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Value in Health Regional Issues

Pimwara Tanvejsilp, Suthira Taychakhoonavudh, Usa Chaikledkaew, Nathorn Chaiyakunapruk, Surachat Ngorsuraches
OBJECTIVES: To describe the process, challenges, and future direction of health technology assessment (HTA), focusing on the drug selection of the National List of Essential Medicines (NLEM) in Thailand. METHODS: Literature and government documents were reviewed and analyzed by authors with experiences in HTA and drug policy in the country. RESULTS: The structure of HTA and its process in the drug selection of the NLEM were described, followed by the outcomes of the use of HTA...
January 11, 2019: Value in Health Regional Issues
Slaveyko N Djambazov, Maria Daniela Giammanco, Lara Gitto
BACKGROUND: The relevance of studies focusing on patient satisfaction becomes imperative for patients with cancer, who often face major changes in their lifestyles. Their perceived uncertainty in illness and their personal experiences with the services received are crucial factors for a qualitatively adequate assistance. OBJECTIVES: To assess the determinants of patient satisfaction, using a sample of 306 Bulgarian oncology outpatients. METHODS: The hypotheses tested concern the extent to which patient satisfaction depends on the uncertainty in illness; the patients' assessment of technical and interpersonal skills of nurses and medical staff; the information provision; and some organizational aspects...
January 11, 2019: Value in Health Regional Issues
Ana Inés Galain, Juan José Dapueto, Ramón Alvarez, Liliana Gadola
BACKGROUND: Patients on dialysis report high levels of symptom burden. The association of these symptoms may have an increased deleterious effect on the patients' well-being. OBJECTIVE: This study aimed to assess the prevalence of symptoms, to identify symptom clusters, and to describe the impact of concurrent symptoms on physical and emotional well-being in a sample of dialysis patients. METHODS: Data of the first assessment of a longitudinal study aimed to assess patient-reported outcomes in dialysis were included here...
January 10, 2019: Value in Health Regional Issues
Shima Shahjouei, Alireza Vafaei Sadr, Soheila Khorasani, Farideh Nejat, Zohreh Habibi, Ali Akbari Sari
BACKGROUND: Health-related quality of life (utility) measures are essential components of effectiveness analyses. The health-related quality of life of health states in pediatric patients who underwent spinal surgery have not been reported previously. OBJECTIVES: To estimate the utility of complications after spinal surgeries and side effects of acetazolamide administration. METHODS: Parent caregivers, nurses, neurosurgeons, and orthopedists were interviewed as proxies to evaluate the preference of health conditions in pediatric patients who underwent intradural surgeries...
January 9, 2019: Value in Health Regional Issues
Federico Liberman, Jorge Elgart, Ingrid Strusberg
OBJECTIVES: To estimate the following: (1) the avoidable cost of biologic (bDMARDs) and conventional synthetic Rheumatoid Arthritis (RA) modifying antirheumatic drugs (csDMARDs) during controlled clinical trials (CCTs), their extension period, and for bDMARDs in post study drug programs; and (2) to evaluate the impact on health insurances. METHODS: We analyzed 13 CCTs (233 patients) that evaluated bDMARDs. Avoidable cost was what the health insurance should have paid if the patient had not received the medication from the CCT sponsor and was estimated with a micro-costing approach (bottom-up method)...
January 8, 2019: Value in Health Regional Issues
Marcos Bosi Ferraz, Elene Paltrinieri Nardi, Alessandro Gonçalves Campolina
BACKGROUND: The 6-dimensional health state short form (SF-6D) is a health preference measure used in economic evaluations of many treatments. OBJECTIVES: To compare the results provided by the SF-6D index, when applied to a representative sample of the Brazilian population, using Brazilian and UK preference weights. METHODS: Five thousand individuals were assessed in the 5 regions of Brazil. Preference measures in healthcare were assessed using the SF-6D Brazil, version 2002...
