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The German approach to cost-effectiveness analysis in health care

Bibliographic Data

ID12846594
AuthorsN V Hevér (corresponding author), Orsolya Balogh (0000-0002-7478-7825)
Year2013
Volume35
Issue4
Pages551-572
Publication date2013-11-05
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSociety and Economy (JOURNAL)
Journal identifiersISSN: 1588-970X • E-ISSN: 1588-9726
PublisherAkadémiai Kiadó (PUBLISHER • HU)
DOI10.1556/socec.2013.0008
OpenAlexW2037754327
LanguageEN
Citations received1
References cited20

Health technology assessment (HTA) is a dynamic, rapidly evolving process embracing different types of assessment that inform decisions about the value (i.e., benefits, risks and costs) of new and existing technologies. The role of HTA is to support health policy decision-making and financing in health care. In this paper we describe and analyse the German approach to cost-effectiveness analysis in health care and HTA. Two institutes operate as HTA agencies, namely the German Agency of Health Technology Assessment (DAHTA) and the Institute for Quality and Efficiency in Health Care (IQWiG). The operational principles of IQWiG are somewhat different from the rules governing HTA organizations in other countries. The efficiency frontier approach, applying an indication-specific threshold and neglecting the concept of quality-adjusted life year (QALY) are the most important differences. Previously, health gains were in focus and assessment was based exclusively on such benefits, but in 2010, cost-effectiveness analysis was introduced as an integral part of the HTA process at IQWiG. A brief comparison is also made with the HTA systems in Central-Eastern-European countries, among them concentrating mainly on Hungary

Actuarial science · Agency (philosophy · Business · Cost effectiveness · Cost-effectiveness analysis · Cost–benefit analysis · Economic evaluation · Economic growth · Economics · German · Health care · Health technology · Political science · Public economics · Risk analysis (engineering · Sociology · Health Systems, Economic Evaluations, Quality of Life · Healthcare cost, quality, practices · Medicine · Pharmaceutical Economics and Policy

  • Letters and debate

    Open Access•Frank Sandmann, Ralf Bender et al.•Society and Economy•2014

  • Qalys

    Open Access•Milton C Weinstein, George Torrance et al.•Value in Health•2009

  • Changes in Equity in Out-of-pocket Payments during the Period of Health Care Reforms

    Open Access•Petra Baji, M Pavlova et al.•International Journal for Equity…•2012

  • Comparing cost-sharing practices for pharmaceuticals and health care services among four central European countries

    Open Access•Petra Baji, I Boncz et al.•Society and Economy•2012

Unique citing works1
Citations per year0.08
Citation span2014 - 2014 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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