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Vision on chronic care in Belgium,reviewed from dutch point of view dr Hans Vlek
Who am I?
• GP, from 1980 till 2010• Senior advisor, Vilans centre of
expertise in long term care, in Utrecht, from 2010
• Projectmanager, Slimmer met Zorg, from 2013
(Smarter in Care), in Eindhoven region • PhD: thesis ‘Cardialogue’, 2000
% GNP for health care
Our job
To do more for less..
Issues
1. 7th area of action:
the field of healthy functioning
2. Substitution of care
3. Delegation of tasks and Case management
4. The involvement of the professionals
1.The field of healthy functioning
Health
the abilty to adapt and to self manage
Huber M. et al., BMJ, 2011
2. Substitution of care
Ontzorgen en zelfmanagement
Substitutie
Versterken eerste lijn
Deelpopulatie
0e 0e
1e
2e
1e
2e
2014 2020
Power to the patiënt
Triple aim
Advise
Pay attention to substitutionPay attention to the triple aim concept
Add the area of healthy functioning
It is time to introduce the pratice nurse in primary care
Advise
See that the professionals get (better) involved
Thank you for your attention
The House of Care