Integrated care in the Netherlands suffers from pilotitis: too many pilots says Guus Schrijvers, IFIC Chair
Three hundred and ninety three municipalities, 120 GP cooperatives, 31 financial agencies for long term care (FALTC’s), nine experimental gardens and nine social health insurance concerns in the Netherlands are experimenting with new delivery systems for chronic care. All these, in total, 562 agencies, aim at integrating services, emphasise prevention and health promotion, care provision near to the patient, a holistic approach and working outside of hospitals. Both inside and outside of the Netherlands, experts (I myself included) see these 562 pilots as a symptom of pilotitis: too many pilots. The Netherlands do not have a chronic care policy, which would implement the best pilots nation-wide. Instead, the Netherlands seem to operate according to a particular piece of wisdom from Chairman Mao’s Little Red Book: let thousand, or in this case 562, flowers flourish. Continue reading .....
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