A comparison of pharmaceutical reimbursement agencies' processes and methods in France and Scotland

International Journal of Technology Assessment in Health Care
Matthew BendingClare McGrath

Abstract

Pharmaceutical reimbursement agencies' processes and methods of appraisal vary across countries. The objective of this study was to examine the contribution of formal health economic analysis in a process using such analysis in Scotland in comparison to a process not routinely using such analysis in France. A framework for classifying reimbursement systems was used to analyze the two systems. A typology of recommendation was defined and a qualitative analysis of decisions on a sample of medicines appraised by both reimbursement agencies was conducted. Reasons for differences in recommendations were analyzed and case studies selected to illustrate the common reasons. Thirty-nine common medicines appraised by both agencies were identified between 2005 and 2010, treating a variety of diseases for which the Scottish Medicines Consortium tended to provide more restrictive, or did not recommend, listing. Similarities in clinical evidence submitted to the respective reimbursement committees were observed. Differences in recommendation can be explained by a combination of the manufacturer's freedom to set price and the incentives provided by the consideration of health economic analysis and quality of life, alongside differences in rel...Continue Reading

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Citations

Nov 10, 2016·Expert Review of Pharmacoeconomics & Outcomes Research·Simon B ZeichnerDaniel A Goldstein
Aug 26, 2014·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Katharina E Fischer, Tom Stargardt
Sep 28, 2017·Expert Review of Pharmacoeconomics & Outcomes Research·Paweł KawalecWojciech Trąbka

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