Complex Governance Does Increase Both the Real and Perceived Registration Burden: The Case of the Netherlands

Comment on “Perceived Burden Due to Registrations for Quality Monitoring and Improvement in Hospitals: A Mixed Methods Study'

The burden of registrations for care professionals should be more firmly on the policy agenda. In a rigorous study, Marieke Zegers and colleagues make a compelling argument why that should be the case. In Dutch hospitals, the average professional spends 52.3 minutes a day on quality registries and monitoring instruments. The issue at hand is very complex and more operational efficiency alone will not solve this problem...

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How the logics of the market, bureaucracy, professionalism and care are reconciled in practice:

an empirical ethics approach


Florien M. Kruse, Wieke M. R. Ligtenberg, Anke J. M. Oerlemans, Stef Groenewoud and Patrick P. T. Jeurissen
BMC Health Services Research volume 20, Article number: 1024 (2020)

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Identifying and de-implementing low-value care in primary care: the GP’s perspective—a cross-sectional survey

General practitioners have an important role in reducing low-value care as gatekeepers of the health system in The Netherlands. The aim of this study was to assess the experiences of Dutch general practitioners regarding low-value care and to identify their needs to decrease low-value primary care.

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Sustainable healthcare for all citizens

All Dutch citizens have access to healthcare. High quality access at that. Some studies even claim that it is the best healthcare worldwide. Even so good, sustainable healthcare is not a matter of course, not even in our Western world. Why is that? Because care comes at a price. Healthcare in the United States is the most expensive in the world, with us finishing second. We spend twelve percent of all the money earned in our country on healthcare. Plus costs are continuously increasing: five percent every year, which amounts to seven billion Euros for just this cabinet period.

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