Health technology assessment in Switzerland

Abstract

Objectives and Methods: To review Switzerland's mixed public and private healthcare system with regard to health technology assessment (HTA).Results: In the past, remarkable work in HTA was done. Accomplishments include the following: (i) Switzerland became an early member of the International Network of Agencies for Health Technology Assessment. (ii) HTA has its legal bases in terms of effectiveness, appropriateness, and efficiency. (iii) The federal law allows the introduction of new technologies for a limited time for evaluation. (iv) A Swiss Network for Health Technology Assessment was established. In 2004, federal HTA activities moved from the Swiss Federal Office “of Social Security” to the one for “Public Health.” The Office mainly mandates, manages, and coordinates evaluations attached to its prevention and intervention sections in the fields of AIDS, illegal drugs, and legal drugs.Conclusions: Because of the absence of a governmental institution assessing and reporting on new health technologies, private and for profit organizations became more important for the decision-making processes. In a regulated market, the implications may be crucial for the public health.

The rise of the Swiss regulatory healthcare state: On preserving the just in the quest for the better (or less expensive?)

“…With the Health Insurance Law of 1994, a shift of power and control has thus occurred from the pre-existing private health insurers to the regulatory healthcare state. However, phase two of the rise of the healthcare state concerned with the economic efficiency of treatments (Freeman 2000) is still in its early stages in Switzerland (Gress et al 2005;Paris & Docteur 2007;Koch et al 2009;Stafinski et al 2011;Metzger et al 2017). This paper proceeds by revealing and analyzing this unusual feature of the Swiss case study.…”

Изграждане На Капацитет И Институционализиране На Структура За Оценка На Здравни Технологии – Сравнителен Анализ На Междинната Мезо Среда Между България И Добрите Международни Практики

“…Общо бяха попълнени 111 въпросници (35.58% възвращаемост) от 39 държави на 5 континента, като най-голям е относителният дял на ОЗТ агенциите от Европа (n=65, 58.56±4.72%). От организациите, взели участие в проучването, 59.09% (n=65) са създадени и стартират формална процедура по извършване на НТА доклади в периода 1990-2009 г. (mdn=1999 г.; IQR=1983-2006 г.).…”

“…ка, оказват първите създадени институции в ОЗТ областта, както и Световната банка и СЗО, което е подкрепено и от множество литературни източници [2, 4, 6, 12, 14-15, 23, 48-54]. Международното сътрудничество е необходимо и е неразделна част от ОЗТ процеса, а много от участниците в проучването подчертават членството в международни организации като ключово за изграждането на HTA капацитетфакт, подкрепен и от литературата [2,5,7,9,15,50,[55][56][57][58][59][60][61][62][63]. Последователно във времето сътрудничество възниква по проекта за Евро-ОЦЕНКА в края на 90-те години, по проекта ECHTA/ECAHT в началото на 2000 г. и INAHTA инициативата, отново в началото на 2000 г.…”

Costs of Continuous Subcutaneous Insulin Infusion and Multiple-Dose Insulin Therapies for Type 1 Diabetes Mellitus: A Review of Health Economics Studies

“…Therefore, economic health assessment, a tool to assist the decision-making process on resource use, is valuable for comparing alternative action proposals (GÓMEZ-DANTÉS and FRENK, 2009;KOCH et al, 2009), such as the treatment of T1DM through CSII or MDI (POZZILLI et al, 2016). This type of assessment comprises formal analytical techniques, taking into consideration the invested resources, and the clinical results of each one (NUNES DA SILVA et al, 2016) to answer which therapy is the most indicated in terms of long-and short-term costs.…”