Elsinga E, Rutten F F
Erasmus University Rotterdam, Institute for Medical Technology Assessment, The Netherlands.
Soc Sci Med. 1997 Aug;45(4):605-20. doi: 10.1016/s0277-9536(96)00400-5.
This article focuses on economic evaluation as an instrument to support national health policy in the Netherlands. National health policy concerns decision-making on which technologies may enter the health care market, which health care services are included in the package of health care benefits and under what conditions, and what the geographical distribution of medical services and facilities should be. Regarding the latter two issues in particular, the actual and potential role of economic evaluation in health policy is discussed. From the Dutch experience we can learn that a close cooperation between researchers and policy-makers helps to enlarge the impact of economic appraisal on policy-making and that incorporation of the right (financial) incentives is vital to the use of economic appraisal in health care decision-making.
本文聚焦于经济评估，将其作为支持荷兰国家卫生政策的一种手段。国家卫生政策涉及以下决策：哪些技术可以进入医疗保健市场；哪些医疗保健服务被纳入医疗保健福利套餐以及在何种条件下纳入；医疗服务和设施的地理分布应该是怎样的。尤其针对后两个问题，讨论了经济评估在卫生政策中的实际和潜在作用。从荷兰的经验中我们可以了解到，研究人员与政策制定者之间的密切合作有助于扩大经济评估对政策制定的影响，并且纳入适当的（财务）激励措施对于在医疗保健决策中使用经济评估至关重要。
