The Netherlands has been using personal health budgets (persoonsgebonden budget or PGB) since 1996. This case study examines how they have been adoped and the challenges along the way.



The adoption of PGB arose partly from limitations in the traditional healthcare system, but also from a desire to offer service users more choice and control over their care. There was also a belief that handing control of budgets to the end user would help to reduce costs.

Implementing PGB has not been without its difficulties, but the system is highly popular with both the public and politicians.