NL Primary Healthcare System

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Given by Antoinette de Bont, Harkness Fellow

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NL Primary Healthcare System

  1. 1. “ The value of IT is neither straightforward nor easy” De Mul, M., A. de Bont en M. Berg . IT-supported skill-mix change and standardization in integrated eye care: Lessons from two screening projects in The Netherlands, International journal for Integrated care, 16 (7), e 15, 2007.
  2. 2. The future of primary care <ul><li>Larger group practices with multiple teams that provide care </li></ul><ul><li>Integrate care to improve health of communities and populations. </li></ul><ul><li>Quality and safety initiatives </li></ul>
  3. 3. Dutch primary care in 60 seconds <ul><li>Around 4000 small primary care physician practices </li></ul><ul><li>Almost all practices use an electronic record </li></ul><ul><li>A couple of initiatives to use tele care for monitoring patients with chronic diseases </li></ul>
  4. 4. What does the EPR allow us to do <ul><li>Monitoring prescriptions </li></ul><ul><li>Electronic guidelines and formularia </li></ul><ul><li>Exchange of data between GPs and Community Pharmacists(urgent care) </li></ul>
  5. 5. What does tele care allow us to do <ul><li>Call centres that monitoring patients at a distant and inform nurse practitioners in case care is needed </li></ul><ul><li>Webcams and websites that allow patient to become member of an internet communities for patients </li></ul>
  6. 8. Opportunities <ul><li>Pressure to change (Health Care Policy) </li></ul><ul><li>Possibilities to learn (small experiments) </li></ul><ul><ul><li>Op een lijn/ZONMW </li></ul></ul>
  7. 9. For Further information <ul><li>Antoinette de Bont </li></ul><ul><li>[email_address] </li></ul><ul><li>De Bont, A. and R. Ba l. Conflicting perceptions of an inter-disciplinary telemedicine project. How a successful project failed. BMC, Medical Informatics , 8(1):47, 2008. </li></ul><ul><li>De Mul, M., A. de Bont en M. Berg . IT-supported skill-mix change and standardization in integrated eye care: Lessons from two screening projects in The Netherlands, International journal for Integrated care, 16 (7), e 15, 2007. </li></ul><ul><li>Adams, S. and A. de Bont. Information Rx: Prescribing good consumerism and responsible citizenship, Health Care Analysis, 15 (4), 273-290, 2007. </li></ul><ul><li>Van Wijngaarden J., A. de Bont, R. Huijsman. Learning to cross boundaries: the integration of a health network to deliver seamless care. Health Policy, 79(2-3), 203-13, 2006. </li></ul>

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