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.
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.
Beersen
Nicoline
N
Department of Health Policy and Management, Erasmus MC, University Medical Center, Rotterdam, PO Box 1738, 3000 DR Rotterdam, The Netherlands. beersen@bmg.eur.nl
Redekop
W Ken
WK
de Bruijn
J H Bart
JH
Theuvenet
Peter J
PJ
Berg
Marc
M
Klazinga
Niek S
NS
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