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A conceptual framework for budget allocation in the RIVM Chronic Disease Model - A case study of Diabetes Mellitus

Conceptueel model voor budget allocatie met het RIVM Chronische Ziekten Model - Toepassing bij Diabetes Mellitus

Synopsis

The research project 'Priority setting in chronic diseases: methodology for budget allocation' aims to develop a methodology to support optimal allocation of the health care budget with respect to chronic diseases. The current report describes the modelling steps required to address budget allocation questions regarding the prevention of chronic diseases and their complications with the RIVM Chronic Disease Model, with specific attention to diabetes mellitus. An extension of the RIVM Chronic Disease Model deals with the links between diabetes, its risk factors and its macrovascular complications. A health economics module computes outcomes in terms of intervention costs, costs of care and composite health effects. Finally, it is discussed how to formalize different preferences of policy makers in various objective functions and constraints. These three elements form the basis for the analysis of budget allocation questions in diabetes care. The model allows for the comparison of primary prevention with the prevention of complications in diagnosed patients as to costs of care and health effects. Furthermore, as it stands, the model with the health economics module per se is a useful tool for policy analysis, for instance, to compare the costs and effects of different interventions.
 

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