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Table 2 Results of the budget impact analysis

From: Return-to-work intervention for cancer survivors: budget impact and allocation of costs and returns in the Netherlands and six major EU-countries

  2015 2016 2017 2018 2019 2020
DUTCH SOCIETAL PERSPECTIVE
 Current practice:       
  Number of patients 651 666 681 696 711 726
  Health care costs 987.901 € 1.010.858 € 1.033.815 € 1.056.772 € 1.079.729 € 1.102.686 €
  Productivity benefits 5.889.947 € 6.026.819 € 6.163.690 € 6.300.562 € 6.437.434 € 6.574.306 €
 New situation:       
  Number of patients 2.602 3.994 5.446 6.959 8.532 10.166
  Health care costs 3.951.605 € 6.065.149 € 8.270.522 € 10.567.724 € 12.956.753 € 15.437.611 €
  Productivity benefit 23.559.787 € 36.160.912 € 49.309.524 € 63.005.623 € 77.249.210 € 92.040.284 €
  Budget impact −14.706.137 € −25.079.802 € −35.909.126 € −47.194.109 € −58.934.752 € −71.131.054 €
PERSPECTIVE OF A HYPOTHETICAL CANCER CENTRE
 Current practice:       
  Number of patients 39 39 40 40 42 43
  Health care costs 58.560 € 59.828 € 61.093 € 60.999 € 63.611 € 64.864 €
  Benefits (reimbursement) 58.560 € 59.828 € 61.093 € 60.999 € 63.611 € 64.864 €
 New situation:       
  Number of patients 231 473 724 723 754 769
  Health care costs 351.358 € 717.939 € 1.099.674 € 1.097.987 € 1.144.994 € 1.167.550 €
  Benefit (reimbursement) 58.560 €a 71.794 € 109.967 € 109.799 € 114.499 € 116.755 €
  Budget impact 292.798 € 646.145 € 989.706 € 988.188 € 1.030.495 € 1.050.795 €
  1. aAccording to the model, this would be €35,136, assuming that hospitals receive reimbursement for 10 % of the patients. As this is lower than the benefit in the current situation, it is expected that as long as in the new situation there still are patients with a multidisciplinary rehabilitation need (for whom the costs are reimbursed by insurance), these would be treated preferentially to patients for whom the costs are not reimbursed