Contours of the Basic Health Care Benefit Package
3 February 2003
As part of the planned reform of the health insurance system, the Minister of Health, Welfare and Sport has requested the Health Council to ‘formulate an opinion with regard to the workable, scientifically based criteria for identifying which care services should be included in a basic package’. The Committee on Contours of the Basic Health Care Benefit Package gives an account of its findings in this advisory report. To begin with, it outlines the interpretation of governmental responsibility for public health and health care customarily adopted in the Netherlands. Then it examines the considerations that can play a role in decisions regarding the scope and composition of a so-called ‘basic package’. These include equal access, protection of individuals against themselves, and cost control. Partly on the basis of an international overview of analyses for decision-making on rationing issues, the Committee then specifies the criteria that are relevant when formulating a basic package and investigates the applicability of these criteria.
3 February 2003 – In defining a collectively financed basic health care benefit package, can cost-utility analysis (CUA) serve as an instrument to measure the efficiency of all preventive and curative health care services in a uniform way? This question, answered affirmatively by the Scientific Council for Government Policy in its 1997 report ‘Public Health Care’, lies at the heart of this background study, which is written in support of the discussion in the Health Council Committee on Contours of the Basic Health Care Benefit Package. Read more