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Nederlands Huisartsen Genootschap Dutch College of General Practitioners

Nederlands Huisartsen Genootschap Dutch College of General Practitioners Arno Timmermans, president. Dutch Health Care System. Dual System General law on exceptional health care costs (27 %) long term treatments (nursing homes, long term semi permanent hospitalisation) disability costs

emmanuel-parsons
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Nederlands Huisartsen Genootschap Dutch College of General Practitioners

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  1. Nederlands Huisartsen Genootschap Dutch College of General Practitioners Arno Timmermans, president

  2. Dutch Health Care System Dual System • General law on exceptional health care costs (27 %) • long term treatments (nursing homes, long term semi permanent hospitalisation) • disability costs • Health Insurance (41 %) • All essential health care, mandatory, universal coverage, private health insurers • Additional optional health insurance packages (4%) • Taxes (14 %) • Out of pocket (9%) • Others (4%)

  3. Universal basic coverage • Premium not related to health status or age • Children under 18 free • Compensation for low incomes Funding: 50 % employers 45 % insured person 5 % government Premium: approx. $130 a month (variation approx. 5%)

  4. Primary Care in the Netherlands • Most GP’s self employed or working for another GP • Patient list • Gate keeper system • Standard GP list 2350 • Consultation rate 6/ year (consultations, telephone consultations, prescriptions) • Combined: capitation fee and fee for service

  5. Primary Care in the Netherlands GP Practice: • GPs (most group practices, health centers, fewer single handed) • Practice assistants • Practice nurse (chronic care) Otherprimary care workers: • Physiotherapists, dieticians, midwives, psychologists, district nurses , pharmacists

  6. Best survey findings: costs as a barrier

  7. Best Survey findings: visit to the emergency care

  8. Best Survey findings: Diabetes HbA1c

  9. Poor performance: coordination of care

  10. Poor performance: coordination of care Strategy : • Improving collaboration GP´s/ medical specialists-hospital • Strengthening the role of GP’s/GP practices as coordinator of care

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