Research Topics
| W B BrouwerSummaryAffiliation: Erasmus University Country: The Netherlands Publications
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Detail Information
Publications
An overview of methods and applications to value informal care in economic evaluations of healthcareMarc A Koopmanschap
Department of Health Policy and Management iBMG, Erasmus MC Rotterdam, Rotterdam, The Netherlands
Pharmacoeconomics 26:269-80. 2008..Using broader, non-monetary valuation techniques, such as the CarerQol instrument, requires a broader evaluation framework than cost-effectiveness/cost-utility analysis, such as cost-consequence or multi-criteria analysis...
What really matters: an inquiry into the relative importance of dimensions of informal caregiver burdenN J A van Exel
Institute for Medical Technology Assessment, Erasmus University Rotterdam, The Netherlands
Clin Rehabil 18:683-93. 2004..Our aim was to assess which dimensions informal caregivers perceive as being important to their overall burden from care giving...
Productivity losses without absence: measurement validation and empirical evidenceW B Brouwer
Institute for Medical Technology Assessment, Erasmus University Rotterdam, The Netherlands
Health Policy 48:13-27. 1999..The amount of production losses related to these health problems are relatively small. However, for specific patient groups, the costs related to these productivity losses may be substantial...
The friction-cost method : replacement for nothing and leisure for free?Werner B F Brouwer
Institute for Medical Technology Assessment, Erasmus Medical Center Erasmus University, Rotterdam, The Netherlands
Pharmacoeconomics 23:105-11. 2005..These changes should be incorporated into economic analyses...
Acceptability of less than perfect health statesWerner B F Brouwer
Institute for Medical Technology Assessment, Erasmus University Rotterdam, PO Box 1738, 3000 DR Rotterdam, The Netherlands
Soc Sci Med 60:237-46. 2005..The acceptability of health states is related to the quality of life score of these states, i.e., worse states are considered less acceptable. This may have implications for the allocation of scarce health care resources...
Discounting in decision making: the consistency argument revisited empiricallyWerner B F Brouwer
Department of Health Policy and Management, Institute for Medical Technology Assessment, Erasmus University Rotterdam, P O Box 1738, 3000 DR Rotterdam, The Netherlands
Health Policy 67:187-94. 2004..Our respondents seem to relate their discount rate for health to their expectations about future life expectancy, but this also is dependent on the elicitation method...
The missing link: on the line between C and EWerner B F Brouwer
Department of Health Policy and Management and Institute for Medical Technology Assessment, Erasmus University Rotterdam, The Netherlands
Health Econ 12:629-36. 2003..The use of specific time-group valuations of health states may be a good alternative to using general health state valuations...
The relationship between productivity and health-related QOL: an explorationWerner B F Brouwer
Department of Health Policy and Management, Institute for Medical Technology Assessment, Erasmus MC, University Medical Center Rotterdam, The Netherlands
Pharmacoeconomics 23:209-18. 2005..This paper explores these relationships between productivity and QOL to stimulate debate and research in this area...
Productivity costs before and after absence from work: as important as common?W B F Brouwer
Institute for Medical Technology Assessment, Erasmus University Rotterdam, PO Box 1738, 3000 DR Rotterdam, The Netherlands
Health Policy 61:173-87. 2002..Current productivity costs estimates based solely on absence data may, therefore, underestimate real productivity costs. Compensation mechanisms in firms may reduce the underestimation...
Expectations regarding length and health related quality of life: some empirical findingsWerner B F Brouwer
Department of Health Policy and Management and Institute for Medical Technology Assessment, Erasmus MC Erasmus University Rotterdam, PO Box 1738, 3000 DR Rotterdam, The Netherlands
Soc Sci Med 61:1083-94. 2005..Given the influence inaccurate expectations may have on actual behaviour, more research on own expectations and their relation with actual behaviour is needed...
On the economic foundations of CEA. Ladies and gentlemen, take your positions!W B Brouwer
Institute for Medical Technology Assessment, Erasmus University, Rotterdam, Netherlands
J Health Econ 19:439-59. 2000..A better recognition of the contents and origins of controversies and disputes may enhance the clarity of discussions...
