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Technology assessment, priority setting, and appropriate care in Dutch health care.

by Marc Berg, Tom van der Grinten, Niek Klazinga
International journal of technology assessment in health care ()

Abstract

This article provides a critical analysis of the impact of health technology assessment (HTA) on priority setting in The Netherlands. It describes the limited steering powers of the Dutch government; its complex interactions with insurers, health-care providers, and patients; and the role of HTA in this context as an attempt to rationalize the debate about cost-effectiveness issues. HTA has been drawn upon for decision making on the health insurance package. Also, HTA findings have been linked to the national guideline development programs of the medical community. However, these impacts by no means have been straightforward. We argue that the political nature of the priority-setting debate asks for a broader approach to what constitutes HTA, and how it should be drawn upon in priority setting. Suggestions are made on how to do justice to the social dynamics of decision making and the behavior of stakeholders in health-care systems.

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Authors on Mendeley

Readership Statistics

13 Readers on Mendeley
by Discipline
 
 
 
by Academic Status
 
23% Student (Master)
 
15% Other Professional
 
8% Senior Lecturer
by Country
 
8% Netherlands
 
8% United States

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