Table 1
Services included in list and summary of the information given to panel members
| Service | Summary of background information given* | Costs (in million Dutch guilders)† | No of people affected |
|---|---|---|---|
| Home care | Nature of care (mostly household support, care was only small part) | 1740 | About 7.5% of households |
| Age distribution of clients (mostly elderly people) | |||
| Copayments | |||
| Waiting lists | |||
| Circumcision for men | Reasons for circumcision (about 60% of cost for religious reasons, rest of costs: medical) | 10 | About 9000 circumcisions a year |
| Providers: general practitioner, hospital (former much cheaper), and traditional doctors | |||
| Homes for the elderly | Copayments (costs of living paid by inhabitants themselves) | 3185 | About 6% of population >65 years |
| Future demographic developments | |||
| Homoeopathic medicines | Effectivity (effectiveness not proved yet) | 40 | Many (exact number unknown) |
| Comparison with total costs of medicines (only 1% of total costs) | |||
| Screening for breast cancer | Epidemiological data (incidence, etc) | 45 | Women aged 50-70 years (around 400 000) |
| Scientific basis of current programme (cost effectiveness study; number of life years gained) | |||
| Lung transplantation | Characterisation of patients in need of transplantation | 6 | About 20 transplantations a year |
| Waiting lists (limited number of transplant lungs) | |||
| Cost per transplantation, follow up included (about 300 000 Dutch guilders) | |||
| Travel allowances | Nature of service (allowance of costs made in order to travel to healthcare services) | 172 | 12% Of insured population |
| Copayments | |||
| Future developments (higher costs because of demographic developments, etc) | |||
| Oral contraceptives | Nature of service (effective, risks almost nil) | 145 | About 35% of women aged 16-50 years |
| Price for individual (maximum 100 guilders year) | |||
| In vitro fertilisation | Effectivity (similar to “natural” pregnancies but more complications) | 15 | About 5500 treatments a year |
| Restrictions (maximum of 3 treatments publicly funded) | |||
| Costs per treatment | |||
| Treatment of sport injuries | Character of treatments (which sorts) | 280 | 2.7 Million accidents a year |
| Nature of costs: costs of medical care |