Welfarism vs. extra-welfarismWerner B F Brouwer
Department of Health Policy and Management and Institute for Medical Technology Assessment, Erasmus MC, Rotterdam, The Netherlands
J Health Econ 27:325-38. 2008..We conclude that these differences are substantive...
Process utility from providing informal care: the benefit of caringWerner B F Brouwer
Department of Health Policy and Management and Institute for Medical Technology Assessment, Erasmus University Rotterdam, Rotterdam, The Netherlands
Health Policy 74:85-99. 2005..These results strengthen the idea of supporting the use of informal care, but also that of keeping a close eye on the position of carers...
Too important to ignore: informal caregivers and other significant othersWerner B F Brouwer
Department of Health Policy and Management and Institute for Medical Technology Assessment, Erasmus University, Rotterdam, The Netherlands
Pharmacoeconomics 24:39-41. 2006
A dollar is a dollar is a dollar--or is it?Werner B F Brouwer
Department of Health Policy and Management and Institute for Medical Technology Assessment, Erasmus University Erasmus Medical Centre, Rotterdam, The Netherlands
Value Health 9:341-7. 2006..More research on actual decisions should provide more insight into the relative weights attached to different types of costs...
The incorporation of income and leisure in health state valuations when the measure is silent: an empirical inquiry into the sound of silenceWerner B F Brouwer
Institute for Medical Technology Assessment, Erasmus MC, Rotterdam, The Netherlands
Med Decis Making 29:503-12. 2009....
Burden of caregiving: evidence of objective burden, subjective burden, and quality of life impacts on informal caregivers of patients with rheumatoid arthritisWerner B F Brouwer
Erasmus University, Rotterdam, The Netherlands
Arthritis Rheum 51:570-7. 2004..To improve understanding of the nature and magnitude of the burden of informal care and also to indicate important areas for improving the current ways in which informal care is investigated...
Productivity costs measurement through quality of life? A response to the recommendation of the Washington PanelW B Brouwer
Institute for Medical Technology Assessment, Erasmus University Rotterdam, The Netherlands
Health Econ 6:253-9. 1997..Finally, alternative recommendations are formulated for incorporating societal productivity costs in economic evaluations of health care...
Productivity costs in cost-effectiveness analysis: numerator or denominator: a further discussionW B Brouwer
Institute for Medical Technology Assessment, Erasmus University Rotterdam, The Netherlands
Health Econ 6:511-4. 1997....
Priority care for employees: a blessing in disguise?W B Brouwer
Department of Health Policy and Management, Erasmus University Rotterdam, The Netherlands
Health Econ 8:65-73. 1999..However, such a justification crucially depends on weights society assigns to absolute versus relative improvements in access to health care...
Influence of waiting time on cost-effectivenessM A Koopmanschap
Institute for Medical Technology Assessment, Erasmus University Rotterdam, P O Box 1738, 3000 DR Rotterdam, The Netherlands
Soc Sci Med 60:2501-4. 2005..We argue that economic evaluations of health care programs in countries with waiting lists should consider the possible impact of waiting on costs and health effects...
['Necessity' determined on the basis of disease severity when prioritising health care interventions]M J Poley
Erasmus Universiteit Rotterdam, Institute for Medical Technology Assessment iMTA, Postbus 1738, 3000 DR Rotterdam
Ned Tijdschr Geneeskd 146:2312-5. 2002..In these cases the concept of disease severity provides a new feasible interpretation of the criterion 'necessity'...
[More care for a limited budget; a case for a better use of the efficiency criteria]F F H Rutten
Erasmus Medisch Centrum, Instituut Beleid en Management Gezondheidszorg, Postbus 1738, 3000 DR Rotterdam
Ned Tijdschr Geneeskd 146:2254-8. 2002..Within this context the question arises as to whether a Dutch variant of NICE is needed...
Burden of informal caregiving for stroke patients. Identification of caregivers at risk of adverse health effectsN J A van Exel
Institute for Medical Technology Assessment, Rotterdam, The Netherlands
Cerebrovasc Dis 19:11-7. 2005....
The desire for support and respite care: preferences of Dutch informal caregiversM A Koopmanschap
Department of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands
Health Policy 68:309-20. 2004..Especially, the subjective burden of caregiving is important, whereas the number of caregiving tasks and the time invested (objective burden) hardly affect the desire for support and respite care...
