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European on Health Systems and Policies

The role of health technology assessment in the European Union

ENSURING VALUE FOR MONEY IN HEALTH CARE

Corinna Sorenson, Michael Drummond, Panos Kanavos

Observatory Studies Series No 11

Ensuring value for money in health care

The European Observatory on Health Systems and Policies supports and promotes evidencebased health policy-making through comprehensive and rigorous analysis of health systems in Europe. It brings together a wide range of policy-makers, academics and practitioners to analyse trends in health reform, drawing on experience from across Europe to illuminate policy issues. The European Observatory on Health Systems and Policies is a partnership between the World Health Organization Regional Office for Europe, the Governments of Belgium, Finland, Greece, Norway, Slovenia, Spain and Sweden, the Veneto Region of Italy, the European Investment Bank, the Open Society Institute, the World Bank, the London School of Economics and Political Science and the London School of Hygiene & Tropical Medicine.

Ensuring value for money in health care The role of health technology assessment in the European Union

Corinna Sorenson Michael Drummond Panos Kanavos

Keywords:
TECHNOLOGY ASSESSMENT, BIOMEDICAL – organization and administration OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE) EVIDENCE-BASED MEDICINE DECISION MAKING COST-BENEFIT ANALYSIS EUROPEAN UNION

© World Health Organization 2008, on behalf of the European Observatory on Health Systems and Policies All rights reserved. The European Observatory on Health Systems and Policies welcomes requests for permission to reproduce or translate its publications, in part or in full.

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The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the European Observatory on Health Systems and Policies concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the European Observatory on Health Systems and Policies in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the European Observatory on Health Systems and Policies to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either express or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the European Observatory on Health Systems and Policies be liable for damages arising from its use. The views expressed by authors, editors, or expert groups do not necessarily represent the decisions or the stated policy of the European Observatory on Health Systems and Policies.

ISBN 978 92 890 7183 3 Printed in the United Kingdom by MPG Books Ltd, Bodmin, Cornwall.

Contents

List of abbreviations List of tables, figures and boxes About the authors Acknowledgements Executive summary 1 Project overview, objectives and methods 2 Background on innovation and HTA 3 HTA and decision-making in Europe 4 Conclusions Appendices: Select country case studies Appendix 1: Sweden Appendix 2: The Netherlands Appendix 3:...
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