Do economic evaluations of TAVI consider learning effects, innovation, and context dependency?
| Autor: | Saskia Knies, Joost J. Enzing, Sylvia Vijgen, Bert Boer, Werner B. F. Brouwer |
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| Přispěvatelé: | Health Economics (HE), Health Technology Assessment (HTA), Health Care Governance (HCG), Erasmus School of Health Policy & Management |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
030503 health policy & services
Health Policy media_common.quotation_subject Applied psychology Biomedical Engineering Psychological intervention Context (language use) Care provision Checklist 03 medical and health sciences 0302 clinical medicine Economic evaluation Generalizability theory Quality (business) 030212 general & internal medicine 0305 other medical science Psychology media_common |
| Zdroj: | Health Policy and Technology, 10(1), 111-119. Fellowship of Postgraduate Medicine |
| ISSN: | 2211-8837 |
| DOI: | 10.1016/j.hlpt.2020.09.006 |
| Popis: | IntroductionMost collectively funded healthcare systems set limits to their benefit package. Doing so requires judgements which may involve economic evaluations. Performing such evaluations brings methodological challenges, which may be more pronounced in non-pharmaceutical interventions. For example, for medical devices, the validity of assessment results may be limited by learning effects, incremental innovation of the devices and the context-dependency of their outcomes.ObjectiveTo review the extent to which "learning effects", "incremental innovation" (related to outcomes) and "context-dependency" are included and/or discussed in peer reviewed economic evaluations on medical devices using Transcatheter Aortic Valve Implementation (TAVI) as an example.MethodsA systematic review was performed including full economic evaluations of TAVI for operable patients with aortic stenosis identified using the Pubmed database. Study characteristics, study results and text fragments concerning the aforementioned aspects were extracted. The quality of the studies was assessed using a quality checklist (CHEC-extended).ResultsWithin 207 screened records, 15 studies were identified. Two studies referred to all three aspects, four studies referred to none. "Learning effects" were discussed in five studies, one of which described a method to cope with this challenge. “Incremental innovation” was described in seven studies. Limitations in generalizability of results related to context of care provision were discussed in seven studies.ConclusionThe challenges related to economic evaluations of TAVI and their influence on the validity of reported results, are typically only partly discussed and rarely dealt within peer reviewed studies. It is important for better informed policy decisions that this improves. |
| Databáze: | OpenAIRE |
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