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- W3080497418 abstract "Cost-effectiveness evidence on health interventions is increasingly used in the development of practice guidelines in many countries, including The Netherlands. Challenges are the inclusion process and assessment of economic information and the implementation. The study assesses the use of economic information as incorporated in practice guidelines at both the macro-level in reimbursement issues and at the micro-level in patient care. It reports the degree to which economic evidence is incorporated in practice guidelines, the extent to which reimbursement policies are influenced and presents implementation trials of selected clinical guidelines. The review included 31 medical guidelines, addressing 23 conditions across ICD-groups and the review of national reimbursement guidelines included 37 drug types. There were seven implementation trials. Economic information in all guidelines varies by all criteria in the level of evidence used. There is no uniformity in the use of economic information. Conditional reimbursement can be an effective policy as well as limiting the reimbursement to sub-indications. Concerns are transparency, consistent use of decision criteria, feasibility to monitor actual use, and stakeholder commitments. Cluster trials show increasing implementation of cost-effective treatment options in practice in some areas. Economic analysis is used to strengthen the evidence-base of guidelines both at national level and at the level of professional societies. There are synergies and constraints in the dual approach. Roles of policy makers, provider groups, and insurance companies are essential, but need to be defined in more detail." @default.
- W3080497418 created "2020-09-01" @default.
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- W3080497418 date "2007-06-21" @default.
- W3080497418 modified "2023-09-24" @default.
- W3080497418 title "Implementation of Economic-Based Clinical Practice Guidelines: Top-Down and Bottom-Up Approaches in the Netherlands" @default.
- W3080497418 hasPublicationYear "2007" @default.
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