‘Power health insurers cause excessive care pressure’

Due to an excess of authority but a lack of practical and professional knowledge, the health insurer puts unnecessary pressure on the practice nurse and practice nurse in GP care. Today, it is not the healthcare professional, but the healthcare insurer that determines what care is offered to chronic and psychiatric patients. The NVvPO signals an increase in chronic and psychiatric patients, as well as an increase in practice nurses and practice nurses who want to leave the care because of the purchasing policy of the same health insurers. Together with four joint professional associations in general practitioner care, the NVvPO will be present on the Malieveld on 1 July in a manifestation for the preservation of person-oriented general practitioner care. This is reported by NVvPO.

Petra Portengen, chairman of the NVvPO: “The healthcare system is stuck. Health insurers sit in the chair of the health care professionals and determine not only the purchasing policy, but also which diploma they must have and how the work must be done. Offering a chronic patient an online solution for the complex problems that they are confronted with , is the ultimate. Statements and determining policy of the insurers are causing unrest in general practitioner care, an environment where the workload is already too high. The power of the health insurers has become too great and must be returned to the health care professional in the field.”


Within general practitioner care, the practice nurse and the practice nurse are responsible for, among other things, the care of the chronically ill. The increasing number of chronically ill people in the Netherlands (50%) makes the role of POH’s increasingly important. Research among 2,188 healthcare professionals shows that 15% are considering leaving GP care because of ‘purple crocodiles’, excessive work pressure and excessive administrative burden. At the same time, the health insurer determines that the activities must be reduced and that there is less time for activities. Practice also shows that more and more patients from secondary care are returning to primary care. The work and the pressure are mounting.


Chronically ill patients in primary care are the responsibility of the practice nurse and practice nurse. A chronic illness entails physical, psychological and social consequences, in which the patient must learn to deal with (drastic) physical changes, fear and uncertainty. As a professional, the POH is familiar with the consequences and knows how to map out the best care route together with the patient. Good guidance ensures the best process, appropriate for the patient. Portengen: “The health insurer only sees the clinical picture and even simply refers to an online solution or lifestyle coach. For our practice nurses, this is not only an underestimation and undervaluation of their profession, it is also an absolute underestimation of the effects of a chronic disease on the patient.”

By: National Care Guide

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