General practice care

For years, LINH has been providing the national reference data on the care given in Dutch GPs’ practices. This concerns both the number of interactions between patients with the practice, and the actions of GPs, especially the amount of prescribed medication and referrals to other care professionals. What’s unique about the health care data from LINH is the fact it is linked to information about indications for care supply. This makes it possible to do research into the efficiency of prescription and referral policy, for example. The research into the efficiency of general practice mainly focuses on the correlation between demand and supply in general practice, on the involvement of various members of practice staff (practice assistants, practice nurses) in care and the correlation between the work load and the quality of general practice care.

The guidelines for optimal care, especially the so-called NHG-standards, based as much as possible on scientific evidence, make it possible to measure the quality of care given by GPs. For this, indicators are used which makes the quality of care visible quantitatively, for instance as a feedback report for individual GPs, for benchmarking, and for the facilitation of supervision by the Dutch Health Care Inspectorate.

Considering the increasing attention given to primary care cooperation and the activity-focused orientation of health care, NIVEL’s current monodisciplinary information systems (LINH for general practice; LIPZ for allied health care; LINEP for primary care psychologists) are no longer suited to the reality of integrated primary care. Therefore, in the near future NIVEL’s goal will be an integrated information supply about primary care.