Medico-economic evaluation of therapeutic strategies at hospital: A systematic review of French studies

L’évaluation médico-économique des stratégies thérapeutiques en milieu hospitalier: une revue systématique des travaux français

A. Baudouin, Xavier Armoiry () and Claude Dussart ()
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A. Baudouin: Service pharmacie, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69275 Lyon, France, Hôpital d'Instruction des Armées Desgenettes - Service de Santé des Armées
Xavier Armoiry: Délégation à la Recherche Clinique et à l’Innovation [CHLS Lyon] - CHLS - Centre Hospitalier Lyon Sud [CHU - HCL] - HCL - Hospices Civils de Lyon, MATEIS - Matériaux, ingénierie et science [Villeurbanne] - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon - INSA Lyon - Institut National des Sciences Appliquées de Lyon - Université de Lyon - INSA - Institut National des Sciences Appliquées - CNRS - Centre National de la Recherche Scientifique, Warwick Medical School - University of Warwick [Coventry]
Claude Dussart: P2S - Parcours santé systémique - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon, Service pharmacie, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69275 Lyon, France, Hôpital d'Instruction des Armées Desgenettes - Service de Santé des Armées

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Abstract: Introduction Therapeutic innovation contributes to the increase of health care expenditures in France. Medico-economic evaluation has still a minor role in the decision-making for the registration of drugs and medical devices in hospitals. This study aimed to systematically review published works on medico-economic studies conducted within French hospitals. Methods A literature review was carried out to search for medico-economic studies conducted by hospital teams on therapeutic or diagnostic strategies employed within French hospitals and published from 2010 to 2014. Quality assessment of selected studies was performed according to Drummond et al.'s checklist, which is also used within French guidelines. Results Of the 44 analyzed articles, methods for identification and measure of costs and results complied with guidelines in 95 % of cases. For results interpretation, compliance was 91 %. Costs discounting (29 %) and the use of sensitivity analysis to account for results uncertainty (70 %) were the parameters with the lowest compliance to guidelines. Conclusion A good training of health professionals in using economic and statistic tools, and the transferability of results of medico-economic studies are essential and should be optimized to enable a broader use of medico-economic evaluation within the scope of decision-making in French hospitals.

Keywords: Drug evaluation; Hospital economics; Referencing; Évaluation de médicament; Économie hospitalière; Référencement (search for similar items in EconPapers)
Date: 2017-05-01
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Published in Annales Pharmaceutiques Françaises, 2017, 75 (3), pp.227 - 235. ⟨10.1016/j.pharma.2016.09.002⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-01722811

DOI: 10.1016/j.pharma.2016.09.002

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