British Medical Bulletin 51:781-790 (1995)
© 1995 The British Council
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Choices in health care: a contribution from The Netherlands
Professor of Health Insurance, Department of Health Policy and Management, Erasmus University Rotterdam PO Box 1738, 3000 D R Rotterdam, The Netherlands
Abstract
In this paper it will be argued that choices in health care are necessary, desirable and just. An important choice that each society has to make, is: what basic services should be available to everybody idependently of an individual's purchasing power? The Dutch Government Committee on Choices in Health Care advised the use of four criteria: basic care must be necessary, effective, efficient and cannot be left to the individual's responsibility. Because important decisions with respect to the second criterion-the effectiveness of care-are made by physicians in the consulting room or at the operating table, physicians do have a primary responsibility in making the right choices.
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