Performance assessment at the gateway of the health care system

Gert P. Westert*, Francois G. Schellevis

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterAcademicpeer-review


In the Netherlands every decade a national Survey of General Practice (DNSGP) is carried out. Data collection for the first two were done in 1987 and 2001. DNSGP-3 is scheduled for 2011. These surveys aim to provide up to date information about the role of general practice in the Dutch health-care system for researchers and policy makers. Data are collected on different levels (patients, general practitioners, practices) and include morbidity (self-report and presented to general practitioners), diagnostic and therapeutic interventions, doctor-patient communication, and background characteristics. Compared to 1987 (the first National Survey), Dutch general practitioners had organized their work more efficiently. Patients were less satisfied (78% satisfied) about the organizational aspects of general practice care than about the care actually provided (90% satisfied). Dutch general practitioners provide high-quality care: on average their performance was in 74% of cases in accordance with national guidelines. Communication in general practice had become less “social” and more medically oriented compared to 1987. General practice still acts in a gatekeeper role; this is illustrated by 96% of contacts handled solely by the general practitioner. DNSGP-3 will provide answers on the performance of general practice in 2011/12.

Original languageEnglish
Title of host publicationTranslational Research for Primary Healthcare
PublisherNOVA Science publishers, Inc.
Number of pages8
ISBN (Electronic)9781624174094
ISBN (Print)9781613246474
Publication statusPublished - 1 Jan 2012

Cite this