1. General Practice in The Netherlands

2. An update: June 2009

3. General Practice: developments

4. 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. 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 Diabetes76%

10. General Practice in the Netherlands

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