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Improving patient access to novel medical technologies in Europe

Kearney, Peter, Stokoe, Graham, Breithardt, Günter, Longson, Carole, Marco, Jean, Morgan, John, Priori, Silvia, Ruether, Alric, Taylor, Rod and Hertog, Michaël (2006) Improving patient access to novel medical technologies in Europe European Heart Journal, 27, (7), pp. 882-885. (doi:10.1093/eurheartj/ehi794).

Record type: Article

Abstract

The European Society of Cardiology (ESC) organized a one-day workshop with clinicians, health economic experts, and health technology appraisal experts to discuss the equity of patient access to novel medical technologies in Europe. Two index technologies were considered: implantable cardioverter defibrillators (ICDs) and drug-eluting stents (DES). The use of ICDs range from 35 implants/million population in Portugal to 166 implants/million population in Germany, whereas for implants of DES (as percentage of total stents) it is lowest in Germany at 14% and high in Portugal at 65%. These differences can in part be explained by a lack of structured implementation of guidelines, the direct cost in relation to the overall healthcare budget, and to differences in procedures and models applied by Health Technology Assessment (HTA) agencies in Europe. The workshop participants concluded that physicians need to be involved in a more structured way in HTA and need to become better acquainted with its methods and terminology. Clinical guidelines should be systematically translated, explained, disseminated, updated, and adopted by cardiologists in Europe. Clinically appropriate, consistent and transparent health economic models need to be developed and high-quality international outcome and cost data should be used. A process for funding of a technology should be developed after a positive recommendation from HTA agencies. Both the ESC and the national cardiac societies should build-up health economic expertise and engage more actively in discussions with stakeholders involved in the provision of healthcare.

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More information

Published date: April 2006
Keywords: health technology assessment, des, drug eluting stents, icd, iplantable cardioverter defibrillators, health economics, esc guidelines, funding

Identifiers

Local EPrints ID: 61281
URI: http://eprints.soton.ac.uk/id/eprint/61281
ISSN: 0195-668X
PURE UUID: 2b54cf87-8f54-4e5e-9df2-8ac86b136e07

Catalogue record

Date deposited: 29 Sep 2008
Last modified: 17 Jul 2017 14:22

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Contributors

Author: Peter Kearney
Author: Graham Stokoe
Author: Günter Breithardt
Author: Carole Longson
Author: Jean Marco
Author: John Morgan
Author: Silvia Priori
Author: Alric Ruether
Author: Rod Taylor
Author: Michaël Hertog

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