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Valuing prevention: lessons and recommendations from a Dutch expert committee
Adriënne Rotteveel1, Saskia Knies2, Ardine de Wit1,3
1Centre for Public Health, Healthcare and Society, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
Summary
Evaluating health prevention investments requires clear methods for cost-benefit analysis. The Netherlands established a committee to guide these crucial prevention investments, influencing policy and future models.
Area of Science:
- Public Health Policy
- Health Economics
- Preventive Medicine
Background:
- Nations face challenges in funding preventive health measures.
- Difficulty exists in comparing prevention costs/benefits against curative care.
- The Netherlands formed a committee in 2023 to address these investment questions.
Purpose of the Study:
- To present key recommendations from a Dutch expert committee on prevention investments.
- To analyze the financing challenges and propose solutions for preventive healthcare.
- To offer insights for other countries based on the Dutch experience.
Main Methods:
- Review of recommendations from a methodological expert committee's advice (published January 2024).
- Analysis of the Dutch institutional and policy context.
- Discussion of financing challenges, proposed solutions, and impact assessment.
Main Results:
- The committee's advice significantly impacted Dutch politics and policy.
- It led to the formation of a new scientific committee and an investment model for prevention.
- Economic evaluation of prevention is comparable to other health investments when using consistent methods.
Conclusions:
- Standardized economic evaluation methods are crucial for comparing prevention and curative care investments.
- The Dutch experience provides a model for addressing prevention investment challenges.
- Clear methodologies can enhance the justification and funding of preventive health strategies.
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