Managing costs and access to healthcare in the Netherlands: impact on primary care

Weel, Chris van; Knottnerus, J. A.; Schayck, Onno C. P. van

doi:10.1136/bmj.m1181

Cited by 5 publications

(3 citation statements)

References 16 publications

(20 reference statements)

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“…In the Netherlands, there is universal healthcare which means that citizens do not have financial barriers when requesting medical attention [ 16 ]. Additionally, the compulsory insurance covers almost all costs for hospitals and primary care [ 16 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

The association of socioeconomic status on treatment strategy in patients with stage I and II breast cancer in the Netherlands

Filipe

Siesling

Vriens

et al. 2021

Breast Cancer Res Treat

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Background Previous studies have shown that socioeconomic status (SES) influences breast cancer therapy. However, these studies were performed in countries with unequal access to healthcare. Therefore, the aim of this study is to investigate whether SES also contributes to the likelihood of receiving a certain therapy in the Netherlands, a country with supposedly equal access to healthcare. Materials and methods From the Netherlands Cancer Registry, 105,287 patients with newly diagnosed stage I or II breast cancer diagnosed between 2011 and 2018 were selected for analysis. SES was calculated from the average incomes of each postal code, which were divided into 10 deciles. Primary outcome was the effect of SES on the likelihood of undergoing surgery and secondary outcome was the effect of SES on the likelihood of the type of surgery. Both outcomes were corrected for patient, tumor, and hospital characteristics and were expressed as odds ratio (OR) with 95% confidence interval (CI). Results SES did not affect the likelihood of a breast cancer patient to undergo surgery (OR 1.00 per 10% stratum). In contrast, increased age and higher tumor stage were the most important factors determining whether patients underwent surgery. Patients with higher SES were less likely to undergo mastectomy (OR 0.98). Additionally, more recently diagnosed patients were less likely to undergo mastectomy (OR 0.93 per year) while patients with higher tumor stage were more likely to undergo mastectomy (OR 3.42). Conclusion SES does not affect whether a patient undergoes surgery; however, higher SES increased the likelihood of BCT.

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Section: Introductionmentioning

confidence: 99%

The association of socioeconomic status on treatment strategy in patients with stage I and II breast cancer in the Netherlands

Filipe

Siesling

Vriens

et al. 2021

Breast Cancer Res Treat

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“…At the same time, there are increasing shortages of physicians and nurses in many countries [ 3 ]. In primary care—central to the provision of health care and a gatekeeper to hospital care—general practitioners (GPs) are experiencing an increased workload, challenging the provision of high-quality care [ 4 – 6 ]. Pharmacists, who are qualified medication experts with a range of knowledge and skills, have been introduced in general practice to cope with this challenge [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Pharmacists in general practice: what do they do? A qualitative case study

Kempen,

Koumi,

Sporrong

2023

Int J Clin Pharm

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Background Pharmacists working in general practice are a relatively new phenomenon in many European countries. Providing insight into what pharmacists do in general practice may support further implementation of general practice-based pharmacist roles and enhance their contribution to health care. Aim To explore the tasks performed by pharmacists in general practice in Sweden. Method A case study was conducted in 7 general practices in Uppsala County, Sweden, where pharmacists were employed. Activities performed by pharmacists were self-reported during March 2021. Participant observations and semi-structured interviews with pharmacists were conducted between October and November 2021. Self-reported activities were categorised and analysed using descriptive statistics. Qualitative data were analysed using conventional content analysis. Results In total, 174 activities were self-reported by 8 pharmacists. Two pharmacists were observed for 2 days each, and 6 pharmacists were interviewed. Their main task was conducting medication reviews in older patients with polypharmacy. In addition, they handled a broad variety of drug-related questions and treatment follow-up. Pharmacists described working in a more efficient and needs-based manner over time. They stressed that working at the practice increased their accessibility to and their collaborative work with other healthcare professionals, and enabled them to meet patients face-to-face. Future challenges include defining tasks more clearly, assuming greater responsibility for patient care, and meeting the growing demand for pharmacists in general practice. Conclusion Pharmacists in general practice in Sweden perform a broad variety of tasks related to identifying, resolving and preventing drug-related problems, mainly in older patients with polypharmacy.

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“…Healthcare can be either short term or long term. Netherlands home doctors form the principal part of the first echelon (25). The Dutch health system is effective compared to western countries.…”

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confidence: 99%

Reviewing the Top Health Systems with Comparison to Iraqi Health System

Alhiti¹

2021

JFacMedBagdad

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Background: The assessments of performance in any health system is a challenging goal. Objectives: This article reviews the top healthcare systems then compares them to Iraqi health system. Patients and methods: The top 12 commercial Health Systems in 2020 ranked by a survey of more than 20,000 international citizens from 73 countries on 65 diverse metrics. These metrics vary from simple to critical health system performance criteria. Results: Up to January 2020, the review shows that Canada has the top Health System. Most other top countries are Europeans. There are some strong and weak points in each health system. Iraqi health system struggles with several obstacles that need a rehabilitation. Conclusions: Iraqi health system needs some improvements. The Netherlands Health system model improves the Iraqi health system.

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Managing costs and access to healthcare in the Netherlands: impact on primary care

Abstract: Dutch reforms show how an expanded role for primary care can help ensure that healthcare systems continue to meet population needs, say Chris van Weel and colleagues

Cited by 5 publications

References 16 publications

The association of socioeconomic status on treatment strategy in patients with stage I and II breast cancer in the Netherlands

The association of socioeconomic status on treatment strategy in patients with stage I and II breast cancer in the Netherlands

Pharmacists in general practice: what do they do? A qualitative case study

Reviewing the Top Health Systems with Comparison to Iraqi Health System

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