Netherlands COPD Index
Rank
(out of 24 countries)
18
Index Score
(out of 100)
64.23
Deaths
(as a % of overall deaths)
6.32%
Smoking Rate
22.2%
Societal Costs
(cost per person)
$1877
Above average performance
Average performance
Below average performance
The Netherlands’ score in the Access and Care Coverage category is high, with good conditions for access to treatment, drugs, and diagnosis.
The Netherlands’ score in the Access and Care Coverage category is high, with good conditions for access to treatment, drugs, and diagnosis. However, the Netherlands could further improve its score by addressing its approach to care referral pathways. The Netherlands’ score in the Health System Characteristics category is above average, with a relatively high number of primary care doctors, but a need for better health data collection and reporting and an increased density of respiratory specialists. In the Environmental Factors category, the Netherlands scores above average, presenting the lowest level of occupational exposure to COPD risk factors. However, the Netherlands score in the Disease Burden category is below average, with a high COPD death rate and estimated societal cost. The Netherlands scores below average in the Policy Context category due to its lack of a COPD strategy, despite good adherence to COPD guidelines and strong tobacco control policies.
COPD Index Key Takeaways
Data from the COPD Index revealed the following takeaways regarding COPD care in The Netherlands.
Good conditions for access to diagnosis and treatment
High COPD societal cost and high death rate, suggesting underdiagnosis or late diagnosis remains an issue
Strong adherence to COPD guidelines, but overall score could be significantly improved by a national strategy for COPD
Best Practices for COPD Care
Data from the COPD Index revealed the following best practices regarding COPD care in The Netherlands.
Assessment of Burden of COPD (ABC) tool (Ziektelastmeter COPD)
Quality standard COPD lung attack with hospital admission
Conversation tool "I-HARP for COPD" for early identification of palliative care needs in patients with chronic obstructive pulmonary disease
Challenges for COPD Care
Data from the COPD Index revealed the following challenges regarding COPD care in The Netherlands.
Lack of awareness of COPD
Need for integrated and interdisciplinary care
Lack of comprehensive prevention approaches
Opportunities for COPD Care
Data from the COPD Index revealed the following opportunities regarding COPD care in The Netherlands.
Early diagnosis and standardised screenings at the primary care level
Interdisciplinary collaboration in care (primary, secondary, home care, and rehabilitation)
Early action on lung attacks to prevent readmissions
Compare Netherlands to other countries
Select different countries to see how they scored across each of the 5 categories and overall
Key Contributor Insights
“[Good practices in country are that] … Accessibility seems no issue, as there are sufficient GP's and pulmonologists available, as well as health care professionals. Also, facilities, including lung function equipment, CT scan etc are all availabe throughout the country.”
“[The challenge is that] … In primary care where the majority of the COPD population is treated, including patients with a significant disease burden, the main care trajectory is mostly carried out monodisciplinary by a general practitioner. Referral of symptomatic patients with obstructive lung disease to physiotherapy, occupational therapy, respiratory nurse or other allied health care by the general practitioner occurs hardly.”
“[The challenge is that] … Financing for procedures, not outcomes (reducing the burden of disease/COPD patients/hospital admissions)…provides an unwanted financial incentive… Reimbursement system not designed for interdisciplinary collaboration”
Sources
You can view the data sources for this country HERE