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

3. Delegation of tasks

4. The involvement of the professionals

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

h.vlek@vilans.nl

The House of Care