Steuten Lotte, Vallejo-Torres Laura, Young Terry, Buxton Martin
Multidisciplinary Assessment of Technology Centre for Healthcare, Health Economics Research Group, Brunel University, Uxbridge, Middlesex, UB8 3PH, UK.
Expert Rev Med Devices. 2008 May;5(3):329-36. doi: 10.1586/17434440.5.3.329.
Transferring results of economic evaluations across countries or jurisdictions can potentially save scarce evaluation resources while helping to make market access and reimbursement decisions in a timely fashion. This article points out why transferring results of economic evaluations is particularly important in the field of medical technologies. It then provides an overview of factors that are previously identified in the literature as affecting transferability of economic evaluations, as well as methods for transferring results in a scientifically sound way. As the current literature almost exclusively relates to transferability of pharmacoeconomic evaluations, this article highlights those factors and methodologies that are of particular relevance to transferring medical technology assessments. Considering the state-of-the-art literature and a worked, real life, example of transferring an economic evaluation of a product used in orthopedic surgery, we provide recommendations for future work in this important area of medical technology assessment.
在不同国家或司法管辖区之间转移经济评估结果,有可能节省稀缺的评估资源,同时有助于及时做出市场准入和报销决策。本文指出了为何在医疗技术领域转移经济评估结果尤为重要。接着,文章概述了先前文献中确定的影响经济评估可转移性的因素,以及以科学合理的方式转移结果的方法。由于当前文献几乎完全涉及药物经济学评估的可转移性,本文重点强调了与转移医疗技术评估特别相关的那些因素和方法。考虑到最新的文献以及一个实际的、关于转移骨科手术中使用产品的经济评估的实例,我们为医疗技术评估这一重要领域的未来工作提供了建议。