In addition, most doctors experience negative consequences for their own health. During a disciplinary case, according to Nivel, they feel attacked, criminalized, powerless and angry. Disclosure of a disciplinary measure reinforces these feelings. A disciplinary case also often has financial consequences for doctors, in part because they lose patients.
Disciplinary law is designed to improve and monitor the quality of care. Roeland Friele, Tier's principal investigator, however, sees almost only disadvantages. "The key question is whether we should continue on this path." He believes that alternative measures should be considered.
The Level bases research results on issues for physicians who were involved in 240 disciplinary cases in the period 2012 through 2016 inclusive.