{"id":132057,"date":"2021-11-01T16:58:53","date_gmt":"2021-11-01T15:58:53","guid":{"rendered":"https:\/\/www.erasmusmagazine.nl\/en\/?p=132057"},"modified":"2025-12-19T11:25:57","modified_gmt":"2025-12-19T10:25:57","slug":"doctors-practice-in-kralingen-inundated-with-international-students-asking-to-be-accepted-as-patients","status":"publish","type":"post","link":"https:\/\/www.erasmusmagazine.nl\/en\/2021\/11\/01\/doctors-practice-in-kralingen-inundated-with-international-students-asking-to-be-accepted-as-patients\/","title":{"rendered":"Doctor’s practice in Kralingen inundated with international students asking to be accepted as patients"},"content":{"rendered":"

Ever since the Jans general practice centre opened its doors in June, more than a thousand international students have requested to be registered as patients, and the GPs still receive applications from prospective new patients to this day. \u201cThe extent to which these students are missing out on healthcare is even greater than we believed,\u201d say the two managers of the practice, Luc Jansen and Diederik Dolk, who had no choice but to temporarily stop accepting international students as new patients and are seeking to find a suitable solution in association with the university.<\/p>\n

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Luc Jansen (left) and Diederik Dolk, managers of the Jans general practice centre in Kralingen.<\/span><\/p>

\n\t\n\n<\/svg>\n<\/span>\n\tImage by:<\/span>\n\n\t\t\t\n\t\t\t\t\t\t\tAmber Leijen<\/a>\t\t\t\t\t<\/span>\n\t<\/p>\n<\/figcaption><\/figure>

Due to the serious shortage of general practitioners (family doctors) in Rotterdam and due to the complexity of the Dutch healthcare system, international students are not receiving the care they need, say Jansen and Dolk. When their practice opened in June, they called on international students to register as patients, but the response was such that they have been forced to temporarily stop accepting new patients. \u201cWe are overwhelmed by the severity of the problem,\u201d says Jansen. \u201cOther general practices often refuse to accept these students as patients because they require so much additional admin. Since we were new on the scene, we decided to accept patients from this group, and as a result, the practice has come under an enormous amount of pressure.\u201d<\/p>\n

No basic healthcare plan<\/h2>

One major complicating factor is health insurance. International students are required to take out health insurance, but are not allowed to sign up for the basic healthcare plans offered by Dutch insurers. As a result, they must get a European Health Insurance Card (EHIC) or take out special student insurance with AON. \u201cThese students require far more complex admin than students who have a Dutch basic healthcare plan,\u201d Dolk explains.<\/p>\n\n\t

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\n\t\t\u2018These students require far more complex admin than students who have a Dutch basic healthcare plan\u2019\n\t<\/blockquote>\n\n\t<\/figure>\n\t\t<\/div>\n\t<\/div>\n

\u201cThose practices that do accept these students as patients generally don\u2019t receive a monthly allowance for having them on their books, and the costs of the care they receive aren\u2019t automatically taken care of, either. In other words, patients must pay their medical bills as an out-of-pocket expense and submit a reimbursement claim to their insurer after the fact. It\u2019s no use sending the students to an after-hours service provider, because those are only allowed to accept emergencies. And they can\u2019t go to the hospital, either, because that requires a referral by a GP. As a result, we\u2019re seeing students with advanced medical issues in our practice.\u201d<\/p>\n

Incomplete information<\/h2>

And those are not the only problems Jansen and Dolk have run into at their own practice. \u201cInternational students\u2019 GP consultations tend to take a lot longer \u2013 for instance, because they are generally unfamiliar with the Dutch healthcare system or because we lack information on their medical history. For instance, when you have a Dutch student in front of you, the system will tell you what medicines they are taking or what kinds of allergies they have. With international students, that kind of information doesn\u2019t automatically show up in their medical records, meaning we must obtain it,\u201d Dolk explains. \u201cMost GPs are quite busy with their own patients as it is, so they generally won\u2019t accept such students as patients.\u201d<\/p>\n

Jansen and Dolk feel that the way the Dutch healthcare system is organised is causing international students to fall through the cracks. They are seeking to come up with a sustainable solution to the problem in association with the university. \u201cAt present, international students cost our general practice more than they bring in. We really want to help these students, but must do so in a way that really helps them. For instance, in addition to the types of services normally provided by GPs, they must be provided with information, as well, such as information on the various options available in our healthcare system, and on health insurance.\u201d<\/p>\n\n\t

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