Dutch GPs agree to refer fewer patients to hospital and prescribe more generic drugsBMJ 2012; 344 doi: https://doi.org/10.1136/bmj.e4510 (Published 29 June 2012) Cite this as: BMJ 2012;344:e4510
- Tony Sheldon
The long running dispute between the Dutch ministry of health and Netherlands general practitioners is over in a deal seen as guaranteeing stability and growth for the profession, defining their position as the gatekeepers of care.
But in return for annual budget growth and extra funding for modernisation and innovation, GPs must realise savings worth millions of euros from generic prescribing and refer fewer patients to more expensive hospital care.
The minister of health, Edith Schippers, and the GPs Association chair, Steven van Eijck, signed the “covenant” barely eight months after almost two thirds of the Netherlands general practitioners had demonstrated …
Log in using your username and password
Log in through your institution
Register for a free trial to thebmj.com to receive unlimited access to all content on thebmj.com for 14 days.
Sign up for a free trial