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    Improving patient access to novel medical technologies in Europe.

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    Authors
    Kearney, Peter
    Stokoe, Graham
    Breithardt, Gunter
    Longson, Carole
    Marco, Jean
    Morgan, John
    Priori, Silvia
    Ruether, Alric
    Taylor, Rod
    Hertog, Michael
    Affiliation
    Department of Cardiology, Cork University Hospital Wilton, Ireland., peterkearney@eircom.net
    Issue Date
    2012-02-03T15:05:48Z
    MeSH
    Defibrillators, Implantable/*supply & distribution
    Europe
    Health Services Accessibility/*standards
    Humans
    Medical Laboratory Science/*standards
    Practice Guidelines as Topic
    Stents/*supply & distribution
    Technology Assessment, Biomedical
    
    Metadata
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    Citation
    Eur Heart J. 2006 Apr;27(7):882-5. Epub 2006 Feb 13.
    Journal
    European heart journal
    URI
    http://hdl.handle.net/10147/208863
    DOI
    10.1093/eurheartj/ehi794
    PubMed ID
    16476691
    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.
    Language
    eng
    ISSN
    0195-668X (Print)
    0195-668X (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1093/eurheartj/ehi794
    Scopus Count
    Collections
    Cork University Hospital

    entitlement

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