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The Netherlands. Results National Programme Integrated Dementia Care Anne-marie Bruijs 10 march 2012. @annembr. Facts about dementia. 16 million residents 250.000 with dementia 100.000 no diagnosis diagnosis? 2,8 yrs (>65) 4,6 yrs (<65) 70% living at home.
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The Netherlands Results National Programme Integrated Dementia Care Anne-marie Bruijs10 march 2012 @annembr
Facts about dementia 16 million residents 250.000 with dementia 100.000 no diagnosis diagnosis? 2,8 yrs (>65) 4,6 yrs (<65) 70% living at home Special groups:12.000 < 65 years old 14.000 migrants Anne-marie Bruijs @annembr
Who pays for dementia? Personal health insurance National insurance (long term care) Municipalities (upcoming) Incentives government (National Programme) Anne-marie Bruijs @annembr
Aims 2009-2011 Expressed in the Guideline for Integrated Dementia Care (National Programme) 1) Integrated dementia care 2) Case management dementia Anne-marie Bruijs @annembr
Did we succeed? Results(1) Integrated dementia care (2) case management 2008:16 best practice regions (region = 200.000 residents) 2012:78 dementia regionsand 9 yet to start (= 90% coverage) Anne-marie Bruijs @annembr
Did we succeed? Dementia region = (1) Integrated dementia care (2) case management Who? A chain of: doctors, hospitals, council workers at municipalities, health providersWe say: “please join!” What?* incidence & prevalence rates* better adjustment & referral* early diagnosis, better care Why?The regional/national demand Anne-marie Bruijs @annembr
Did we succeed? How we work…(1) Integrateddementia care (2) case management With 52 regional chapters and 120 lobbyists: We participate & motivate in the 78 (+9) regions We negotiate with* the National Insurars’ Association (ZN) and its 9 regional offices 2/yr* the National Municipality Association (VNG) Anne-marie Bruijs @annembr
Did we succeed?(1) Integrated dementia care (2) Case management Case manager is a crucial link in the care chain72% of the regions have case managers, more or less(25% coverage of the needs) Fact or fiction:Our goal is case management in personal health insurance in 2014 Anne-marie Bruijs @annembr
Next steps (2012 ->) Implementing the NationalCare Standard on Dementia * definition of: what is good dementia care* written by: scientists, doctors, caregivers* to be implemented by: regions, insurars Anne-marie Bruijs @annembr
For information or exchange of results please contact: Anne-marie Bruijs a.bruijs@alzheimer-nederland.nl @annembr