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Comment: Medication process - learning from the Netherlands

There are countless attempts to improve or reform the healthcare system every day. The problem is always the same: There is a historically developed and seemingly complex system that is exposed to numerous different interests and only allows changes slowly. There are only a few thought leaders who continue to advance the system with a free spirit and creativity. Furthermore, it is often dismissed as utopia to completely reinvent it. The concept presented here for the design of a new healthcare system can be derived from the approach of the fashion and automotive industries.

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First publication date: 28.05.2013

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>> Of course, a comparison of health systems is always flawed, even the concrete comparison of sub-areas of very similar systems - such as the Dutch and German health systems - usually shows structural weaknesses. Nevertheless, it is permissible and useful to take a look at neighboring countries, especially if domestic processes seem a little anachronistic and have no really relevant reference to the system. A worthwhile example is the medication process, which is certainly much more efficient and safer in the Netherlands than in Germany.
What is it like in the Netherlands? The paper prescription has been obsolete for some time and is only permitted in exceptional situations. The transitional regulation for the few remaining doctors who have not yet joined this new procedure ends on January 1st, 2015. Of course, the treatment sovereignty also lies with the doctor, but the pharmacist de jure bears joint responsibility for the medication! What does this mean in consequence? The dosage must be listed under each order line on a prescription, which must then be checked by the pharmacist; What's more: the pharmacist has access to relevant vital parameters and can therefore incorporate this into the dosage check, among other things. For currently 23 medications, the indication must also be noted on the prescription; These are drugs that are characterized by a narrow therapeutic range, different dosage regimens or different indication options. As a result, a contraindication check must also be carried out by the pharmacist. ...

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