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British medical bulletin · Oct 1995
ReviewChoices in health care: a contribution from The Netherlands.
- W P van de Ven.
- Department of Health Policy and Management, Erasmus University Rotterdam, The Netherlands.
- Br. Med. Bull. 1995 Oct 1; 51 (4): 781-90.
AbstractIn 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 independently 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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