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Comment & Response
February 2018

Cost Sharing Does Not Lead to an Overall Increase of Involuntary Commitments in the Netherlands—Reply

Author Affiliations
  • 1Laboratoire Interdisciplinaire de Recherche Appliquée en Economie de la Santé Department of Health Economics, Paris Descartes University, Paris, France
  • 2Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts
  • 3Department of Psychiatry, Vrije University, Amsterdam, the Netherlands
  • 4Tranzo, Tilburg University, Tilburg, the Netherlands
JAMA Psychiatry. 2018;75(2):213-214. doi:10.1001/jamapsychiatry.2017.3274

In Reply We thank Wierdsma and Mulder for their comments on our article,1 which investigated the effects of a 2012 increase in cost sharing for specialist mental health care in the Netherlands. Our article shows that after the increase in cost sharing, there was a sharp decline in treatment records opened for regular care and a sharp increase in records opened for acute care and for involuntary commitment (rising from 1092 records in 2011 to 2156 in 2012).1