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The Netherlands. Results National Programme Integrated Dementia Care Anne-marie Bruijs 10 march 2012. @annembr. Facts about dementia. 16 million residents 250.000 with dementia 100.000 no diagnosis diagnosis? 2,8 yrs (>65) 4,6 yrs (<65) 70% living at home.

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Annembr

The Netherlands

Results

National Programme Integrated Dementia Care

Anne-marie Bruijs10 march 2012

@annembr


Annembr

Facts about dementia

16 million residents

250.000 with dementia

100.000 no diagnosis

diagnosis? 2,8 yrs (>65) 4,6 yrs (<65)

70% living at home

Special groups:12.000 < 65 years old 14.000 migrants

Anne-marie Bruijs @annembr


Annembr

Who pays for dementia?

Personal health insurance

National insurance (long term care)

Municipalities (upcoming)

Incentives government (National Programme)

Anne-marie Bruijs @annembr


Annembr

Aims 2009-2011 Expressed in the Guideline for Integrated Dementia Care (National Programme)

1) Integrated dementia care

2) Case management dementia

Anne-marie Bruijs @annembr


Annembr

Did we succeed? Results(1) Integrated dementia care (2) case management

2008:16 best practice regions (region = 200.000 residents)

2012:78 dementia regionsand 9 yet to start (= 90% coverage)

Anne-marie Bruijs @annembr


Annembr

Did we succeed? Dementia region = (1) Integrated dementia care (2) case management

Who? A chain of: doctors, hospitals, council workers at municipalities, health providersWe say: “please join!”

What?* incidence & prevalence rates* better adjustment & referral* early diagnosis, better care

Why?The regional/national demand

Anne-marie Bruijs @annembr


Annembr

Did we succeed? How we work…(1) Integrateddementia care (2) case management

With 52 regional chapters and 120 lobbyists:

We participate & motivate in the 78 (+9) regions

We negotiate with* the National Insurars’ Association (ZN) and its 9 regional offices 2/yr* the National Municipality Association (VNG)

Anne-marie Bruijs @annembr


Annembr

Did we succeed?(1) Integrated dementia care (2) Case management

Case manager is a crucial link in the care chain72% of the regions have case managers, more or less(25% coverage of the needs)

Fact or fiction:Our goal is case management in personal health insurance in 2014

Anne-marie Bruijs @annembr


Annembr

Next steps (2012 ->)

Implementing the NationalCare Standard on Dementia

* definition of: what is good dementia care* written by: scientists, doctors, caregivers* to be implemented by: regions, insurars

Anne-marie Bruijs @annembr


For information or exchange of results please contact
For information or exchange of results please contact:

Anne-marie Bruijs

a.bruijs@alzheimer-nederland.nl

@annembr


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