWUHIIHQGKHLGHQ GHHIIHFWHQµYDQGH:JEKF]LQGHSUDNWLMN%LMGHWRWVWDQGNRPLQJYDQGHZHWZHUG EHRRJGGHUHFKWVEHVFKHUPLQJHQPDDWVFKDSSHOLMNHSDUWLFLSDWLHYDQPHQVHQPHWHHQ KDQGLFDSRIFKURQLVFKH]LHNWHWHYHUEHWHUHQ7HQEHKRHYHYDQGLHHYDOXDWLH]LMQVLQGV YHUVFKHLGHQHVWXGLHVYHUVFKHQHQ%LMEULHIYDQMXQLDDQGH7ZHHGH .DPHUKHHIWGHVWDDWVVHFUHWDULVKHWVWDQGSXQWYDQKHWNDELQHWQDDUDDQOHLGLQJYDQGH HYDOXDWLHYHUZRRUG
(HUVW HHQ DDQWDO DOJHPHQH IHLWHOLMNH EHYLQGLQJHQ 8LW GH HYDOXDWLHVWXGLHV NRPW KHW EHHOGQDDUYRUHQGDWGH:JEKF]JRHGZHUNW'H&*%HUYDDUWJHHQJURWHSUREOHPHQ ELMKHWXLWOHJJHQHQWRHSDVVHQYDQGHZHWLQGHSUDNWLMN+HW9HUZH\-RQNHU,QVWLWXXW ,Q.DPHUVWXNNHQ,,QUZRUGWJHVSURNHQRYHUHHQJHVFKLOOHQLQVWDQWLHGLH¶ELQGHQGHXLWVSUD NHQ·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´+HWYRRUOLJJHQGHZHWVYRRUVWHOKHHIWWRWGRHOGLVFULPL QDWLHYDQZHJHKDQGLFDSRIFKURQLVFKH]LHNWHWHEHVWULMGHQHQJHOLMNHEHKDQGHOLQJYDQPHQVHQPHWHHQKDQGLFDS RIFKURQLVFKH]LHNWHWHEHYRUGHUHQµ 'HVWXGLHVZRUGHQRSJHVRPGLQGHLQGHYROJHQGHQRRWYHUPHOGHEULHI'DDUYDQ]LMQGHEHODQJULMNVWH %0DULDQYDQGHU.OHLQ.DWLQND/QQHPDQQ'LFN2XGHQDPSVHQ%HSHUNLQJHQUHFKWHQJHOLMNKHLG(YDOXDWLHYDQGH
:HW JHOLMNH EHKDQGHOLQJ RS JURQG YDQ KDQGLFDS RI FKURQLVFKH ]LHNWH 9HUZH\-RQNHU ,QVWLWXXW 8WUHFKW
IHEUXDUL
%=RQGHU YDOOHQ HQ RSVWDDQ %HYLQGLQJHQ YDQ GH &RPPLVVLH *HOLMNH %HKDQGHOLQJ RYHU GH ZHUNLQJ YDQ GH :HW *HOLMNH %HKDQGHOLQJRSJURQGYDQ+DQGLFDSRI&KURQLVFKH=LHNWHLQGHSUDNWLMN&*%8WUHFKWQRYHPEHU
%6DELQH6HYHULHQV6DUD5H]DL5LFN:ROII-DDSGH.RQLQJ-RVp*UDYHVWHLMQ2OLYLHU7DQLV7LP%HUHWW\5,6%2 6(25 6WXGHUHQ PHW HHQ IXQFWLHEHSHUNLQJ 5HVXOWDWHQ YDQ HHQ RQGHU]RHN RQGHU HHUVWHMDDUVVWXGHQWHQ 6HULH EHOHLGVJH ULFKWHVWXGLHVKRJHURQGHUZLMVHQZHWHQVFKDSSHOLMNRQGHU]RHNQU'HQ+DDJMXOL
HANDICAP EN CHRONISCHE ZIEKTE
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sOHHIIHFWHQYDQKHWRRUGHHOYDQGH &RPPLVVLHJHULQJ]RXGHQ]LMQ ,QKHWNDELQHWVVWDQGSXQWZRUGWLQUHDFWLHRSKHWSXQWYDQGHJHULQJHEHNHQGKHLGHHQ DDQWDOPDDWUHJHOHQRSJHVRPGRPGHYRRUOLFKWLQJRYHUGHZHWWHFRQWLQXHUHQHQWH YHUEHWHUHQ9HUGHUZRUGWHULQUHDFWLHRSHHQDDQWDOVXJJHVWLHVXLWGHVWXGLHYDQGH &RPPLVVLH *HOLMNH %HKDQGHOLQJ LQJHJDDQ RS YUDDJVWXNNHQ GLH KHW WRHNRPVWLJH ERXZZHUNHQGHVWUHNNLQJYDQGHZHWDDQJDDQ+LHUNDQRSHHQGULHWDOSXQWHQZRU GHQJHZH]HQ
ZOONTJENS
QRUPWHQXDQFHUHQHQRPSHUJHYDOQDWHJDDQRSZLHGHYHUSOLFKWLQJUXVWWRWKHW PDNHQYDQHHQGRHOWUHIIHQGHDDQSDVVLQJ·
