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Published on: June 7, 2018
Conditional reimbursement within the Dutch drug policy
Maartje Niezen1, Antoinette de Bont, Elly Stolk
1Institute of Health Policy and Management, Erasmus MC, Rotterdam, The Netherlands. m.g.h.niezen@erasmusmc.nl
Health Policy (Amsterdam, Netherlands)
|January 9, 2007
Summary
Conditional reimbursement in The Netherlands shows promise for pharmaceutical care but requires improvements in transparency, legitimacy, and stakeholder engagement for optimal impact.
Area of Science:
- Health Policy
- Pharmaceutical Economics
- Public Health
Background:
- Conditional reimbursement is a policy tool in The Netherlands aimed at enhancing pharmaceutical care effectiveness and efficiency.
- Formal status and nationwide regulation of conditional reimbursement allow for greater governmental control over medical decision-making.
Purpose of the Study:
- To evaluate the impact of conditional reimbursement on medicine use.
- To assess its performance as a policy instrument for controlling pharmaceutical expenditure.
Main Methods:
- Analysis of macro-level data on medicine use volumes compared to expected volumes and annual growth trends.
- In-depth case studies using micro-level data to assess prescription compliance.
- Qualitative research including document analysis and interviews (N=65) with stakeholders.
Main Results:
- Conditional reimbursement demonstrates potential as an effective policy instrument.
- Observed medicine use volumes were compared with expected volumes to gauge effectiveness.
- Qualitative data revealed areas for improvement in transparency, legitimacy, feasibility, and stakeholder commitment.
Conclusions:
- Conditional reimbursement can be an effective policy tool for pharmaceutical management.
- Optimizing its impact requires enhancing transparency in setting conditions, ensuring legitimacy, improving procedural feasibility for appropriate use, and timely stakeholder engagement.
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