Average CET Limit: Is It Possible to Introduce a Single CET for the Whole EEA?

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216224%3A14160%2F22%3A00127495" target="_blank" >RIV/00216224:14160/22:00127495 - isvavai.cz</a>

Výsledek na webu

<a href="https://www.valueinhealthjournal.com/article/S1098-3015(22)02479-2/fulltext" target="_blank" >https://www.valueinhealthjournal.com/article/S1098-3015(22)02479-2/fulltext</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.jval.2022.09.275" target="_blank" >10.1016/j.jval.2022.09.275</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Average CET Limit: Is It Possible to Introduce a Single CET for the Whole EEA?

Popis výsledku v původním jazyce

Objectives: The Cost-Effectiveness Threshold (CET) is used as one of the last barriers to introducing new health interventions. A common CET could stimulate a debate on a common pricing policy for medicines within the European Economic Area (EEA). This work aimed to determine the average value of CET in the EEA and to propose a method of standardization of use in the EEA from the obtained values. Methods: Keywords "cost-effectiveness threshold in (country name)" were used to search for publications in the Web of Science database and on Google. For each country, the most up-to-date publications were searched, which contained specifically identified CETs or approved guidelines for that country. For comparison, CET for each country was recalculated according to the WHO recommendation of 3x GDP per capita in 2020. Results: The lowest lower limit of the CET was in Sweden (€ 9,523). Denmark had the highest maximum CET (€ 171,861 - 3x GDP) - but this is not an officially approved CET. The average lower bound CET in the EEA was € 26,272, and the average upper bound CET was € 56,873. In the EEA, Bulgaria has the lowest GDP per capita (€ 9,456) and Liechtenstein the highest (€ 164,941). The average GDP per capita in the EEA was € 39,071. Conclusions: Using CET as recommended by the WHO would raise the threshold in most countries, especially countries with high GDP per capita. Due to significant economic differences between EEA countries, it is impossible to determine a single CET for all countries. A common CET could be designated for 5 groups of countries broken down by GDP per capita (0-19,999; 20,000-29,999; 30,000-49,999; 50,000-79,999; 80,000 and more). The average value of GDP in the groups would be € 14,982; € 24,381; € 44,563; € 58 683, and € 118 080.

Název v anglickém jazyce

Average CET Limit: Is It Possible to Introduce a Single CET for the Whole EEA?

Popis výsledku anglicky

Objectives: The Cost-Effectiveness Threshold (CET) is used as one of the last barriers to introducing new health interventions. A common CET could stimulate a debate on a common pricing policy for medicines within the European Economic Area (EEA). This work aimed to determine the average value of CET in the EEA and to propose a method of standardization of use in the EEA from the obtained values. Methods: Keywords "cost-effectiveness threshold in (country name)" were used to search for publications in the Web of Science database and on Google. For each country, the most up-to-date publications were searched, which contained specifically identified CETs or approved guidelines for that country. For comparison, CET for each country was recalculated according to the WHO recommendation of 3x GDP per capita in 2020. Results: The lowest lower limit of the CET was in Sweden (€ 9,523). Denmark had the highest maximum CET (€ 171,861 - 3x GDP) - but this is not an officially approved CET. The average lower bound CET in the EEA was € 26,272, and the average upper bound CET was € 56,873. In the EEA, Bulgaria has the lowest GDP per capita (€ 9,456) and Liechtenstein the highest (€ 164,941). The average GDP per capita in the EEA was € 39,071. Conclusions: Using CET as recommended by the WHO would raise the threshold in most countries, especially countries with high GDP per capita. Due to significant economic differences between EEA countries, it is impossible to determine a single CET for all countries. A common CET could be designated for 5 groups of countries broken down by GDP per capita (0-19,999; 20,000-29,999; 30,000-49,999; 50,000-79,999; 80,000 and more). The average value of GDP in the groups would be € 14,982; € 24,381; € 44,563; € 58 683, and € 118 080.

Druh

O - Ostatní výsledky

CEP obor

—

OECD FORD obor

50202 - Applied Economics, Econometrics

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2022

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů