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

TitleTechnology assessment, priority setting, and appropriate care in Dutch health care.
Publication TypeJournal Article
Year of Publication2004
AuthorsBerg M, van der Grinten T, Klazinga N
JournalInternational journal of technology assessment in health care
Volume20
Issue1
Pagination35-43
Date Published2004 Winter
ISSN0266-4623
KeywordsCost-benefit analysis; Delivery of health Care; Health Care Rationing; Health Priorities; Netherlands; Policy Making; Public Health; Technology Assessment, Biomedical
AbstractThis 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.
Alternate JournalInt J Technol Assess Health Care