Evidence-based decision making in healthcare in Central Eastern Europe

Ferrario, Alessandra; Baltezarevic, D.; Novakovic, Tanja; Parker, Mark S.; Samardžić, Janko

doi:10.1586/14737167.2014.946014

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…Obtaining value for money and ensuring the long-term sustainability of healthcare systems is a priority in all European countries and beyond. Achieving these objectives becomes even more important for countries with comparatively less resources available to spend on healthcare like Central and Eastern European (CEE) countries ( 21 ).…”

Section: Discussionmentioning

confidence: 99%

Pharmacoeconomic Analysis of Antiepileptic Reimbursement for Neuropathic Pain in Bosnia and Herzegovina - Budget Impact Analysis of Pregabalin

Catic¹,

Jusufovic

Tabakovic³

2018

Mater Sociomed

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Introduction:Neuropathic pain resulting from injury to the nervous system. Up to 7% to 8% of the European population is affected. A number of different treatments for neuropathic pain have been studied including antiepileptic. Pregabalin and gabapentin are often considered first-line treatments. Pregabalin provides equivalent efficacy to gabapentin, showing greater potency at much lower doses and is considered as cost-effective intervention. In Federation of Bosnia and Herzegovina (FB&H), gabapentin is fully reimbursed, while pregabalin is enlisted on list B with copayment.Aim:To develop simple budget impact (BI) model and assess BI of introducing pregabalin into full reimbursement in FB&H.Material and methods:Budget impact model was developed using Microsoft Excel 2010. Local epidemiology data and data on drug consumption from government reports in 2016 were used. Two scenarios with three-year time horizon have been developed: 1) without and 2) with pregabalin reimbursed at the same level as gabapentin. Two developed scenarios have been compared from health insurance fund (HIF) perspective.Results:In scenario 1 consider both drugs fully reimbursement and without patient switch among alternatives the total cost would be increased for 780,025 KM; 852,027 KM and 943,830 KM over a 3-year period. In scenario 2 considering both drugs fully reimbursed but with patient switch topregabalin total annual cost would be increased for 732,241 KM; 742,395 KM and 751,761 KM. Comparing scenario 1 and 2 it is found that scenario 2 is more favorable from HIF perspective.Conclusion:Implementation of pharmacoeconomic principles in reimbursement decisions in Bosnia and Herzegovina would improve access to medicines and contribute rationale resource consumption.

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Section: Discussionmentioning

confidence: 99%

Pharmacoeconomic Analysis of Antiepileptic Reimbursement for Neuropathic Pain in Bosnia and Herzegovina - Budget Impact Analysis of Pregabalin

Catic¹,

Jusufovic

Tabakovic³

2018

Mater Sociomed

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“…(1) the logistical factor (including budgetary constraints and cost-effectiveness relative importance for decision-making), (2) organizational culture (values, norms, rules, image, communication, including relation to political factor and government (in)stability) and (3) organizational structure (including national health system) (Ferrario et al, 2014;Polese et al, 2014). Policy transfer seems to provide the key solution to the problem of adapting CEE national health systems to ever growing services pretences.…”

Section: Customizing Central and Eastern European (Cee) National Systemsmentioning

confidence: 99%

Healthcare Policy-Making Within Eu Governance: A Content Analysis Of Media Coverage

Georgescu¹

2017

European Proceedings of Social and Behavioural Sciences

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Background: Managing institutional design of healthcare appears connected to three dimensions: (1) the logistical factor (including budgetary constraints), (2) organizational culture (values, norms, rules, image, communication) and (3) organizational structure. Method: The paper uses media content analysis as research methodology aimed at identifying the general themes, trends and patterns in the media coverage of the institutional design of healthcare services and portrayal of the systemic changes and challenges in the field. The analysis is founded on measuring both the quantity and quality of media coverage of healthcare services issues, extended interpretation of the articles (generic framing analysis) covering the institutional design/institution building and health policy-making. Settings: The analysis is centered on finding evidence of media bias towards certain issues covering the management of institutional design of healthcare services, within policy-making and policy-implementation of public health, challenges and responses to crisis situations, authorities' actions and reactions. Hypothesis: The distribution of articles, frequency and themes associated to healthcare issues are correlated to the context of local elections campaign. Conclusions: The monitoring of online news sources and content analysis of selected articles produced evidence on the intensification of health-related issues during the first month of the monitoring period. In this sense, the analysis was firstly directed towards identifying frequencies in the distribution of articles along the studied period and among the specific news sources. Secondly, the analysis was targeted along identifying the key themes in the selected articles that would signal the interest in healthcare during elections campaign.

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HTA and decision-making processes in Central, Eastern and South Eastern Europe: Results from a survey

et al. 2019

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Evidence-based decision making in healthcare in Central Eastern Europe

Cited by 3 publications

References 18 publications

Pharmacoeconomic Analysis of Antiepileptic Reimbursement for Neuropathic Pain in Bosnia and Herzegovina - Budget Impact Analysis of Pregabalin

Pharmacoeconomic Analysis of Antiepileptic Reimbursement for Neuropathic Pain in Bosnia and Herzegovina - Budget Impact Analysis of Pregabalin

Healthcare Policy-Making Within Eu Governance: A Content Analysis Of Media Coverage

HTA and decision-making processes in Central, Eastern and South Eastern Europe: Results from a survey

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