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General Practice in The Netherlands

General Practice in The Netherlands . An update: June 2009. General Practice: developments. General Practice: developments. • Cost containment: benzodiazepine simvastatine, omeprazol • ‘Disease management’ payment system • P4P: 10% improvement indicators

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General Practice in The Netherlands

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  1. General Practice in The Netherlands

  2. An update: June 2009

  3. General Practice: developments

  4. General Practice: developments • Cost containment: benzodiazepine simvastatine, omeprazol • ‘Disease management’ payment system • P4P: 10% improvement indicators 5% patient experience (satisfaction) 5-10% income

  5. General Practice: developments • Patient safety : Practice assessment triage hygiene incidents / accidents • Transparency: set of indicators

  6. Carrot or stick?

  7. NHG-practice assessment

  8. NHG-practice assessment • 2005 • > 1000 GPs (8500, 4500 practices) • > 2100 GPs involved in the process • Involvement Dutch Association • GP teachers (2000 practices)

  9. NHG-PA: improvement plans • Introduction of Protocols in practice • Accessability (telephone) • Structured practice meetings 34% • Asthma / COPD • CVRM • Diabetes 76%

  10. General Practice in the Netherlands

  11. C.J. in ’t Veld, MD, GP c.intveld@nhg.org

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