EconPapers    
Economics at your fingertips  
 

The German approach to cost-effectiveness analysis in health care

Noémi V. Hevér () and Orsolya Balogh ()
Additional contact information
Noémi V. Hevér: Corvinus University of Budapest, Department of Public Management, Health-economics and Health Technology Assessment Research Centre, Budapest, Hungary
Orsolya Balogh: Corvinus University of Budapest, Department of Public Management, Health-economics and Health Technology Assessment Research Centre, Budapest, Hungary

Society and Economy, 2013, vol. 35, issue 4, 551-572

Abstract: Health technology assessment (HTA) is a dynamic, rapidly evolving process embracing different types of assessment that inform decisions about the value (i.e., benefits, risks and costs) of new and existing technologies. The role of HTA is to support health policy decision-making and financing in health care. In this paper we describe and analyse the German approach to cost-effectiveness analysis in health care and HTA. Two institutes operate as HTA agencies, namely the German Agency of Health Technology Assessment (DAHTA) and the Institute for Quality and Efficiency in Health Care (IQWiG). The operational principles of IQWiG are somewhat different from the rules governing HTA organizations in other countries. The efficiency frontier approach, applying an indication-specific threshold and neglecting the concept of quality-adjusted life year (QALY) are the most important differences. Previously, health gains were in focus and assessment was based exclusively on such benefits, but in 2010, cost-effectiveness analysis was introduced as an integral part of the HTA process at IQWiG. A brief comparison is also made with the HTA systems in Central-Eastern-European countries, among them concentrating mainly on Hungary.

Keywords: health technology assessment; IQWiG; DAHTA; Germany; Hungary (search for similar items in EconPapers)
JEL-codes: I10 (search for similar items in EconPapers)
Date: 2013
References: Add references at CitEc
Citations:

Downloads: (external link)
http://akademiai.com/content/8x53325rv1vj8171/fulltext.pdf (application/pdf)
subscription

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:aka:soceco:v:35:y:2013:i:4:p:551-572

Ordering information: This journal article can be ordered from
Akadémiai Kiadó Zrt., P. O. Box 245, H-1519 Budapest, Hungary
https://akjournals.com/

Access Statistics for this article

Society and Economy is currently edited by Szent-Iványi, Balázs

More articles in Society and Economy from Akadémiai Kiadó, Hungary
Bibliographic data for series maintained by Kriston, Orsolya ().

 
Page updated 2025-03-19
Handle: RePEc:aka:soceco:v:35:y:2013:i:4:p:551-572