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The actual role of general practice in the Dutch health-care system: results of the Second Dutch National Survey of General Practice.

Schellevis, F.G., Westert, G.P., Bakker, D.H. de. The actual role of general practice in the Dutch health-care system: results of the Second Dutch National Survey of General Practice. Journal of Public Health: 2005, 13(5), 265-269
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A second Dutch National Survey of General Practice was carried out in 2001 with the aim of providing actual information about the role of general practice in the Dutch health-care system for researchers and policy makers. Data were collected on different levels (patients, general practitioners, practices) and included morbidity (self-report and presented to general practitioners), diagnostic and therapeutic interventions, doctor-patient communication, and background characteristics. Compared to 1987 (the first National Survey), Dutch general practitioners had organized their work more efficiently. Patients were less satisfied (78% satisfied) about the organizational aspects of general practice care than about the care actually provided (90% satisfied). Dutch general practitioners provide high-quality care: on average, their performance was in 74% of cases in accordance with national guidelines. Communication in general practice had become less social and more medically oriented compared to 1987. General practice still acts in a gatekeeper role; this is illustrated by 96% of contacts handled solely by the general practitioner. (aut.ref.)
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