Care Rail

← Medical · All 20 for Ischaemic heart disease

Netherlands

Ischaemic heart disease · Cardiovascular

Insurer-organized pathways; low uninsured rate. Acute MI networks + lifelong secondary prevention drugs. GP gatekeeping + insurer care pathways for CVD

Rank in this country#1
Share of deaths13.8%
Master rank#1
System quality rank#2

Access & coverage

Mandatory private insurance, regulated

Mandatory private insurance with tightly regulated benefits and GP gatekeeping

Treatment

  • Door-to-balloon / thrombolysis pathways; cardiac rehab referral
  • Acute reperfusion / stroke pathway where indicated
  • Long-term antiplatelets, statins, antihypertensives, ACE/ARB
  • PCI/CABG or carotid interventions per guideline criteria

Prevention

  • Statin and BP treatment at guideline thresholds in primary care
  • Population BP / cholesterol screening through primary care
  • Tobacco control and salt-reduction programs
  • Secondary prevention after MI/stroke (meds + rehab)

Lifestyle

  • Diet pattern (less sodium, more plants), activity, weight
  • Smoking cessation and alcohol limits
  • Sleep and stress management as adjuncts

What stands out here

Country emphasis: GP gatekeeping + insurer care pathways for CVD

vs master: +0.6 percentage points vs Top 20 average share.