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Published on: July 24, 2017
The Netherlands.
1University of Maastricht. HD.Banta@orange.fr
Summary
Health technology assessment (HTA) in The Netherlands has evolved since the 1980s, influencing policy and insurance decisions. While recognized, its impact on clinical practice is less pronounced than in other nations.
Area of Science:
- Health Policy
- Healthcare Management
- Technology Assessment
Background:
- The history of Health Technology Assessment (HTA) in The Netherlands is traced from the early 1980s.
- This descriptive review is based on the experiences of key individuals and policy document analysis.
Observation:
- Progressive attempts to institutionalize HTA began in 1985, leading to a special fund for prospective HTAs impacting insurance coverage.
- The fund's administration broadened to include chronic illness and disability, but internal conflicts shifted its focus from policy to research.
Findings:
- HTA is currently visible and utilized in Dutch governmental policy, particularly for prevention and screening initiatives.
- HTA significantly influences insurance coverage decisions, especially for pharmaceuticals.
- While physicians are familiar with HTA principles and evidence-based medicine, its influence on clinical and administrative decisions is moderate.
Implications:
- The Dutch HTA landscape demonstrates a dynamic interplay between policy needs, funding mechanisms, and research orientation.
- Understanding the historical development of HTA in The Netherlands provides insights into its current role and limitations in healthcare decision-making.
- Future efforts may focus on strengthening the integration of HTA findings into clinical and administrative practices to enhance its overall impact.
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