News Roundup

GP visits excluded from Netherlands' no claims bonus scheme

BMJ 2004; 329 doi: (Published 21 October 2004) Cite this as: BMJ 2004;329:939
  1. Tony Sheldon
  1. Utrecht

    The Dutch parliament has voted to scrap plans to include visits to or from general practitioners (GPs) in their proposed “no claim bonus” scheme for public health insurance.

    The proposed plan would have meant that patients who used the health service infrequently would have had their rebate reduced every time they saw their family doctor. MPs felt that there should be no disincentive for patients to see their GP, so voted the plan down.

    Because this will raise the cost of the scheme, the government is demanding 4% efficiency savings from general practitioners to compensate for the predicted loss of savings.

    The Dutch Association of General Practitioners has called these savings an “attack on the …

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