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Publications (10)
Rationale, aims and objective
Primary Care Plus (PC+) focuses on the substitution of hospital‐based medical care to the primary care setting without moving hospital facilities. The aim of this study was to examine whether population health and experience of care in PC+ could be maintained. Therefore, health‐related quality of life (HRQoL) and exper...
Rationale, aims and objective:
Substituting outpatient hospital care with primary care is seen as a solution to decrease unnecessary referrals to outpatient hospital care and decrease rising healthcare costs. This systematic review aimed to evaluate the effects on quality of care, health and costs outcomes of substituting outpatient hospital care...
Healthcare organizations commonly collaborate by sharing human resources attempting to improve quality of care and/or reduce costs. However, little is known about the effects of working at such inter-organizational interfaces on the employees involved. The present paper explores how both vertical and horizontal organizational boundary spanning affe...
Context: Rising expenditures threaten the sustainability of many healthcare systems. In the Netherlands for example, health spending is predicted to rise from 13% of GDP in 2010, to 22% in 2040 [1], straining the affordability of the system [2]. In response, some governments have reformed their nation’s healthcare sector [3]. However, integrating t...
Although rehabilitation for older patients has the potential to improve function and prevent admission to nursing homes, returning home after discharge is not possible for all patients. Better understanding of patient factors related to discharge home may lead to more realistic rehabilitation goals, more targeted rehabilitation interventions and be...
Background
Reinforcing the gatekeeping role of general practitioners (GPs) by embedding specialist knowledge into primary care is seen as a possibility for stimulating a more sustainable healthcare system and avoiding unnecessary referrals to outpatient care. An intervention called Primary Care Plus (PC+) was developed to achieve these goals. The o...
Objective:
To analyse barriers and facilitators in substituting hospital care with primary care to define preconditions for successful implementation.
Methods:
A descriptive feasibility study was performed to collect information on the feasibility of substituting hospital care with primary care. General practitioners were able to refer patients,...
Introduction: If expenses on health care continue to increase at the same pace in the Netherlands, it is expected that healthcare costs as a percentage of the Gross Domestic Product, will rise from 13% in 2010 to 22%-31% in 2040 [1]. This increase threatens the financial stability, accessibility and, sustainability of health care in this country [2...
Introduction: International comparative analysis shows that health care costs per capita are increasing at a faster pace in the Netherlands than elsewhere in Europe [1]. In 2012, the Taskforce Healthcare Expenditures formulated three recommendations to slow down this cost growth: (a) care should 'go back to basic', with the general practitioner (GP...
