Shifting care from hospitals to general practice from the health insurers' perspective: an interview study.

ABSTRACT:

Background

Policymakers have embraced substitution of hospital care to more affordable primary care as a means to contain rising healthcare costs and provide care closer to home. Health insurers play an important role in the extent to which substitution of care takes place. This study explores the perspective of Dutch health insurers on barriers and facilitators to facilitate a shift from hospitals to general practice in the current healthcare system.

Methods

Semi-structured group interviews were conducted with healthcare purchasers from various health insurers, involving fifteen participants from seven insurers representing 76.5% of the market. Thematic analysis was used to identify perceived facilitators and barriers for effective substitution of care.

Results

Long-

SUBMITTER: Dros JT 

PROVIDER: S-EPMC12632074 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature