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Implementation of coverage with evidence development schemes for medical devices : a decision tool for late technology adopter countries

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Kovács, Sandor, Kaló, Zoltán, Daubner‐Bendes, Rita, Kolasa, Katarzyna, Hren, Rok, Tesar, Tomas, Reckers‐Droog, Vivian, Brouwer, Werner, Federici, Carlo, Drummond, Mike and Zemplényi, Antal Tamás (2022) Implementation of coverage with evidence development schemes for medical devices : a decision tool for late technology adopter countries. Health Economics, 31 (S1). pp. 195-206. doi:10.1002/hec.4504 ISSN 1057-9230.

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Official URL: https://doi.org/10.1002/hec.4504

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Abstract

Experiences with coverage with evidence development (CED) schemes are fairly limited in Central and Eastern European (CEE) countries, which are usually late adopters of new health technologies. Our aim was to put forward recommendations on how CEE health technology assessment bodies and payer organizations can apply CED to reduce decision uncertainty on reimbursement of medical devices, with a particular focus on transferring the structure and data from CED schemes in early technology adopter countries in Western Europe. Structured interviews on the practices and feasibility of transferring CED schemes were conducted and subsequently, a draft tool for the systematic classification of decision alternatives and recommendations was developed. The decision tool was reviewed in a focus group discussion and validated within a wider group of CEE experts in a virtual workshop. Transferability assessment is needed in case of (1) joint implementation of a CED scheme; (2) transferring the structure of an existing CED scheme to a CEE country; (3) reimbursement decisions that are linked to outcomes of an ongoing CED scheme in another country and (4) real‐world evidence transferred from completed CED schemes. Efficient use of available resources may be improved by adequately transferring evidence and policy tools from early technology adopter countries.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
Divisions: Faculty of Science, Engineering and Medicine > Engineering > Engineering
SWORD Depositor: Library Publications Router
Library of Congress Subject Headings (LCSH): Medical technology , Medical technology -- Cost effectiveness, Medical instruments and apparatus, Medical instruments and apparatus -- Cost effectiveness
Journal or Publication Title: Health Economics
Publisher: John Wiley & Sons Ltd.
ISSN: 1057-9230
Official Date: September 2022
Dates:
DateEvent
September 2022Published
23 March 2022Available
28 February 2022Accepted
Volume: 31
Number: S1
Page Range: pp. 195-206
DOI: 10.1002/hec.4504
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 28 April 2022
Date of first compliant Open Access: 28 April 2022
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
779306Horizon 2020 Framework Programmehttp://dx.doi.org/10.13039/100010661

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