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¶'H EHOHWVHOHQGLHGH:PNEHYDWGLHRRNLQGHZHJNXQQHQVWDDQDDQLQGLHQVWQHPLQJ YDQSHUVRQHQPHWHHQEHSHUNLQJWUDFKWGH&*%YLDKDDURRUGHOHQ«WHVOHFKWHQ GRRUGHYHUSOLFKWLQJWHOHJJHQRSZHUNJHYHUVHQKHWEHYRHJGJH]DJRPHHQRRUGHHO RYHUGHJHVFKLNWKHLGYDQHHQNDQGLGDDWWHPRWLYHUHQZDDUWRH]LMHHQDDQWDODQGHUHQ NXQQHQ FRQVXOWHUHQ &*%RRUGHHO +RHZHO GH &*% KLHUELM EHQDGUXNW GDWHHQHQDQGHUGLHQWWHJHVFKLHGHQELQQHQGHNDGHUVYDQGH:0.ULFKWVWULNWH QDOHYLQJYDQGH:PN]LFKKLHUWHJHQGHEHODQJHQYDQNDQGLGDWHQPHWHHQKDQGLFDS RI FKURQLVFKH ]LHNWH 'LW LV LQ VWULMG PHW KHW XLWJDQJVSXQW YDQ 5LFKWOLMQ (*·
+HW NDELQHW LV ]LFK HUYDQ EHZXVW GDW GH:PN KHW WLMGHQV HHQ VROOLFLWDWLHJHVSUHN EHVSUHNHQ YDQ GH PRJHOLMNKHGHQ WRW DUEHLGVSDUWLFLSDWLH YDQ HHQ JHKDQGLFDSWH RI FKURQLVFK ]LHNH VROOLFLWDQW HQ GH GDDUWRH EHQRGLJGH DDQSDVVLQJHQ EHSHUNW HQ DDQ UHJHOVELQGW¶'HDDQEHYHOLQJYDQGH&*%LVYRRUKHWNDELQHWDDQOHLGLQJRPWHRQGHU ]RHNHQRIHUVSUDNHLVYDQHHQGXVGDQLJDIVWHPPLQJVSUREOHHPWXVVHQGH:PNHQGH :JEKF] GDW GDDUXLW HHQ QHJDWLHI HIIHFW YRRUWYORHLW RS GH DUEHLGVSDUWLFLSDWLH YDQ SHUVRQHQPHWHHQKDQGLFDSRIFKURQLVFKH]LHNWH,QGLHQHUHHQQHJDWLHIHIIHFWLVRS GHDUEHLGVSDUWLFLSDWLHYDQJHKDQGLFDSWHQHQFKURQLVFK]LHNHQ]DOZRUGHQRQGHU]RFKW RIGLWNDQZRUGHQYHUKROSHQGRRUHHQDDQSDVVLQJYDQGH:PNUHNHQLQJKRXGHQG PHWGHXLWJDQJVSXQWHQYDQGH]HZHW·
HANDICAP EN CHRONISCHE ZIEKTE 2.3 VN Gehandicaptenverdrag Ratificatie 'HUDWLILFDWLHYDQKHW91*HKDQGLFDSWHQYHUGUDJODDWQRJRS]LFKZDFKWHQPDDUZRUGW YRRU]LHQLQ=LHYRRUJHGHWDLOOHHUGHLQIRUPDWLHGHLQOHLGLQJYDQ&DUROLQH)RUGHU LQ GH]H EXQGHO +LHU SDVW QRJ VOHFKWV HHQ HQNHOH RSPHUNLQJ 'H UHJHULQJ RQGHU VFKULMIW GH REVHUYDWLH GDW 1HGHUODQG ODQJHUH WLMG QRGLJ KHHIW RP WRW UDWLILFDWLH WH NRPHQGDQELMYRRUEHHOG'XLWVODQG=LMZLMWGDWDDQKHWKLHUJHKXOGLJGH¶FRQVWLWXWLR QHOH·SULQFLSHGDWYRRUDIJDDQGHDDQUDWLILFDWLHGHEHQRGLJGHZHWVZLM]LJLQJHQPRHWHQ KHEEHQSODDWVJHYRQGHQWHUZLMOODQGHQDOV'XLWVODQGQRJQDUDWLILFDWLHYRRUVWHOOHQWRW ZHWVZLM]LJLQJNXQQHQRSVWHOOHQ+HWLVGHYUDDJRI1HGHUODQGHHQGHUJHOLMNSULQ FLSHNHQWGDDURYHULVZHOGLVFXVVLHPRJHOLMN0DDUWRHJHJHYHQPRHWZRUGHQGDWGH EHVFKUHYHQJDQJYDQ]DNHQZHOUHGHOLMNYDVWHSUDNWLMNYDQRQ]HZHWJHYHUOLMNWWH]LMQ Gehandicapte vrouwen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² *HKDQGLFDSWHYURXZHQEOLMYHQWHQRS]LFKWHYDQDQGHUHYURXZHQRQGHUYHUWHJHQ ZRRUGLJGLQGHPRFUDWLVFKHEHVOXLWYRUPLQJVSURFHVVHQHQEHVOXLWYRUPLQJVSURFHV VHQDOV]RGDQLJ ² 'HQHJDWLHYHJHYROJHQYDQVDPHQORRSYDQKHW]LMQYDQYURXZHQKHWKHEEHQYDQ HHQKDQGLFDSNRPWKHWVWHUNVWQDDUYRUHQLQGHSULYpHQJH]LQVVIHHU=RZRUGHQ LQYHUVFKLOOHQGHODQGHQVHULHX]HWHNRUWNRPLQJHQJHVLJQDOHHUGPHWEHWUHNNLQJWRW KHWEHJHOHLGHQYDQJHKDQGLFDSWHYURXZHQELM]ZDQJHUVFKDSHQEHYDOOLQJ ² 'HQHJDWLHYHJHYROJHQYDQVDPHQORRS]LMQRRNVWHUNPHWEHWUHNNLQJWRWGHWRH JDQJWRWKHWUHFKWVDSSDUDDWHQGHEHVFKHUPLQJWHJHQVHNVXHHOPLVEUXLN
