Conditional Financing of Drugs in the Netherlands:Past, Present, and Future-Results From Stakeholder Interviews

Background: Conditional financing (CF) of hospital drugs was implemented in the Netherlands as a form of managed entry agreements between 2006 and 2012. CF was a 4-year process comprising 3 stages: initial health technology assessment of the drug (T = 0), conduct of outcomes research studies, and reassessment of the drug (T = 4). Objectives: To analyze stakeholder experiences in implementing CF in practice. Methods: Public and private stakeholders were approached for participation in stakeholder interviews through standardized email invitations. An interview guide was developed to guide discus... Mehr ...

Verfasser: Makady, Amr
van Acker, Sandine
Nijmeijer, Hugo
de Boer, Anthonius
Hillege, Hans
Klungel, Olaf
Goettsch, Wim
Dokumenttyp: Artikel
Erscheinungsdatum: 2019
Reihe/Periodikum: Makady , A , van Acker , S , Nijmeijer , H , de Boer , A , Hillege , H , Klungel , O & Goettsch , W 2019 , ' Conditional Financing of Drugs in the Netherlands : Past, Present, and Future-Results From Stakeholder Interviews ' , Value in Health , vol. 22 , no. 4 , pp. 399-407 . https://doi.org/10.1016/j.jval.2018.11.016
Schlagwörter: coverage with evidence development / health technology assessment / managed entry agreements / policy evalutation / stakholder perspectives / HEALTH TECHNOLOGY-ASSESSMENT / REAL-WORLD EVIDENCE / REIMBURSEMENT DECISIONS / COST-CONTAINMENT / CARE PAYERS / MEDICINES / SCHEMES / TRENDS
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27599937
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://hdl.handle.net/11370/15fc1eba-abd6-4e29-82c7-0dfdf43fe21e

Background: Conditional financing (CF) of hospital drugs was implemented in the Netherlands as a form of managed entry agreements between 2006 and 2012. CF was a 4-year process comprising 3 stages: initial health technology assessment of the drug (T = 0), conduct of outcomes research studies, and reassessment of the drug (T = 4). Objectives: To analyze stakeholder experiences in implementing CF in practice. Methods: Public and private stakeholders were approached for participation in stakeholder interviews through standardized email invitations. An interview guide was developed to guide discussions that covered the following topics: perceived aims of CF, functioning of CF, impact of CF, and conclusions and future perspectives. Extensive summaries were generated for each interview and subsequently used for directed content analysis. Results: Thirty stakeholders were interviewed. Differences emerged among the stakeholders on the perceived aims of CF. Conversely, there was some agreement among stakeholders on the shortcomings in the functioning of CF, the positive impact of CF on the Dutch healthcare setting, and improvement points for CF. Conclusions: Despite stakeholders' belief that CF either did not meet its aims or only partially did so, there was agreement on the need for new policy to address the same aims of CF in the future. Nevertheless, stakeholders diverged on whether CF should be improved on the basis of learnings identified and reintroduced into practice or replaced with new policy schemes.