January 8, 2019: Value in Health Regional Issues
Valerie S Hughes, André Luis Ferreira De Azeredo-Da-Silva, Ana L Hincapie
BACKGROUND: An increasing awareness of the importance of health economics and outcomes research (HEOR) skills has been reported in Latin America. There is, however, no published study directly assessing perceived knowledge levels and knowledge gaps on specific HEOR topics among professionals and students in the region. OBJECTIVES: To assess perceived HEOR knowledge levels and identify knowledge gaps in Latin America. METHODS: An online needs assessment survey was developed to quantify perceived HEOR knowledge levels and identify knowledge gaps...
January 8, 2019: Value in Health Regional Issues
Marcos Santos, Stephen Stefani, Joao Paulo Reis Neto, Manoel Carlos Santos
The congress of the International Society for Pharmacoeconomics and Outcomes Research is one of the main worldwide forums for the dissemination of research and knowledge on healthcare economics. Brazil is the largest country in Latin America, with a per-capita gross domestic product of $15 200 in 2017 and healthcare expenditure of the order of $1 318 per inhabitant. Brazilian specialists participated actively in the society's latest congress, which took place in Boston, Massachusetts, from May 20 to 24, 2017...
January 8, 2019: Value in Health Regional Issues
Dina Hamdi Abushanab, Omar Adnan Alsoukhni, Daoud Al-Badriyeh
BACKGROUND: Mechanically ventilated patients with respiratory disorders may require sedatives, such as opioids. OBJECTIVES: To define methodological trends, gaps, and the reporting quality of the comparative clinical and economic evaluations of fentanyl and morphine in ventilated patients in the intensive care unit. METHODS: We conducted a literature review of the MEDLINE, Embase, OVID, ScienceDirect, Springer Link, and EconLit databases, comparing studies in the management of ventilated patients with respiratory disorders in the intensive care unit using either fentanyl or morphine, or both...
January 8, 2019: Value in Health Regional Issues
Polona Jaki Mekjavić, Vilma Jūratė Balčiūnienė, Lala Ćeklić, Jan Ernest, Zuzana Jamrichova, Zoltán Zsolt Nagy, Iva Petkova, Sławomir Teper, Ivana Gardašević Topčić, Miroslav Veith
BACKGROUND: Despite the significant impact of retinal diseases such as wet age-related macular degeneration (wAMD) and diabetic macular edema (DME), there is a limited understanding of how these conditions are managed in Central and Eastern Europe (CEE). OBJECTIVES: To provide a comprehensive overview of the clinical and economic burden of wAMD and DME in CEE and the status quo associated with their management. METHODS: A narrative literature review was undertaken to identify existing data on wAMD and DME, including epidemiology, economic burden, clinical guidelines, and available and reimbursed treatments...
January 8, 2019: Value in Health Regional Issues
Daniela Simian, Rodrigo Quera
No abstract text is available yet for this article.
January 7, 2019: Value in Health Regional Issues
Maria Calderon
No abstract text is available yet for this article.
January 4, 2019: Value in Health Regional Issues
Aurelio Mejía, Ramiro Gilardino, Finn Børlum Kristensen, Louis P Garrison
In February and September of 2017, the International Society for Pharmacoeconomics and Outcomes Research Health Technology Assessment Council held roundtables focused on Latin America to discuss health technology assessment best practices, collaboration opportunities, and regional experiences regarding health policies to improve the affordability of and access to healthcare technologies. The access to high-cost technologies, increased social pressure to achieve universal coverage, population aging, and the limits of traditional mechanisms to control costs create political pressure to begin considering other pricing alternatives, including value-based pricing, in Latin America...
December 6, 2018: Value in Health Regional Issues
Walter Toro, Diego Guarin
No abstract text is available yet for this article.