Regulier en speciaal onderwijs
ZOONTJENS
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·
HANDICAP EN CHRONISCHE ZIEKTE RSWHUPLMQPRHWYHUGZLMQHQ=LHQZLMGHSUREOHPHQHFKWDQGHUVGDQGH%ULWWHQ"+RH ]XOOHQUHFKWHUVVWUDNVPHWGH]HNHQQHOLMNQLHWHHQGXLGLJHYHUGUDJVEHSDOLQJRPJDDQ" .RUWRPRRNLQ1HGHUODQG]RXGHGLVFXVVLHKLHURYHUZHOHHQVNXQQHQVWDUWHQ 2.4 Adviezen CGB
Amvb ‘openbaar vervoer’, toetsing van overheidshandelen
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sLQGLJHQYDQRYHUHHQNRPVWHQPHWEHWUHNNLQJWRW RSHQEDDUYHUYRHU %LMRINUDFKWHQVDOJHPHQHPDDWUHJHOYDQEHVWXXUZRUGHQUHJHOVJHVWHOGRYHUGH LQJHYROJHKHWHHUVWHOLGLQVDPHQKDQJPHWDUWLNHOWHYHUULFKWHQDDQSDVVLQJHQ DOVEHGRHOGLQGDWDUWLNHO 9ROJHQVKHWHYHQHHQVQRJLQZHUNLQJWHWUHGHQDUWLNHO:JEKF]PRHWRQGHURSHQ EDDUYHUYRHUZRUGHQYHUVWDDQYRRUHHQLHGHURSHQVWDDQGSHUVRQHQYHUYRHUYROJHQVHHQ GLHQVWUHJHOLQJPHWHHQEXVWUHLQPHWURWUDPRIHHQYLDHHQJHOHLGHV\VWHHPYRRUWEH ZRJHQ YRHUWXLJ HQ RQGHU UHLVLQIRUPDWLH LQIRUPDWLH RYHU GH GLHQVWUHJHOLQJ PHW GH JHOGLJKHLGVGXXUGDDUYDQJHJDUDQGHHUGHRYHUVWDSPRJHOLMNKHGHQELQQHQGHGLHQVWUH JHOLQJZLM]LJLQJHQYDQGHGLHQVWUHJHOLQJHQRYHUWDULHYHQHQGHGDDUELMEHKRUHQGH ]RQHLQGHOLQJ ,QKHWDGYLHVNRPWHHQDDQWDOSULQFLSLsOHSXQWHQDDQERG'H&*%JHHIWDDQGDWKHW ELMNODFKWHQYDQLQGLYLGXHOHUHL]LJHUVPHWKHWRSHQEDDUYHUYRHU]DOPRHWHQEHRRUGH OHQRIGHYHUODQJGHDDQSDVVLQJLQUHGHOLMNKHLGNDQZRUGHQJHYHUJGYDQGHYHUYRHUGHU GHUHOHYDQWH29DXWRULWHLWRIGHFRQFHVVLHJHYHU'LWYHURQGHUVWHOWPDUJLQDOHWRHWVLQJ 2PGDWGLHPDUJLQDDOLVJHHIWGH&RPPLVVLHLQRYHUZHJLQJRRNDQGHUHLQVWUXPHQWHQ LQWH]HWWHQ²YDQWRH]LFKWHQKDQGKDYLQJ²RPGHDIVSUDNHQWHODWHQQDNRPHQ 9HUGHUVWHOWGH&*%]LFKGHYUDDJRIKDQGHOLQJHQYDQGHEHKHHUGHUYDQHHQEXVRI WUDPKDOWHZHOGRRUKDDUNXQQHQZRUGHQJHWRHWVW'HKDOWHVZRUGHQLPPHUVEHKHHUG GRRUHHQRYHUKHLGVLQVWDQWLHHHQJHPHHQWH'LWLVHHQW\SLVFKHSXEOLHNUHFKWHOLMNHWDDN ]RGDWHUDOOHHQHHQ]LMGLJRYHUKHLGVKDQGHOHQXLWNDQYROJHQ=RDOVEHNHQGRQWKRXGW GH&RPPLVVLH]LFKLQKHWDOJHPHHQYDQWRHWVLQJELMHHQ]LMGLJRYHUKHLGVKDQGHOHQ 0DDU]LMVWHOW]LFKKLHUGHYUDDJRIGDWXLWJDQJVSXQWELMGHEHWUHIIHQGHPDWHULHMXLVW ]RX]LMQ¶+HWLVGHQNEDDUGDWGH&*%EHYRHJG]RXNXQQHQ]LMQRPKHWKDQGHOHQ YDQEHKHHUGHUVYDQLQIUDVWUXFWXXUWHWRHWVHQQXKHWYHUERGYDQRQGHUVFKHLGELMRSHQ EDDU YHUYRHU QDGUXNNHOLMN LQ GH:JEKF] LV RSJHQRPHQ GH &*% RS JURQG YDQ DUWLNHOEHYRHJGLVWHQDDQ]LHQYDQGH:JEKF]HQXLWGHWRHOLFKWLQJRSGH$0Y% EOLMNWGDWGHEHKHHUGHUVYDQEXVHQWUDPKDOWHVHQPHWURSHUURQVXLWGUXNNHOLMNQRUP &*%DGYLHVMXQL
