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Development and Evaluation of a Multi-Criteria Decision Framework in the Dutch Reimbursement Setting

Top, J.T. van den (2014) Development and Evaluation of a Multi-Criteria Decision Framework in the Dutch Reimbursement Setting.

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Abstract:In the Netherlands, the National Health Care Institute (ZiNL) has the responsibility to advice the Minister of Health Welfare and Sport (VWS) about what should be included in the basic health care package. The advisory process of ZiNL consist of four phases. The focus of this project was on the appraisel phase. In this phase the Advisory Committee Packet (ACP) assesses information from the different package criteria (effectiveness, cost-effectiveness, necessity, and feasibility). The objective of this study was to clarify and structure the current deliberative decision process of the ACP. It was explored whether this process could and should be structured with use of Multi-Criteria Decision Analysis (MCDA) and whether this contributes to the transparency and consistency of the process. It is thought that in order to be consistent in future advices, relative weights for the criteria should be determined. Moreover, the addition of the framework to the deliberative process will lead to more transparency which is demanded by the general public, patients, patient advocacy groups, and other stakeholders.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:01 general works
Programme:Health Sciences MSc (66851)
Link to this item:http://purl.utwente.nl/essays/66140
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