Private clinics for employees as a Dutch solution for waiting lists: economic and legal argumentsW B Brouwer
Department of Health Policy and Management, Erasmus University Rotterdam, The Netherlands
Health Policy 47:1-17. 1999..The main argument is that they could be introduced on a just and equitable basis...
An outline for a cost-effectiveness analysis of a drug for patients with Alzheimer's diseaseJ J Busschbach
Institute for Medical Technology Assessment iMTA, Erasmus University, Rotterdam, The Netherlands
Pharmacoeconomics 13:21-34. 1998..In this way, double-counting in the final cost-effectiveness ratio can be avoided. Several instruments for measuring a patient's and caregiver's quality of life are discussed and recommendations about suitable methods are made...
The CarerQol instrument: a new instrument to measure care-related quality of life of informal caregivers for use in economic evaluationsW B F Brouwer
Department of Health Policy and Management, Erasmus MC, Rotterdam, The Netherlands
Qual Life Res 15:1005-21. 2006..The CarerQol seems a promising new instrument to register the impact of informal caregivers in economic evaluations...
The influence of subjective life expectancy on health state valuations using a 10 year TTOF E van Nooten
Department of Health Policy and Management, Erasmus University Rotterdam Erasmus MC, Rotterdam, The Netherlands
Health Econ 18:549-58. 2009..To investigate if subjective life expectancy (SLE) impacts the willingness to trade-off (WTT) and the number of years traded-off in a 10-years time trade-off (TTO) exercise to obtain health state valuations...
Some pain, no gain: experiences with the no-claim rebate in the Dutch health care systemJ Holland
Department of Health Policy and Management, Erasmus University Medical Center, Rotterdam, and KPMG Business Performance Services, Public Sector, The Hague, The Netherlands
Health Econ Policy Law 4:405-24. 2009..A small majority of respondents considered the no-claim rebate to be unfair. Finally, we briefly discuss why in 2008 the no-claim rebate was replaced by a mandatory deductible...
"Everyone dies, so you might as well have fun!" Attitudes of Dutch youths about their health lifestyleN J A van Exel
Erasmus MC, Institute for Medical Technology Assessment iMTA, Rotterdam, The Netherlands
Soc Sci Med 63:2628-39. 2006..Only one of the five health lifestyle attitudes identified combines healthy eating and exercising behaviour. Most youths appear to have little knowledge and many questions regarding health and overweightness...
Can we fix it? Yes we can! But what? A new test of procedural invariance in TTO-measurementArthur E Attema
Department of Economics, Erasmus University, Rotterdam, The Netherlands
Health Econ 17:877-85. 2008..Loss aversion is probably the main determinant of the remainder of this difference...
When time is more than money: the allocation of time between work and leisure in HIV-infected patientsPedram Sendi
Division of Infectious Diseases and Hospital Epidemiology, Basel University Hospital, Basel, Switzerland
Soc Sci Med 64:2355-61. 2007..e., wage rate), and that (ii) availability of non-labour income induces income effects, i.e. individuals demand more leisure time...
Lifetime medical costs of obesity: prevention no cure for increasing health expenditurePieter H M van Baal
National Institute for Public Health and the Environment RIVM, Centre for Prevention and Health Services Research, Bilthoven, The Netherlands
PLoS Med 5:e29. 2008..The objective of this study was to estimate the annual and lifetime medical costs attributable to obesity, to compare those to similar costs attributable to smoking, and to discuss the implications for prevention...
Decision makers' views on health care objectives and budget constraints: results from a pilot studyMaiwenn J Al
Institute for Medical Technology Assessment, Erasmus MC, P O Box 1738, 3000 DR Rotterdam, The Netherlands
Health Policy 70:33-48. 2004..The aim of our pilot study was to find out whether decision makers consider the objectives and budget constraints we selected for a theoretical model of resource allocation relevant, and to set priorities for these objectives...
Unrelated medical care in life years gained and the cost utility of primary prevention: in search of a 'perfect' cost-utility ratioPieter H M van Baal
Centre for Prevention and Health Services Research PZO, National Institute for Public Health and the Environment RIVM, The Netherlands
Health Econ 16:421-33. 2007..Therefore, this type of cost-utility ratio should be preferred even if the data requirements may be substantial...
