title: Quality based social insurance coverage and payment of the application of a high cost medical therapy: the case of spinal cord stimulation for chronic non-oncologic pain in The Netherlands.
abstract: This article describes a project in which a national continuous quality improvement system and a payment scheme were explicitly linked, while introducing an expensive treatment (Spinal Cord Stimulation (SCS)) in the social health insurance benefit package, in The Netherlands. By linking a national CQI system and a payment scheme in a conditional financing policy a steering instrument for future control of the quality of neuromodulation treatment through SCS is created.
authors.affiliation: Department of Health Policy and Management, Erasmus MC, University Medical Center, Rotterdam, PO Box 1738, 3000 DR Rotterdam, The Netherlands. beersen@bmg.eur.nl
authors.forename: Nicoline
authors.initials: N
authors.lastname: Beersen
authors.forename: W Ken
authors.initials: WK
authors.lastname: Redekop
authors.forename: J H Bart
authors.initials: JH
authors.lastname: de Bruijn
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Theuvenet
authors.forename: Marc
authors.initials: M
authors.lastname: Berg
authors.forename: Niek S
authors.initials: NS
authors.lastname: Klazinga
mesh_terms: D004599:Electric Stimulation Therapy / Q000191:economics*; D006801:Humans; D019458:Insurance Coverage; D009426:Netherlands; D059408:Pain Management; D012051:Reimbursement Mechanisms; D013116:Spinal Cord / Q000503:physiopathology*; D017749:Total Quality Management