Skip to main content

Table 2 Reconstruction of the final propositions

From: Free choice of healthcare providers in the Netherlands is both a goal in itself and a precondition: modelling the policy assumptions underlying the promotion of patient choice through documentary analysis and interviews

Legal instruments Condition Communicative instruments Condition Financial instruments Condition
Insurers may choose the policy forms they offer [45] F Media campaign from the government about the new health insurance system [37, 4244] F Financial incentives (e.g. co-payments) [37, 39, 40, 43, 49, 56, 63] I
Patients have the right to choose from the available policy forms [45] F Developing quality/performance indicators [30, 31, 41, 43, 44, 57, 58, 70, 71] I Subsidies from government [44, 7275] I
With a payment-in-kind policy, providers are obliged to deliver care as agreed within a reasonable time and at a reasonable distance [76] F Developing comparative information, e.g. for or the Healthcare Inspectorate (IGZ) [31, 49, 57, 7779] I   
With a payment-in-kind policy or a preferred provider policy, patients have the right to receive compensation when they choose a non-contracted provider in the Netherlands and in Europe [50] F Comparative information, e.g., physical desks, telephone, papers, healthcare providers, insurers and user organizations (peer contact and information provision) [30, 37, 38, 4143, 46, 53, 54, 57, 59, 70, 80, 81] I   
With a reimbursement policy or a personal budget, patients are allowed to choose their preferred provider freely without intervention from the insurer [42] F Advice and support for people who are unable to choose independently (e.g. by MEE) [56, 74, 82] I   
Providers are obliged to publish comparative information [53] I     
Providers are obliged to make the information understandable, effective and correct [54] I     
The information providers provide may not be misleading and must comply with the legislation [55] I     
  1. W = willing/able to choose; F = freedom of choice; I = Informed.