¿Qué es una tecnología sanitaria eficiente en España?

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Abellán, O. Zurriaga, M.A. Martínez-Beneito, J. Peñalver, T. Molins" "autores" => array:5 [ 0 => array:2 [ "nombre" => "J.J." "apellidos" => "Abellán" ] 1 => array:2 [ "nombre" => "O." "apellidos" => "Zurriaga" ] 2 => array:2 [ "nombre" => "M.A." "apellidos" => "Martínez-Beneito" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Peñalver" ] 4 => array:2 [ "nombre" => "T." "apellidos" => "Molins" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911102719328?idApp=WGSE" "url" => "/02139111/0000001600000004/v1_201310251715/S0213911102719328/v1_201310251715/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "¿Qué es una tecnología sanitaria eficiente en España?" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "334" "paginaFinal" => "343" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.A. Sacristán, J. Oliva, J. Del Llano, L. Prieto, J.L. Pinto" "autores" => array:5 [ 0 => array:4 [ "nombre" => "J.A." "apellidos" => "Sacristán" "email" => array:1 [ 0 => "sacristan_jose@lilly.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Oliva" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] ] ] 2 => array:3 [ "nombre" => "J." "apellidos" => "Del Llano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "L." "apellidos" => "Prieto" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "J.L." "apellidos" => "Pinto" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "d" "identificador" => "aff0020" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Departamento de Investigación Clínica, Lilly S.A. Madrid" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Fundación Gaspar Casal. Madrid" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Universidad Carlos III. Madrid" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Universitat Pompeu Fabra. Barcelona" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: José Antonio Sacristán. Dpto. de Investigación Clínica, Lilly S.A. Avda. de la Industria, 30. 28108 Alcobendas. Madrid." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "(What is an efficient health technology in Spain?)" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2001-11-12" "fechaAceptado" => "2002-01-25" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec268856" "palabras" => array:4 [ 0 => "Eficiencia" 1 => "Coste-efectividad" 2 => "Evaluación" 3 => "Tecnología sanitaria" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec268857" "palabras" => array:4 [ 0 => "Efficiency" 1 => "Cost-effectiveness" 2 => "Evaluation" 3 => "Health technology" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "IntroducciónA pesar del creciente reconocimiento de la potencial utilidad de los estudios de coste-efectividad, en España no existe ningún criterio que permita establecer si una determinada tecnología sanitaria puede considerarse rentable o no. El objetivo de este trabajo es describir cuáles han sido los límites y criterios utilizados en España para recomendar la adopción o el rechazo de intervenciones sanitarias en función de su coste-efectividad. MétodoSe realizó una revisión de las evaluaciones económicas de intervenciones sanitarias publicadas en España desde 1990 hasta 2001. Se seleccionaron las evaluaciones económicas completas en las que el cociente coste-efectividad se había expresado como coste por año de vida ganado (AVG), como coste por año de vida ajustado por calidad (AVAC) o como coste por vida salvada. Se analizaron las intervenciones sobre las que los autores establecieron algún tipo de recomendación (de adopción o rechazo), así como los criterios utilizados. ResultadosVeinte (20%) de las 100 evaluaciones económicas completas publicadas cumplieron con los criterios señalados. En 16 de los estudios, los resultados se expresaron como coste por AVG, en 6 como coste por AVAC y en 1 como coste por vida salvada. Se evaluaron un total de 82 intervenciones sanitarias, en 44 de las cuales se realizó algún tipo de recomendación. Los autores recomendaron la adopción de todas las intervenciones sanitarias con un coste-efectividad inferior a 30.000 euros (5 millones de pesetas) por AVG. Por encima de esa cifra no se apreció ninguna tendencia. ConclusionesSi bien los resultados deben ser interpretados con mucha precaución, dadas las limitaciones del estudio, los límites de coste-efectividad presentados en este trabajo podrían constituir una primera referencia a lo que podría considerarse como una intervención sanitaria eficiente en España." ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "IntroductionDespite the growing recognition of the potential applications of cost-effectiveness assessments, a criterion to establish what is an efficient health technology does not exist in Spain. The objective of this work is to describe the limits and the criteria used in Spain to recommend the adoption of health interventions. MethodA review of the economic evaluations of health technologies published in Spain from 1990 to 2001 was conducted. Complete economic assessments in which the costeffectiveness ratio was expressed as cost per life-year gained (LYG), cost per quality-adjusted-life-year (QALY) or cost per saved live were selected. Those interventions in which the authors established recommendations (adoption or rejection) and the criteria used were analyzed. ResultsTwenty (20%) of the 100 complete economic evaluations fulfilled the selection criteria. In16 studies, the results were expressed as cost per LYG, in 6 studies as cost per QALY and in 1 as cost per saved live. A total of 82 health interventions were assessed and some kind of recommendation was established in 44 of them. All technologies with a cost-effectiveness ratio lower than 30,000 euros (5 million pesetas) per LYG were recommended for adoption by the authors. Up to that limit there was no a clear tendency. ConclusionsAlthough the results must be interpreted with much precaution, given the limitations of the study, the limits of cost-effectiveness presented in this work could be a first reference to which would be an efficient health intervention in Spain." ] ] "bibliografia" => array:3 [ "titulo" => "Bibliogrífia" 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:19 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clínica y gestión" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "V. 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