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Another possible set of principles is a pure cost-effectiveness criterion [ 49].
In the Netherlands, the Dutch Health Insurance Board CVZZ) uses a cost-effectiveness criterion in their advice to the minister on adding new technologies to the benefit package.
The bylaw is currently being revised to make the cost-effectiveness criterion, which has been in place for only 2 years, more explicit and to clarify its implementation [ 5].
17 For those "drugs deemed promising," a risk-sharing agreement recommendation could substitute a "do not list" recommendation from INESSS when the cost-effectiveness criterion was not met or in case of clinical uncertainty.
The future for the cost-effectiveness criterion within an HTA assessment, and within a funding decision-making framework, will depend on the jurisdiction under consideration, its current mandates and processes, and the tools available to achieve its goals.
Using instead a selection procedure based on a pure cost-effectiveness criterion resulted in the interventions displayed in Table 3. Inclusion of health interventions for this package was continued until the total costs were at an identical expenditure level as the package described above.
Similar(53)
When compared with the evidence-based, cost-effectiveness criteria underpinning most government reimbursement schemes in the social market economies, the three regulatory hurdles of safety, quality and efficacy are probably of modest impact in influencing increased usage of recombinant activated factor VII (rFVIIa; NovoSeven®, Novo Nordisk, Bagsvaerd, Denmark).
It has been argued that applying cost-effectiveness criteria implies a loss of clinical freedom [ 65].
Economic criteria included cost-effectiveness criteria (14 studies, 64%%), and total costs/budget impact of an intervention (eight studies, 36%%).
These measures are based on promoting the use of generics, reducing the cost of outpatient drugs, and encouraging cost-effectiveness criteria.
Therefore the decision as to whether or not to introduce a telehealth service can be made using cost-effectiveness criteria and consideration of the model of care.
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