Economic valuation of informal care. An overview of methods and applicationsBernard van den Berg
Department of Health Policy and Management, Erasmus Medical Center, 3000 DR Rotterdam, The Netherlands
Eur J Health Econ 5:36-45. 2004..This contribution presents a critical evaluation of the available methods to incorporate informal care in economic evaluations...
Instruments for assessing the burden of informal caregiving for stroke patients in clinical practice: a comparison of CSI, CRA, SCQ and self-rated burdenN Job A van Exel
Institute for Medical Technology Assessment iMTA and Department of Health Policy and Management iBMG, Erasmus University Rotterdam, The Netherlands
Clin Rehabil 18:203-14. 2004....
Reconciliation of economic concerns and health policy: illustration of an equity adjustment procedure using proportional shortfallElly A Stolk
Institute for Medical Technology Assessment, Rotterdam, Erasmus MC Rotterdam, The Netherlands
Pharmacoeconomics 22:1097-107. 2004..It is recommended that cost-effectiveness driven health policy systems consider equity adjustments...
Is silence golden? A test of the incorporation of the effects of ill-health on income and leisure in health state valuationsPedram Sendi
Division of Health Economics, Institute for Clinical Epidemiology, Basel University Hospital, Basel, Switzerland
Health Econ 14:643-7. 2005..Our results indicate that whatever separation between costs and effects is preferred, using quality of life measures which are silent on income and leisure, leads to either double-counting or ignoring real costs or effects...
Rationalising rationing: economic and other considerations in the debate about funding of ViagraElly A Stolk
Institute for Medical Technology Assessment, Erasmus University Rotterdam, PO Box 1738, 3000 DR Rotterdam, The Netherlands
Health Policy 59:53-63. 2002..In this paper, we try to demonstrate how these criteria were presented in the Viagra discussion and we will indicate how these criteria can be operationalised in relation to the outcomes of a cost-effectiveness analysis...
Introducing economic evaluation as a policy tool in Korea: will decision makers get quality information? : a critical review of published Korean economic evaluationsKun Sei Lee
Department of Health Policy and Management and Institute for Medical Technology Assessment, Erasmus University Rotterdam, Rotterdam, The Netherlands
Pharmacoeconomics 23:709-21. 2005..Developing clear guidelines and educating and training researchers in performing economic evaluations is necessary...
The relationship between productivity and health-related quality of life: an empirical exploration in persons with low back painLeida M Lamers
Institute Health Policy and Management and Institute for Medical Technology Assessment, Erasmus MC University Medical Center Rotterdam, Netherlands
Qual Life Res 14:805-13. 2005..In this paper the relationship between quality of life and productivity is highlighted and empirically assessed in persons suffering from low back pain...
Cost-effectiveness of neonatal surgery: first greeted with scepticism, now increasingly acceptedMarten J Poley
Department of Paediatric Surgery, Sophia Children s Hospital, Erasmus MC, P O Box 2060, 3000 CB, Rotterdam, The Netherlands
Pediatr Surg Int 24:119-27. 2008..This article concludes that, according to present evidence, neonatal surgery yields good value for money and contributes to equity in health...
Increasing tobacco taxes: a cheap tool to increase public healthPieter H M van Baal
National Institute for Public Health and Environment, Bilthoven, The Netherlands
Health Policy 82:142-52. 2007..The aim of this study was to estimate the cost effectiveness of tobacco tax increases from a health care perspective, explicitly considering medical costs in life years gained...
Need for differential discounting of costs and health effects in cost effectiveness analysesWerner B F Brouwer
Institute for Medical Technology Assessment, Erasmus MC, PO Box 1738, 3000 DR Rotterdam, Netherlands
BMJ 331:446-8. 2005
Regulating the Dutch pharmaceutical market: improving efficiency or controlling costs?Peter de Wolf
Wageningen Business School, Wageningen University, Wageningen, The Netherlands
Int J Health Plann Manage 20:351-74. 2005..Dismantling the current regulatory system, boosting competition and efficiency with insurers in a leading role, seems to be the way forward...
