Funding for this research was provided by:
Received: 26 June 2018
Accepted: 16 August 2019
First Online: 5 September 2019
Ethics approval and consent to participate
: As this study did not involve research on patients, no ethics committee approval was required under Dutch law. Neither the Dutch Medical Research Involving Human Subjects Act [WMO, Wet medisch-wetenschappelijk onderzoek met mensen: ExternalRef removed] nor the University require ethics approval for the type of work conducted in this research. The study is based partly on documentary research, partly on interviews and observations. Management of the National Health Care Institute granted access to archives and to all public and closed meetings of internal working groups, the Institute’s executive board, as well as expert meetings of advisory committees (written consent). All those attending these meetings were informed about the research and verbally consented to our presence at the meetings. All interviewees were informed about the study beforehand and agreed to participate (written consent).
: We obtained permission from interviewees to quote from the interviews and obtained permission from the National Health Care Institute to cite from field notes. Interviewees all proof-read the paper, checked the case description, acknowledged its accuracy and consented to the publication of this paper.
: DD is affiliated with the National Health Care Institute, the institute that is the object of this study and the body that funded the research project. The other authors declare that they have no competing interests.