Nieuwe context voor de wet BIG

In 2013 the Dutch Individual Healthcare Professions Act (known as the BIG law) was evaluated for the second time. The research showed that patients have limited awareness of the registration of healthcare professionals and that the system of reserved procedures is almost unknown. On the other hand, healthcare institutions (especially hospitals) frequently check the register, as do healthcare insurance companies when contracting institutions. Knowledge of the reserved procedures system is moderate amongst professionals too, while the organisation of care is to a great extent based on this system. Since the change of system in 2006 quality assurance in professional practice has been much more rooted in the internal structure of care; in this way, the BIG law did not go the way the legislator intended. According to the researchers, this has not prevented the BIG law from still playing an essential function. Indeed, the BIG law has not reached its final destination, but it may reach its goal via another route.

Conflict of interest: ICMJE forms provided by the authors are available online along with the full text of this article. Financial support: the authors received a grant from ZonMw for the evaluation of the BIG law.