Morbidity, Performance and Quality in Primary Care: Dutch General Practice on Stage
Gert P. Westert, Lea Jabaaij, François G. Schellevis
Radcliffe Publishing, 2006 - Medical - 296 pages
This book is based on the findings of a nationwide study, the aim of which was to analyse general practitioners' performance as gatekeepers of the Dutch healthcare system. The study was undertaken along six themes: the health of the population; inequalities in health; utilisation of care; quality of care; communication; organisation and workload. Morbidity, Performance and Quality in Primary Care involves 400,000 patients, 1.5 million recorded GP-patient contacts and 2.1 million drug prescriptions. This survey appears at a timely moment. It coincides with the recent interest in primary care arising not only from the growing importance of cost containment in healthcare, but also from the now firmly established association between the life expectancy of a population and the existence of a strong primary care sector. The international interest in the Dutch situation is reflected in several chapters, where experts from all over the world put Dutch general practice into an international perspective.
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adherence analysis antibiotics Antillean average behaviour Bilthoven cancer changes chapter clinical communication comorbidity consultation contacts COPD data collection decrease demographic depression developments diabetes mellitus diagnoses differences disorder DNSGP-2 dorsopathies drugs DSM-IV DSM-IV diagnosis Dutch GPs Dutch National Survey elderly electronic medical records epidemiological episodes ethnic female GPs frequently gatekeeper GP's groups guidelines health interview health problems health status healthcare healthcare system higher home visits Huisartspraktijk hypertension ICPC incidence rates increase indicators ischaemic heart disease less LINH migrant morbidity Moroccan Netherlands NIVEL number of GPs organisation otitis media percentage practice assistants Practice DNSGP-2 practice management practice population practitioners GPs prescribed prevalence primary primary care psychiatric psychosocial Public Health questionnaire QUOTE-GP recorded referrals registration respiratory tract infections score second Dutch National secondary care self-rated health social socio-economic Surinamese symptoms Table task delegation tion trends Utrecht variation Westert women workload