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Is value portable? An examination of contextual and practical considerations that affect the transferability of value assessments between settings

Published online by Cambridge University Press:  21 April 2022

Patricia G. Synnott Open the ORCID record for Patricia G. Synnott [Opens in a new window] ,
Pei-Jung Lin ,
Stacey S. Hickson ,
Christoph Glaetzer  and
Daniel A. Ollendorf Open the ORCID record for Daniel A. Ollendorf [Opens in a new window]
Patricia G. Synnott*
Affiliation:
Center for the Evaluation of Value and Risk in Health, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USA
Pei-Jung Lin
Affiliation:
Center for the Evaluation of Value and Risk in Health, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USA
Stacey S. Hickson
Affiliation:
Global Market Access, Janssen Inc. Pharmaceutical Companies of Johnson & Johnson, Titusville, NJ, USA
Christoph Glaetzer
Affiliation:
Global Market Access, Janssen Inc. Pharmaceutical Companies of Johnson & Johnson, Titusville, NJ, USA
Daniel A. Ollendorf
Affiliation:
Center for the Evaluation of Value and Risk in Health, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USA
*
*Author for correspondence: Patricia G. Synnott, E-mail: psynnott@tuftsmedicalcenter.org
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Abstract

Objectives

The extent to which value assessments are uniquely deployed in any given geographic setting is variable. Increasingly, markets are seeking insights from external health technology assessments (HTAs) to assist with decisions surrounding the adoption of new technologies. We reviewed the environment, infrastructure, and practice of value assessment in six countries, with a focus on how these elements influence the transferability of value assessments between settings.

Methods

We reviewed the diverse settings in which six organizations conducting HTA operate, and explored how differences might affect the transferability of value assessment. We focused attention on Australia’s Pharmaceutical Benefits Advisory Committee, China’s National Center for Medicine and HTA, Germany’s Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen, Japan’s Center for Outcomes Research and Economic Evaluation for Health (Core 2 Health), the National Institute for Health and Care Excellence in England and Wales, and the Institute for Clinical and Economic Review in the United States.

Results

HTA is adopted to address unique objectives for a given health system and is tailored to support local standards and preferences. Some elements of a value assessment, such as evidence on clinical effectiveness, may be more transferable than others. It is challenging to appropriately adjust external assessments to the local context.

Conclusions

Contextual differences influence both the role and application of HTA. These differences limit the transferability of value assessments from one setting to another. De novo appraisals, customized to the local decision context, are the ideal approach to determinations about value.

Keywords

Technology assessmentBiomedicalPolicySocial controlFormalHealth planningCosts and cost analysis
Type
Policy
Information
International Journal of Technology Assessment in Health Care , Volume 38 , Issue 1 , 2022 , e39
Copyright
© The Author(s), 2022. Published by Cambridge University Press

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