Governance of conditional reimbursement practices in the Netherlands. Issue 2 (February 2015)
- Record Type:
- Journal Article
- Title:
- Governance of conditional reimbursement practices in the Netherlands. Issue 2 (February 2015)
- Main Title:
- Governance of conditional reimbursement practices in the Netherlands
- Authors:
- Boon, Wouter
Martins, Luis
Koopmanschap, Marc - Abstract:
- <abstract abstract-type="author" id="abs0005"> <title id="sect0005">Abstract</title> <sec> <p id="spar0005">When entering the market, orphan drugs are associated with substantial prices and a high degree of uncertainty regarding safety and effectiveness. This makes decision making about the reimbursement of these drugs a complex exercise. To advance on this, the Dutch government introduced a conditional reimbursement trajectory that requires a re-evaluation after four years. This article focuses on the origins, governance and outcomes of such a conditional reimbursement trajectory for orphan drugs. We find that the conditional reimbursement scheme is the result of years of discussion and returning public pressure about unequal access to expensive drugs. During the implementation of the scheme the actors involved went through a learning process about the regulation. Our analysis shows that previous collaborations or already existing organisational structures led to faster production of the required data on cost-effectiveness. However, cost-effectiveness evidence resulting from additional research seems to weigh less than political, judicial and ethical considerations in decision making on reimbursement of orphan drugs in the Netherlands.</p> </sec> </abstract>
- Is Part Of:
- Health policy. Volume 119:Issue 2(2015)
- Journal:
- Health policy
- Issue:
- Volume 119:Issue 2(2015)
- Issue Display:
- Volume 119, Issue 2 (2015)
- Year:
- 2015
- Volume:
- 119
- Issue:
- 2
- Issue Sort Value:
- 2015-0119-0002-0000
- Page Start:
- 180
- Page End:
- 185
- Publication Date:
- 2015-02
- Subjects:
- Medical education -- Periodicals
Medical policy -- Periodicals
Delivery of Health Care -- Periodicals
Education, Medical -- Periodicals
Health Education -- Periodicals
Health Planning -- Periodicals
Public Policy -- Periodicals
Enseignement médical -- Périodiques
Politique sanitaire -- Périodiques
Medical education
Medical policy
Periodicals
Electronic journals
Electronic journals
362.1 - Journal URLs:
- http://www.sciencedirect.com/science/journal/01688510 ↗
http://www.healthpolicyjrnl.com/ ↗
http://www.clinicalkey.com/dura/browse/journalIssue/01688510 ↗
http://www.clinicalkey.com.au/dura/browse/journalIssue/01688510 ↗
http://www.elsevier.com/journals ↗ - DOI:
- 10.1016/j.healthpol.2014.10.013 ↗
- Languages:
- English
- ISSNs:
- 0168-8510
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 4275.102700
British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 3502.xml