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The Danish approach to standards for economic evaluation methodologies
A Alban1, M Gyldmark, A V Pedersen
1Danish Institute for Health Services Research and Development, Copenhagen, Denmark. dsi@dsi.dk
Denmark is exploring economic evaluation methods for healthcare decision-making. A voluntary program for pharmaceutical products will be introduced to assess feasibility and desirability of standardized economic evaluations.
Area of Science:
- Health Economics
- Health Services Research
- Policy Analysis
Background:
- International standards for economic evaluation in healthcare are emerging.
- A 1994 report assessed the readiness of economic evaluation methods for Danish healthcare decision-making.
- This article examines the Danish context regarding economic evaluation of medical technologies and services.
Purpose of the Study:
- To evaluate the attitude towards economic evaluation in Denmark.
- To identify application areas for economic evaluation.
- To assess the desirability and feasibility of standardized methods for economic evaluations in Danish healthcare.
Main Methods:
- Review of the state-of-the-art in economic evaluation methodologies.
- Analysis of a report commissioned by Danish health authorities.
- Consideration of a roundtable discussion with stakeholders.
Main Results:
- The Danish health authorities decided to implement economic evaluation for new pharmaceutical products.
- This implementation will be voluntary for an initial period of 2-3 years.
- The decision follows a review of existing methodologies and stakeholder input.
Conclusions:
- Denmark is moving towards incorporating economic evaluation into healthcare policy.
- A phased, voluntary approach is adopted for pharmaceutical reimbursement decisions.
- Further assessment is needed on the feasibility and desirability of standardized methods.
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