The iDBC uses Dutch life expectancy data, combined with EQ-5D-3L from Dutch survey (described in Heijink et al). The instrument requires input from the user on the age of the population and the QALYs remaining when the condition is treated with standard of care (available in the health economic model underlying submissions to reimbursement authorities). If the male to female ratio is known all outcomes (i.e. life expectancy and mean utility is corrected for gender.

The iDBC can be downloaded here.

Reference for the tool:

Versteegh, M.M. (2016). The iMTA Disease Burden Calculator. Version 1.3 beta. institute for Medical Technology Assessment. Erasmus University of Rotterdam. Downloaded from

For further reading into the proportional shortfall and fair innings¬†concepts in the context of the Dutch basic benefit package please consider the following reading:¬†Van de Wetering, E. J., et al. “Balancing equity and efficiency in the Dutch basic benefits package using the principle of proportional shortfall.The European Journal of Health Economics 14.1 (2013): 107-115.