ABSTRACT
Priority setting in the Netherlands operates within the framework of an internal market with some characteristics similar to those in place in the UK. In 1990, the Dunning Committee was asked to recommend how priorities should be set, with the suggestion that Oregon methods might be employed. In 1987, a Government committee, the Dekker Committee, proposed compulsory insurance for everyone, but with a basic care package limited to 85" of the health and social services previously provided. Diagnosis-treatment combinations would be used as in Oregon and they would be listed in priority order within categories based on the nature and severity of the condition and the nature, length and effect of the treatment. Since 1985, the Dutch Government has been trying to change its health care policy, largely out of concern for the growing costs of care due to an ageing population and the introduction of new technology.