ZOONTJENS
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·
Implementatie IVESC
$O VLQGV MDUHQ JHOGW KHW ,QWHUQDWLRQDDO9HUGUDJ LQ]DNH (FRQRPLVFKH 6RFLDOH HQ &XOWXUHOHUHFKWHQLQRQ]HUHFKWVRUGH2SGHWRHSDVVLQJYDQGDWYHUGUDJZRUGWWRH ]LFKW JHKRXGHQ GRRU KHW91&RPLWp LQ]DNH (FRQRPLVFKH 6RFLDOH HQ &XOWXUHOH 5HFKWHQGDWYHUGUDJVSDUWLMHQDGYLVHHUWRSEDVLVYDQGRRUKHQDDQJHOHYHUGHODQGHQ UDSSRUWHQ'H&*%KHHIWLQQRYHPEHUDGYLHVXLWJHEUDFKWRYHUHHQUHFHQWGRRU 1HGHUODQG YRRUEHUHLGH UDSSRUWDJH (HQ NOHLQH SDVVDJH LV YRRU GLW RYHU]LFKW YDQ EHODQJ'H&RPPLVVLHRRUGHHOWGDWKHWHHQRPLVVLHLVGDWLQGHUDSSRUWDJHJHHQDDQ GDFKWZRUGWJHVFKRQNHQDDQGHJURQGKDQGLFDSFKURQLVFKH]LHNWH¶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·
3 OORDELEN ARBEID
3.1 Handicap, chronische ziekte en beperkingen
2YHUZDWRQGHUKDQGLFDSRIFKURQLVFKH]LHNWHPRHWZRUGHQYHUVWDDQODDWGHZHW]LFK QLHWXLW8LWJDQJVSXQWLVDOGXVGHPHPRULHYDQWRHOLFKWLQJELMGHZHWGDWKHWPRHW JDDQ RP VLWXDWLRQHHO EHSDDOGH EHSHUNLQJHQ GLH HHQ KDQGLFDS RI HHQ FKURQLVFKH ]LHNWHPHW]LFKPHHNXQQHQEUHQJHQHQQLHWRPQDXZWHRPVFKULMYHQHLJHQVFKDSSHQ YDQHHQSHUVRRQ(UZRUGHQYHUGHUZHOHQLJHDOJHPHQHKDQGYDWHQYRRUHHQEHJULSV EHSDOLQJ JHJHYHQ KDQGLFDSV HQ FKURQLVFKH ]LHNWHQ NXQQHQ I\VLHN YHUVWDQGHOLMN RI SV\FKLVFKYDQDDUG]LMQ(HQKDQGLFDSLVYRRUWVLQEHJLQVHORQRPNHHUEDDU(HQFKUR
&*%DGYLHVDZS
7UEKHU]LHQHYHUVLH7UE
HANDICAP EN CHRONISCHE ZIEKTE QLVFKH]LHNWHLVGDWVRPVQLHWPDDULVLQLHGHUJHYDOODQJGXULJYDQDDUG$UWLNHO RQGHUEYDQGHZHWEHYDWGDDUQDDVWHHQYHUERGWRWKHWPDNHQYDQRQGHUVFKHLGRS JURQGYDQHHQZHUNHOLMNHRIYHUPHHQGHKDQGLFDSRIFKURQLVFKH]LHNWH Vermeende handicap ,QYHUVFKLOOHQGHRRUGHOHQVWHOWGH&RPPLVVLH]LFKGHYUDDJRIHUVSUDNHLVYDQHHQ YRRU GH WRHSDVVLQJ YDQ GH ZHW UHOHYDQWH KDQGLFDS RI FKURQLVFKH ]LHNWH ,Q RRUGHHO ZHUGYHUERGHQRQGHUVFKHLGRSJURQGYDQHHQYHUPHHQGHKDQGLFDSYDVWJH VWHOG(HQYURXZVROOLFLWHHUWELMHHQ]LHNHQKXLVYRRUGHIXQFWLHYDQOHHUOLQJYHUSOHHJ NXQGLJH =LM KDG HHQ DDQJHERUHQ DIZLMNLQJ DDQ KDDU NQLHsQ PDDU QD HHQ WZHHWDO RSHUDWLHVRQGHUYRQG]LMGDDUYDQJHHQNODFKWHQPHHU=LMKDGLQKDDUVROOLFLWDWLHEULHI DDQJHJHYHQ GDW ]LM GH RSHUDWLHV KDG RQGHUJDDQ 1D HHQ SDDU JHVSUHNNHQ NULMJW ]LM WHOHIRQLVFKYDQKHW]LHNHQKXLVWHKRUHQGDW]LMLVDIJHZH]HQ,QGHEHYHVWLJHQGHHPDLO YDQ GH SURMHFWOHLGHU EHURHSVRSOHLGLQJHQ YDQ KHW ]LHNHQKXLV VWDDW RQGHU PHHU KHW YROJHQGHWHOH]HQ¶+HWVSLMWPHMHWHPRHWHQPHHGHOHQGDWKHWHFKWQLHWDOOHHQGH NQLHZDV·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
