The Netherlands Information Network of General PracticeSlide 3
Overview position of the GP in the Netherlands association and financing what information are gathered and how research extends the futureSlide 4
Organization and subsidizing A j oint venture of: Dutch relationship of GPs Dutch College of GPs Center for Quality of Care Research (WOK) N IVEL Basic foundation supported by the Dutch Ministry of HealthSlide 5
Aims of LINH: Collect data in GP hones for: wellbeing s ervices r esearch nature of consideration exploration general wellbeing observingSlide 6
Representativeness 80 c omputeri s ed general practice s (around 350.000 patients) 6 noteworthy GP programming bundlesSlide 7
Data stream 1. Consistently: full horribleness and mediations recording when all is said in done practice. 2. At regular intervals: extraction programming sent to G P s G P s recover information and sen d it to LINH s torage in focal databaseSlide 8
Data stream (2) 3. Consistently: extraction and transfer of determination of sicknesses in 45 hones flu reconnaissanceSlide 9
Quality confirmation hone choice methods support for ICPC coding broad programming testing and checking information stream systems , quality checks criticism reports to practices practice visits (at any rate bi-every year)Slide 10
History of LINHSlide 11
What information are gathered? contacts + finding + scene writing (new/existing) referrals + related analysis remedies (ATC codes) + partner determination judgments coded utilizing ICPC quiet qualities ( sex, date of conception, postcode zone, sort of protection)Slide 12
Individual patient records take after patients in time (consideration chains) comorbidity comedication linkage to healing facility databases linkage to CBS databases (eg. occupation, ethnicity)Slide 13
Output: a few casesSlide 14
Mean number of home visits and contacts amid counsel hours with the GP per tolerant every year, ordered by, 2003 Annual reports on horribleness, contacts, medicine referrals at www.linh.nlSlide 15
Monthly section in the Journal of the Dutch school of GPs (Huisarts & Wetenschap)Slide 16
Health impacts of firecracker calamity Enschede (2000)Slide 17
Prescription studies off-name endorsing changes in repaid bundleSlide 18
Monitoring yearly Influenza immunization crusadeSlide 19
Evaluation electronic recommending frameworkSlide 20
Sudden changes in dreariness (bioterrorism)Slide 21
Towards an European dismalness system? (the eHID venture)Slide 22
Antibiotics remedy in France and NetherlandsSlide 23
GP repayment in connection to workloadSlide 24
Information Network out of hours administrationsSlide 25
Evaluation assignment appointmentSlide 26
The future (1): Need to adjust to changes in the association of GP consideration presentation of âcall centersâ (triage) presentation of GP communities for out of hours administrations developing part of practice attendants/medical caretaker specialists/doctor aides new referrer: word related medicinal services no referral required for physiotherapySlide 27
The future (2): The following stride in general wellbeing checking week by week extraction of information makes open doors for: observing irresistible illnesses (flu) checking uncommon infections and sudden changes in horribleness designs (bioterrorist assaults)Slide 28
The future (3): Technological advancements ICPC-activated pop-up screens with additional inside and out inquiries to explore grimness not secured by ICPCSlide 29
More about LINH at: www.linh.nl Graph and table headings in EnglishSlide 30
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