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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

Arno Timmermans, president

dutch health care system
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
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
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 netherlands1
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

poor performance coordination of care1
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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