General Practice in The Netherlands

An update: June 2009

General Practice: developments

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

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

Carrot or stick?

NHG-practice assessment

2005 > 1000 GPs (8500, 4500 practices) > 2100 GPs involved in the process Involvement Dutch Association GP teachers (2000 practices)

NHG-PA: improvement plans Introduction of Protocols in practice Accessability (telephone) Structured practice meetings 34% Asthma / COPD CVRM Diabetes76%

General Practice in the Netherlands

C.J. in ’t Veld, MD, GP