Nasser Mona, Sawicki Peter
Institute for Quality and Efficiency in Health Care.
Issue Brief (Commonw Fund). 2009 Jul;57:1-12.
The Institute for Quality and Efficiency in Health Care (IQWiG) was established in 2004 to provide Germany's Federal Joint Committee with evidence-based evaluations of the benefits and cost benefits of health services, and functions in an advisory role. IQWiG reviews available evidence and produces recommendations after an extensive process of consultation with experts and stakeholders. IQWiG's recommendations are then considered by the Joint Committee in issuing coverage and payment directives. Under German law, insurance funds must cover any service that is medically necessary, which means that cost-effectiveness analysis can only be used to exclude a treatment from coverage if at least one equivalent alternative exists.
医疗质量与效率研究所（IQWiG）成立于2004年，旨在为德国联邦联合委员会提供关于医疗服务益处和成本效益的循证评估，并发挥咨询作用。IQWiG会审查现有证据，并在与专家和利益相关者进行广泛磋商后提出建议。联合委员会在发布覆盖范围和支付指令时会考虑IQWiG的建议。根据德国法律，保险基金必须涵盖任何具有医学必要性的服务，这意味着只有在至少存在一种等效替代方案的情况下，成本效益分析才能用于将某种治疗排除在覆盖范围之外。
