Identification and priority setting for health technology assessment in The Netherlands: actors and activities.

TitleIdentification and priority setting for health technology assessment in The Netherlands: actors and activities.
Publication TypeJournal Article
Year of Publication1999
AuthorsOortwijn W, Banta D, Vondeling H, Bouter L
JournalHealth policy (Amsterdam, Netherlands)
Volume47
Issue3
Pagination241-53
Date Published1999 Jun
ISSN0168-8510
KeywordsDecision Making, Organizational; Health Priorities; Health Services Research; Insurance, Health; Netherlands; Policy Making; Technology Assessment, Biomedical
AbstractThis article describes the actual situation at the beginning of 1999 with regard to identification and priority setting for health technology assessment (HTA) on a national level in the Netherlands. For this purpose the literature on HTA published in 1980-1998, mainly national, was thoroughly reviewed. Many policy documents and other reports from the 'grey literature' of identification and priority setting for HTA in the Netherlands were also used. The results show that attempts to identify and set priorities for HTA is a new activity in the Netherlands. The three most important actors in the field are the Health Council, the Council for Health Research and the Health Insurance Council. Methodologies differ depending on the content and scope of each programme. In addition, the methods used are not always transparent and the activities are not co-ordinated. The lack of co-ordination is due to the fact that there is no single organisation that is authorized to identify and set priorities for HTA. Suggestions for improving co-ordination are proposed with the aim of developing a truly national effort in this field, which will enable a more balanced and efficient set of HTA activities.
Alternate JournalHealth Policy