Differences in health technology assessment recommendations among European jurisdictions: the role of practice variations

Value in Health

14 January 2020 - HTA recommendations vary widely throughout Europe, even for the same medicine.

HTA recommendations for conditionally approved medicines up until June 2017 from England/Wales, France, Germany, the Netherlands, and Scotland were included. Recommendations and practice characteristics were extracted from these five jurisdictions and this data was validated. 

The effect of non-submissions, resubmissions, and reassessments; cost-effectiveness assessments; and price negotiations on changes in the percentage of negative recommendations and the interpretation of inter-country differences in HTA outcomes were analysed using Fisher exact tests.

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Michael Wonder

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Michael Wonder