Wsw-indicatie
,QWZHHJHYDOOHQLVHUVSUDNHYDQHHQNODJHUGLHHHQ:VZLQGLFDWLHEH]LW:VZVWDDW YRRU GH:HW VRFLDOH ZHUNYRRU]LHQLQJ'H]H ZHW LV EHGRHOG RP PHQVHQ PHW HHQ
ZOONTJENS
DDQSHUVRQHQGLHQRJQLHWGHOHHIWLMGYDQKHEEHQEHUHLNWHQGLHGRRUOLFKDPHOLMNH YHUVWDQGHOLMNHRISV\FKLVFKHEHSHUNLQJHQXLWVOXLWHQGRQGHUDDQJHSDVWHRPVWDQGLJKH GHQ WRW UHJHOPDWLJH DUEHLG LQ VWDDW ]LMQ (HQ:VZLQGLFDWLH LV GDDURP UHFKWVWUHHNV JHUHODWHHUGDDQKDQGLFDSHQRIFKURQLVFKH]LHNWH2SJURQGKLHUYDQFRQFOXGHHUWGH &RPPLVVLH GDW:VZPHGHZHUNHUV LQ SULQFLSH GH EHVFKHUPLQJ YDQ GH:JEKF] JHQLHWHQ·'LWLVHHQGXLGHOLMNHOLMQGLHFRUUHVSRQGHHUWPHWYURHJHUHRRUGHOHQ ,Q RRUGHHO OLMNW HFKWHU HHQ PHHU RPVODFKWLJH LQKRXGHOLMNH EHQDGHULQJ WH ZRUGHQJHYROJG2SJURQGYDQ]LMQJHGUDJZRUGWGRRUKHWFROOHJHYDQEXUJHPHHVWHU HQ ZHWKRXGHUV YDQ *RXGD EHVORWHQ GH GHWDFKHULQJVRYHUHHQNRPVW PHW HHQ:VZ JHwQGLFHHUGH ZHUNQHPHU YRRU ZHUN RS GH DIGHOLQJ SRVW HQ DUFKLHI]DNHQ YDQ GH JHPHHQWH QLHW WH YHUOHQJHQ 2YHU GH YUDDJ RI HU HHQ KDQGLFDS HQRI FKURQLVFKH ]LHNWHELMGHNODJHUDDQGHRUGHLVRYHUZHHJWGH&RPPLVVLHDOVYROJW¶7XVVHQSDUWLMHQ LVQLHWLQJHVFKLOGDWYHU]RHNHUVRFLDOHEHSHUNLQJHQKHHIWHQGDWGH]HNXQQHQJHOGHQ DOVKDQGLFDSLQGH]LQYDQGH:JEKF]9HU]RHNHUKHHIWHHQPDWLJLQOHYLQJVYHUPRJHQ HQ PDWLJH FRPPXQLFDWLHYH HQ VRFLDOH YDDUGLJKHGHQ9RRUWV LV RQZHHUVSURNHQ GDW YHU]RHNHU HHQ JHEUHN KHHIW DDQ HPSDWKLVFK YHUPRJHQ HPRWLRQHOH LQWHOOLJHQWLH HQ VRFLDOHZHHUEDDUKHLGHQGDWGLWRRN²JURIZHJ²GHUHGHQHQZDUHQYRRUGH:VZ LQGLFDWLH2SJURQGYDQKHWERYHQVWDDQGHFRQFOXGHHUWGH&RPPLVVLHGDWYHU]RHNHU HHQKDQGLFDSKHHIWLQGH]LQYDQGH:JEKF]·
:DDURPZRUGWKLHUQLHWPHWGHVLPSHOHYHUPHOGLQJYDQGH:VZLQGLFDWLHYROVWDDQ RP GH WRHSDVVHOLMNKHLG YDQ GH:JEKF] YDVW WH VWHOOHQ ]RDOV LQ KHW ERYHQVWDDQGH RRUGHHOPDDUZRUGWGDDUYRRUGHDDUGYDQGH:VZLQGLFDWLHLQKRXGHOLMNYHUNHQG"+HW YHUVFKLOLQEHQDGHULQJ]RXWHPDNHQNXQQHQKHEEHQPHWKHWYHUVFKLOLQFDVXw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
Behoefte aan heldere juridische begripsvorming
'HHHUVWHYRO]LQYDQGHKLHUERYHQJHFLWHHUGHRYHUZHJLQJXLWRRUGHHOURHSW QRJHHQDQGHUHYUDDJRS'HYRO]LQOXLGW¶7XVVHQSDUWLMHQLVQLHWLQJHVFKLOGDWYHU ]RHNHUVRFLDOHEHSHUNLQJHQKHHIWHQGDWGH]HNXQQHQJHOGHQDOVKDQGLFDSLQGH]LQ YDQGH:JEKF]·+LHUZRUGWKHWEHJULS¶EHSHUNLQJ·RSppQOLMQJHVWHOGPHW¶KDQGL
HANDICAP EN CHRONISCHE ZIEKTE