December 5, 2018: Value in Health Regional Issues
Vishal Gupta, Michael Willis, Pierre Johansen, Andreas Nilsson, Manan Shah, Amey Mane, Cheryl Neslusan
OBJECTIVES: To simulate the long-term health outcomes of canagliflozin 100 mg versus glimepiride over 20 years in patients with type 2 diabetes mellitus (T2DM) inadequately controlled on metformin from the perspective of the Indian health care system. METHODS: Health outcomes were simulated using the validated Economic and Health Outcomes Model of T2DM. Patient demographic characteristics, biomarker values, and treatment effects were sourced from a subgroup of Indian patients enrolled in a 52-week, head-to-head study of canagliflozin versus glimepiride (mean maximum dose of 5...
November 28, 2018: Value in Health Regional Issues
Tanita Thaweethamcharoen, Prapaporn Noparatayaporn, Suchai Sritippayawan, Nipa Aiyasanon
OBJECTIVES: To compare the utility scores derived from the 5-level EuroQol 5-dimensional questionnaire (EQ-5D-5L), the visual analogue scale (VAS), and the 6-dimensional health state short form (SF-6D) in Thai patients on peritoneal dialysis. METHODS: Data were obtained from the 36-Item Kidney Disease Quality of Life questionnaire and the EuroQol questionnaires (EQ-5D-5L and VAS) via face-to-face interview for 64 patients on peritoneal dialysis. We compared the ceiling effect of all the utility tools by calculating the proportion at the highest scores...
November 28, 2018: Value in Health Regional Issues
Marcela Oyarte, Manuel Espinoza, Carlos Balmaceda, Rodrigo Villegas, Báltica Cabieses, Janepsy Díaz
OBJECTIVES: Out-of-pocket spent (OPS) of health services are considered inefficient and are a consequence of inequalities in financing and access. The main objective of this study was to compare OPS on health and medicine, including catastrophic expenditure, overall and by quintiles and deciles, for the great Santiago city in the periods 1997, 2007 and 2012. METHODS: Cross-sectional study based on household budget surveys 1997, 2007 and 2012. OPS on health and medicine for households of the great Santiago was estimated overall and for different quintiles and deciles...
November 14, 2018: Value in Health Regional Issues
Leandro Biagini, Marcela Pezzani, Ruben Rojas, Francisca Fuentealba
INTRODUCTION: Pneumococcal infections are a public health problem in older adults. In Chile there are two vaccines at this time, PPSV23 and PCV13. The first has lower immunogenicity and effectiveness in preventing pneumococcal pneumonia and a lower cost than PCV13. OBJECTIVE: To determine the cost-effectiveness of PCV13 versus PPSV23 in adults 18 years old and over in the Chilean Health System. MATERIAL AND METHOD: A cost-utility study was performed using the Markov model (population data for a time horizon of 10 years)...
November 14, 2018: Value in Health Regional Issues
DJavad Ghoddoosi-Nejad, Ali Jannati, Leila Doshmangir, Morteza Arab-Zozani, Ali Imani
OBJECTIVE: To understand the stewardship challenges in strategic purchasing of health care in Iran's health system from the viewpoints of experts, policy makers, and decision makers. STUDY DESIGN: This was a qualitative study. METHODS: Researchers used interviews and FGDs for collecting and framework analysis for analyzing data. RESULTS: Stewardship challenges were classified into three themes and nine subthemes. A lack of management information systems, a lack of enforcement for rules and laws, a lack of stewardship units, and the conflict of interest between the Ministry of Health and insurers as care purchasers in the health system are among the main challenges identified in the implementation of the strategic purchasing of health care in Iran...
November 13, 2018: Value in Health Regional Issues
Aurore Bergamasco, Teigna Arredondo Bisono, Genaro Castillon, Yola Moride
BACKGROUND: Drug utilization studies (DUSs) are increasingly being conducted in Latin America, especially in countries with a universal healthcare coverage, to inform policies and decision making. The need for an ethical framework specific to DUSs in Latin America has been recognized. OBJECTIVES: To describe the ethical and/or legal requirements applicable to DUSs in Latin American countries with universal healthcare coverage. METHODS: We conducted a nonsystematic scoping review on DUSs in this region, covering the period from January 1, 2012, to July 1, 2017, and reviewed legislations and data protection requirements in each country...
November 12, 2018: Value in Health Regional Issues
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