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Vol. 22. Issue S1.
Informe SESPAS 2008: Mejorando la efectividad de las intervenciones públicas sobre la salud
Pages 137-142 (April 2008)
Vol. 22. Issue S1.
Informe SESPAS 2008: Mejorando la efectividad de las intervenciones públicas sobre la salud
Pages 137-142 (April 2008)
Capítulo 3. Prioridades generales y prestaciones individuales. La evaluación y sus formas. En busca del eslabón perdido en la definición de la intervención pública
Open Access
Evaluación económica y toma de decisiones en salud. El papel de la evaluación económica en la adopción y la difusión de tecnologías sanitarias. Informe SESPAS 2008
Economic evaluation and decision-making in health. The role of economic evaluation in the adoption and spread of health technologies
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Juan Olivaa,b,
Corresponding author
juan.olivamoreno@uclm.es

Correspondencia: Juan Oliva. Universidad de Castilla-La Mancha.
, Fernando Antoñanzasc,
Corresponding author
fernando.antonanzas@unirioja.es

Correspondencia: Juan Oliva. Universidad de Castilla-La Mancha.
, Oliver Rivero-Ariasd,
Corresponding author
oliver.rivero@dphpc.ox.ac.uk

Correspondencia: Juan Oliva. Universidad de Castilla-La Mancha.
a Universidad de Castilla-La Mancha, España
b FEDEA
c Universidad de La Rioja, España
d University of Oxford, Reino Unido
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Resumen

La evaluación económica de tecnologías sanitarias (EETS) se ha convertido en una herramienta básica para ayudar en la toma de decisiones en materia de salud. El continuo desarrollo de aspectos metodológicos y su posible aplicación directa a la realidad de cada país la han situado como elemento importante en la agenda de los responsables sanitarios. Este artículo introduce los objetivos generales de la EETS y describe la experiencia de varios países europeos donde se emplean dichas técnicas para decidir si se implementa una tecnología sanitaria. A continuación se evalúa la situación de España y el papel que ejerce la EETS en estos momentos. Finalmente, se identifican tareas pendientes y se mencionan algunas recomendaciones para consolidar la EETS como herramienta fundamental en la toma de decisiones sanitarias.

Palabras clave:
Evaluación económica
Eficiencia
Costes
Resultados
Tecnología sanitaria
Abstract

Economic evaluation of health care technologies (EEHT) has become a basic tool in the decision-making process in health. The continuous development of methods and their direct application to reality have placed EEHT as a key item on the agenda of health policy makers across countries. The present article introduces the aims of EEHT and describes the experience of several European countries where economic evaluation studies are currently used to select the health technologies to be implemented. The role played by EEHT in Spain at the present time is then discussed. Finally, pressing tasks are identified and recommendations are made for the consolidation of EEHT as a basic element in the decision-making process of health care technologies.

Key words:
Economic evaluation
Efficiency
Costs
Outcomes
Health technology
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Bibliografía
[1.]
H.E. Klarman, J.O. Francis, G.D. Rosenthal.
Cost effectiveness analysis applied to the treatment of chronic renal disease.
Medical Care, 6 (1968), pp. 48-54
[2.]
A. Anell, U. Persson.
Reimbursement and clinical guidance for pharmaceuticals in Sweden. Do health economic evaluations support decision making?.
Eur J Health Econ, 50 (2005), pp. 274-279
[3.]
S. Jansson, A. Anell.
The impact of decentralised drug-budgets in Sweden: a survey of physicians’ attitudes towards costs and cost-effectiveness.
Health Policy, 76 (2006), pp. 299-311
[4.]
M. Rawlins.
In pursuit of quality: the National Institute for Clinical Excellence.
Lancet, 353 (1999), pp. 1079-1082
[5.]
T.A. Sheldon, N. Cullum, D. Dawson, A. Lankshear, K. Lowson, I. Watt, et al.
What's the evidence that NICE guidance has been implemented? Results from a national evaluation using time series analysis, audit of patients’ notes, and interviews.
[6.]
R. Cookson, D. McDaid, A. Maynard.
Wrong SIGN, NICE mess: is national guidance distorting allocation of resources?.
BMJ, 323 (2001), pp. 743-745
[7.]
T.HS. Dent, M. Sadler.
From guidance to practice: Why NICE is not enough.
BMJ, 324 (2002), pp. 842-845
[8.]
N. Devlin, D. Parkin.
Does NICE have a cost-effectiveness threshold and what other factors influence its decisions? A binary choice analysis.
Health Economics, 13 (2004), pp. 437-452
[9.]
M. Rawlins, A.J. Culyer.
National Institute for Clinical Excellence and its value judgments.
[10.]
Sorenson C, Kanavos P, Drummond M. Ensuring value for money in health care: the role of HTA in the European Union. En: Financing sustainable healthcare in Europe: new approaches for new outcomes [citado 17 Abr 2007]. Disponible en: http://www.sustainhealthcare.org/
[11.]
Juárez C, Antoñanzas F. Impact of the studies of economic evaluation in health care decision-making. En: Antoñanzas F, Fuster J, Castaño E, coordinadores. Avances en gestión sanitaria. XX Jornadas de Economía de la Salud. Palma de Mallorca, mayo de 2000. p. 141-50.
[12.]
J. Oliva, J. Del Llano, F. Antoñanzas, C. Juárez, J. Rovira, M. Figueras, et al.
Impacto de los estudios de evaluación económica en la toma de decisiones sanitarias en atención primaria.
Cuadernos de Gestión, 7 (2001), pp. 192-202
[13.]
J. Oliva, J. Del Llano, F. Antoñanzas, C. Juárez, J. Rovira, M. Figueras.
Impacto de los estudios de evaluación económica en la toma de decisiones sanitarias en el ámbito hospitalario.
Gestión Hospitalaria, 11 (2000), pp. 171-179
[14.]
The influence of economic evaluation studies on health care decision-making,
[15.]
M. Drummond, M. Sculpher.
Common methodological flaws in economic evaluations.
Medical Care, 43 (2005), pp. 5-14
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