FDS·'DWOLMNWLQWHJHQVSUDDNPHWZDWGHZHWEHRRJW(QKHWLVZHOOLFKWRRNQLHW FRQVLVWHQW PHW ELMYRRUEHHOG RRUGHHO ZDDULQ LQ RYHUZHJLQJ ZRUGW JHVSURNHQYDQ¶PHWGHFKURQLVFKH]LHNWHVDPHQKDQJHQGHEHSHUNLQJHQ· 7HUXJQDDUGHZHW$OVLQGHPHPRULHYDQWRHOLFKWLQJZRUGWJHVWHOG²]LHKHWEHJLQ YDQGH]HSDUDJUDDI²GDWGHNHUQYDQGHEHVFKHUPLQJYDQGHZHWLVJHULFKWRS¶VLWX DWLRQHHOEHSDDOGHEHSHUNLQJHQ·GLHHHQKDQGLFDSPHW]LFKPHHNDQEUHQJHQZRUGW HUXLWJHJDDQYDQHHQVHPDQWLVFKRQGHUVFKHLGWXVVHQ¶EHSHUNLQJHQ·HQ¶KDQGLFDS·'H YUDDJLVQXZDWYHUVWDDQZHRQGHU¶EHSHUNLQJHQ·HQ¶KDQGLFDS·LQMXULGLVFKH]LQ",N KHEQLHWGHLQGUXNGDWGHPHPRULHYDQWRHOLFKWLQJELMGHZHWRIGHRRUGHOHQYDQGH &RPPLVVLHKLHULQYHHOKHOGHUKHLGEUHQJHQ¶%HSHUNLQJHQ·HQ¶KDQGLFDS·ZRUGHQQLHW ]HOGHQGRRUHONDDUJHEUXLNWWHUZLMONHQQHOLMNHHQRQGHUVFKHLGEHRRJGLV'DDUQDDVW OLMNHQGHWHUPHQRRNQRJHHQVYDQEHWHNHQLVWHZLVVHOHQDOQDDUJHODQJKHWRRUGHHO 'HYUDDJLVQDWXXUOLMNRIGDWHUJLV'HJHPLGGHOGHEXUJHUGLH]LFKPHWHHQNODFKWELM KHW&*%PHOGW]DOJHHQERRGVFKDSKHEEHQDDQGHMXLVWHKDQWHULQJYDQGDWRQGHU VFKHLG+HWEHODQJYDQHHQJRHGHEHJULSVEHSDOLQJLVGDQRRNYRRUDOWKHRUHWLVFK$OV KHWRQGHUVFKHLGWXVVHQ¶EHSHUNLQJ·HQ¶KDQGLFDS·QLHWKHOGHULVHQGHEHJULSSHQRS HHQEHSDDOGPRPHQWTXDEHWHNHQLVZRUGHQRQGHUVFKHLGHQHQGDQZHHUGRRUHONDDU ZRUGHQJHEUXLNWZHWHQZHQLHWSUHFLHVZDWGH&RPPLVVLHRIGHUHFKWHUEHGRHOWDOV GH]H PRHW YDVWVWHOOHQ RS JURQG YDQ ZHW GDW HU ZHO RI JHHQ RQGHUVFKHLG ZRUGW JHPDDNW¶WXVVHQSHUVRQHQRSJURQGYDQHHQZHUNHOLMNHRIYHUPHHQGHKDQGLFDS· 9DQ KHW EHJULS¶KDQGLFDS· ZRUGW LQ GH:JEKF] ZHOLVZDDU PHOGLQJ JHPDDNW PDDU RQWEUHHNWHHQRPVFKULMYLQJ'LHLVHYHQPLQDDQZH]LJLQGH(XURSHVHULFKWOLMQGLHELM GH]HZHWLVJHwPSOHPHQWHHUG+HWHQLJHMXULGLVFKUHOHYDQWHGRFXPHQWGDWRQVYHU GHUNDQEUHQJHQLVKHW91*HKDQGLFDSWHQYHUGUDJ$UWLNHOYDQGDWYHUGUDJRPVFKULMIW ¶SHUVRQHQ PHW HHQ KDQGLFDS· DOV YROJW¶SHUVRQHQ PHW ODQJGXULJH I\VLHNH PHQWDOH YHUVWDQGHOLMNHRI]LQWXLJOLMNHEHSHUNLQJHQGLHKHQLQZLVVHOZHUNLQJPHWGLYHUVHGUHP SHOVNXQQHQEHOHWWHQYROOHGLJGDDGZHUNHOLMNHQRSYRHWYDQJHOLMNKHLGPHWDQGHUHQ WHSDUWLFLSHUHQLQGHVDPHQOHYLQJ·0HQNDQKLHUXLWDIOHLGHQGDWKHWEHJULS¶KDQGL FDS·KHWUHVXOWDDWYRUPWYDQHHQDIZHJLQJWXVVHQKHWREMHFWLHYHPHGLVFKYDVWVWHOEDUH JHJHYHQ YDQ LHPDQGV ODQJGXULJH EHSHUNLQJ HQHU]LMGV HQ GH FRQIURQWDWLH YDQ GH]H EHSHUNLQJ PHW GH I\VLHNH RPJHYLQJ DQGHU]LMGV$OV GH EHSHUNLQJ QDGHOLJH HIIHFWHQ PHW]LFKEUHQJWYRRUGHEHWUHGLQJRIEHQXWWLQJYDQGHI\VLHNHRPJHYLQJRIVRFLDOH UXLPWHZRUGWGHEHWUHIIHQGHSHUVRRQHHQ¶KDQGLFDS·WRHJHUHNHQG¶+DQGLFDS·VWDDWLQ GLW JHYDO QLHW YRRU HHQ EHSDDOGH SHUVRRQOLMNH KRHGDQLJKHLG PDDU YRRU HHQ ]HNHUH PDWH YDQ VRFLDDO QDGHHO PHGH DOV JHYROJ YDQ GLH KRHGDQLJKHLG +RHZHO KHW 91*HKDQGLFDSWHQYHUGUDJ LQ GH DXWKHQWLHNH (QJHOVH YHUVLH KHW ZRRUG¶KDQGLFDS· QLHWNHQWOLMNWDOGXVKHWZRRUGLQGHRULJLQHOH(QJHOVHEHWHNHQLVWHZRUGHQKHUVWHOG QDGHHOEHOHPPHULQJRIKLQGHUQLV
