Opstelten Wim, Cals Jochen W L, van der Horst Henriëtte E
Huisartsenpraktijk Vondelplein, Amersfoort.
Contact: Wim Opstelten (
Ned Tijdschr Geneeskd. 2020 Mar 19;163:D4459.
Over the past 10 years there have been significant developments in general practice regarding diagnostics, differentiation of competences of general practitioners, cooperation within primary care and with secondary care, task delegation and patient information provision. Less progress has been made in other areas: E-health applications are rarely used, and there is no clear guideline for an integrated policy in patients with multimorbidity. General practitioners also continue to suffer from excessive regulatory pressure, excessive protocols and standardization. In the coming decade, GPs will continue to work in accordance with the core values of their profession: 'person-oriented', 'medical-generalist', 'continuous' and 'jointly'. Their function to provide guidance is becoming increasingly important. In addition, more diagnostics and treatment will take place at the interface between general practice and secondary care. Chronic care will focus more on the needs and wishes of the individual patient. GPs retain their important role in terminal palliative care and emergency care.
在过去十年中，全科医疗在诊断、全科医生能力区分、初级保健内部以及与二级保健的合作、任务委托和患者信息提供等方面取得了重大进展。在其他领域进展较小：电子健康应用很少使用，对于患有多种疾病的患者，没有明确的综合政策指南。全科医生也继续承受着过度的监管压力、过多的协议和标准化要求。在未来十年，全科医生将继续按照其职业的核心价值观工作：“以人为本”、“全科医疗”、“持续”和“共同参与”。他们提供指导的功能变得越来越重要。此外，更多的诊断和治疗将在全科医疗与二级保健的交界处进行。慢性护理将更多地关注个体患者的需求和愿望。全科医生在终末期姑息治疗和急诊护理中仍将发挥重要作用。
