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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

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Nederlands Huisartsen Genootschap Dutch College of General Practitioners

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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

  • 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%)


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%)


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


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


Best survey findings: costs as a barrier


Best Survey findings: visit to the emergency care


Best Survey findings: Diabetes HbA1c


Poor performance: coordination of care


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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