Can the Use of Health Insurance Claim Data Benefit the Risk-Based Supervision of General Practitioner Practices? An Exploratory Study in the Netherlands.

Rudolf Bertijn KoolReinier Peter AkkermansIne BorghansCorline BrouwersSander Ranke

Published in: International journal of health policy and management (2020)

The Dutch Health and Youth Care Inspectorate might use claim data to calculate indicators on costs, the prescribing of reserve antibiotics and emergency admissions during the weekend, when setting priorities for its visits to GP practices. Visiting more GP practices by the Health and Youth Care Inspectorate, and identifying substandard care, is necessary to validate the use of these indicators.

Keyphrases

healthcare
health insurance
affordable care act
primary care
mental health
public health
palliative care
quality improvement
physical activity
young adults
electronic health record
emergency department
pain management
risk assessment