ZOONTJENS HHQKHOGHUHWHUPLQRORJLHRQGHUVFKHLGZRUGWJHPDDNWWXVVHQGHEHJULSSHQEHSHUNLQJ EHOHPPHULQJHQKDQGLFDS :DWLVGHDDUGYDQGHPHGLVFKYDVWJHVWHOGHEHSHUNLQJ" 7RWZHONHEHOHPPHULQJHQOHLGWGHEHSHUNLQJELMEHWUHGLQJRIEHQXWWLQJYDQGH I\VLHNHRPJHYLQJVRFLDOHUXLPWH"
,V HU VSUDNH YDQ HHQ KDQGLFDS YDQ GH EHWUHIIHQGH SHUVRRQ LQ YHUJHOLMNLQJ PHW DQGHUHQ"
'DDUQDNRPWGH&RPPLVVLH]RDOVJH]HJGSDVWRHDDQGHYUDDJPHWEHWUHNNLQJWRW ZHORIJHHQJHUHFKWYDDUGLJGRQGHUVFKHLGRSJURQGYDQKDQGLFDS
ZOONTJENS
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
(ULVJHHQVSUDNHYDQHHQDDQSDVVLQJDOVHHQDQGHUHIXQFWLHZRUGWDDQJHERGHQ%LM KHW YHUULFKWHQ YDQ GRHOWUHIIHQGH DDQSDVVLQJHQ JDDW KHW RP KHW IDFLOLWHUHQ YDQ KHW XLWRHIHQHQYDQZH]HQOLMNHWDNHQGLHELMGHHLJHQIXQFWLHKRUHQ+HWDDQELHGHQYDQ HHQ DQGHUH IXQFWLH YDOW GXV EXLWHQ GH UHLNZLMGWH YDQ DUWLNHO :JEKF] RRUGHOHQ HQ 3.4 Arbeidsvoorwaarden 'HJHOLMNOXLGHQGHRRUGHOHQHQKHEEHQEHWUHNNLQJRSGHKRRJWH YDQHHQGRRUGHVWDDWVVHFUHWDULVYDQILQDQFLs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²SHU MDQXDUL²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
'H &RPPLVVLH DFKW LQGLUHFW RQGHUVFKHLG DDQZH]LJ 'H KRJH NLORPHWHUYHUJRHGLQJ JHOGWYRRUKHQGLHGHSODDWVYDQWHZHUNVWHOOLQJQLHWRIQLHWGRHOPDWLJSHURSHQEDDU YHUYRHUNXQQHQEHUHLNHQ1LHWGHKDQGLFDSPDDUKHWIHLWHOLMNHUHLVJHGUDJLVGDWJHQH ZDDURSGHUHJHOLQJ]LFKULFKW0DDUKHWV\VWHHPOHLGWZHOWRWEHQDGHOLQJYDQGHJURHS YDQ JHKDQGLFDSWHQ GLH KHW ZRRQZHUNWUDMHFW ZHO GRHOPDWLJ SHU RSHQEDDU YHUYRHU 9ROJHQVGHUHJHULQJELMGHSDUOHPHQWDLUHEHKDQGHOLQJYDQKHWYRRUVWHOYDQGH:JEKF]GLHQWHHQDDQSDVVLQJ ´YDQ]HOIVSUHNHQGELQQHQHHQUHGHOLMNHWHUPLMQSODDWVWHYLQGHQµ.DPHUVWXNNHQ,,QUS=LH LQKHWYHUOHQJGHGDDUYDQRRNRRUGHOHQHQ
HANDICAP EN CHRONISCHE ZIEKTE
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¶,PPHUVYHUZHHUGHULVKHWEHYRHJGJH]DJELMZLHYHU]RHNVWHULQ RSHQEDUHGLHQVWLVDDQJHVWHOG9HUZHHUGHUKHHIWDOV]RGDQLJHHQHLJHQYHUDQWZRRUGH OLMNKHLGELMGHXLWYRHULQJYDQHHQUHJHOLQJDOVKLHUYRRUOLJW'DWGHUHJHOLQJLQRYHUOHJ PHWFDRSDUWQHUVWRWVWDQGLVJHNRPHQGRHWGDDUDDQQLHWDI]LHRQGHUDQGHUH+Y-(* PHLQU&5R\DO&RSHQKDJHQ'H&RPPLVVLHRRUGHHOWGHUKDOYHGDW YHU]RHNVWHURQWYDQNHOLMNLVLQKDDUYHU]RHN·
