Problematic Notions in Dutch Health Care Package Decisions
Health Care Analysis: An International Journal of Health Care Philosophy and Policy 2003 December; 11(4): 287-294
This paper discusses the problematic and sometimes implicit nature of some central notions and criteria used in debates about inclusion (or exclusion) of health care services in the health care benefit package. An analysis of discussions about four health care services--lung transplantation, statins, (sildenafil (viagra) and rivastigmine--illustrates a case-by-case approach and inconsistent use of criteria, which present a challenge to develop a decision- making procedure in which important criteria or central notions can be discussed explicitly.
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