2RN YDOW WH ZLM]HQ RS RRUGHHO (HQ YURXZHOLMNH ZLQNHOEHGLHQGH LQ YDVWH GLHQVWVWHOWGDWKDDUFROOHJD·VPHWLQJDQJYDQMDQXDULHHQORRQVYHUKRJLQJKHE EHQJHNUHJHQWHQJHYROJHZDDUYDQKDDUFROOHJD·VVLQGVGLHQHHQEUXWRORRQRQWYDQJHQ WXVVHQHQ(XURSHUXXUWHUZLMOGHYURXZHHQEUXWRORRQRQWYDQJWYDQ (XURSHUXXU'HYURXZOLMGWDDQILEURP\DOJLHHHQFKURQLVFKH]LHNWHZDDUGRRU]LMLQ WHJHQVWHOOLQJ WRW KDDU FROOHJD·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
ZOONTJENS
WRHNHQQHQYDQHHQORRQVYHUKRJLQJOHLGWGDQWRWLQGLUHFWRQGHUVFKHLG]RDOVRRNLQGH RQGHUKDYLJHFDVXVDDQGHRUGHLV9RRUGDWLQGLUHFWHRQGHUVFKHLGDFKWGH&RPPLVVLH QD HHQ DDQWDO VWHUN RS GH IHLWHQ LQJH]RRPGH RYHUZHJLQJHQ JHHQ UHFKWYDDUGLJLQJ DDQZH]LJ
4 OORDELEN ONDERWIJS
,QGHGULHRRUGHOHQRYHULVYRRUDOYDQEHODQJZDWHURYHUGHYHUSOLFKWLQJWRWKHW YHUULFKWHQYDQDDQSDVVLQJHQGRRUGHRQGHUZLMVLQVWHOOLQJZRUGWRSJHPHUNW'DDUWRH ]DOLNPLMEHSHUNHQ,QSDUDJUDDILVGLWRQGHUZHUSDOEHVSURNHQLQKHWNDGHUYDQ KHW RYHU]LFKW YDQ GH RRUGHOHQ RYHU DUEHLG 'DDUELM LV HUQDDU JHVWUHHIG ² ]RDOV RRN DDQJHJHYHQ ² HHQ PHHU DOJHPHHQ RYHU]LFKW WH ELHGHQ GRRU HU RRN RRUGHOHQ RYHU RQGHUZLMVELMWHEHWUHNNHQ,QGH]HSDUDJUDDI]DOGHSUREOHPDWLHNYDQDDQSDVVLQJHQ EHSHUNWEOLMYHQWRWGDWJHQHZDWVSHFLILHNYRRUKHWRQGHUZLMVJHOGW
:DW LV HHQ GRHOWUHIIHQGH DDQSDVVLQJ LQ KHW EHURHSVRQGHUZLMV" ,Q OLMQ PHW HHQ UHHNV YDQ
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¶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·
,V GH RQGHUZLMVLQVWHOOLQJ DOOHHQ YHUDQWZRRUGHOLMN YRRU GH DDQSDVVLQJHQ ZDDURP QDGUXNNHOLMN ZRUGWYHU]RFKW",QRRUGHHOVWHOGHGHRQGHUZLMVLQVWHOOLQJ]LFKRSKHWVWDQG
HANDICAP EN CHRONISCHE ZIEKTE YDQHLJHQYHUDQWZRRUGHOLMNKHLGELMGHVWXGHQWQLHWDIZLMVWGHQNW]LMRYHUGHJDQJYDQ ]DNHQHHQVODJDQGHUV¶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|U GLQDWRU KDDU FROOHJD·V ELM WLMG HQ ZLMOH DDQJHVSRRUG RP GH DIVSUDNHQ QD WH NRPHQ PDDU]RDOV]LM]HOIKHHIWYHUNODDUGKDDUYRRUQDDPVWHWDDNZDVYHU]RHNVWHUWHVWLPXOH UHQRPHLJHQYHUDQWZRRUGHOLMNKHLGWHQHPHQWHQDDQ]LHQYDQKDDUVWXGLHZDDURQGHU GH YRRU KDDU QRRG]DNHOLMNH DDQSDVVLQJHQ9HUZHHUGHU KHHIW GRRU GH]H KDQGHOZLM]H RQYROGRHQGH XLWYRHULQJ JHJHYHQ DDQ ]LMQ YHUDQWZRRUGHOLMNKHLG RP GRHOWUHIIHQGH DDQSDVVLQJHQWHYHUULFKWHQ]RUJWHGUDJHQGDWDIVSUDNHQGDDURYHUZRUGHQQDJHOHHIG HQRSORVVLQJHQWH]RHNHQDOVGDWQLHWKHWJHYDOLV·
:LHLVLQGHRQGHUZLMVLQVWHOOLQJYHUDQWZRRUGHOLMNYRRUWHWUHIIHQDDQSDVVLQJHQ"2QGHUZLMVLQVWHO
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s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qUHJHZHUNWKDGZHONYHU]RHNJHKR
Overzicht van oordelen 2009