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While taking the arithmetic, geometric, or harmonic mean of a sample data set, equal importance is assigned to all the data points. However, all the values may not always be equally important in some data sets. An intrinsic bias might make it more important to give more weightage to specific values over others.
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Related Experiment Video

Updated: Jul 4, 2026

Qualitative and Quantitative Validation of Tools with Rating Scales Aimed at Assessing the Quality of University Service-Learning
10:39

Qualitative and Quantitative Validation of Tools with Rating Scales Aimed at Assessing the Quality of University Service-Learning

Published on: August 29, 2025

Relative added value: what are the tools to evaluate it?

Claire Le Jeunne1, Marie-Christine Woronoff-Lemsi, Nadine David

  • 1Hôtel Dieu, Université Paris-Descartes, Paris, France. claire.le-jeunne@htd.aphp.fr

Therapie
|June 20, 2008
PubMed
Summary

Evaluating a drug's added value in France involves assessing its Improvement in Actual Benefit (IAB), considering efficacy, safety, and Public Health Impact (PHI). This analysis informs healthcare decisions and drug registration.

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Last Updated: Jul 4, 2026

Qualitative and Quantitative Validation of Tools with Rating Scales Aimed at Assessing the Quality of University Service-Learning
10:39

Qualitative and Quantitative Validation of Tools with Rating Scales Aimed at Assessing the Quality of University Service-Learning

Published on: August 29, 2025

Area of Science:

  • Health Economics
  • Pharmaceutical Policy
  • Clinical Evaluation

Background:

  • The French Transparency Commission (TC) evaluates drug added value using Improvement in Actual Benefit (IAB).
  • IAB assessment traditionally relies on efficacy and safety within a defined population and therapeutic strategy.
  • Previous evaluations between 2004-2007 revealed a scarcity of direct comparative data.

Purpose of the Study:

  • To review and rationalize the criteria used for assessing the relative added value of drugs.
  • To explore broadening evaluation criteria beyond traditional efficacy and safety parameters.
  • To determine the appropriate integration of Public Health Impact (PHI) into drug value assessments.

Main Methods:

  • Analysis of TC opinions issued between 2004 and 2007 across various therapeutic areas.
  • Review of evaluation items including clinical effect, comparator relevance, and methodology (e.g., indirect comparisons, non-inferiority studies).
  • Discussion and consideration of additional parameters like Public Health Impact, compliance, and impact on professional practice.

Main Results:

  • The review highlighted a lack of direct comparative data in drug evaluations.
  • Public Health Impact (PHI) was identified as highly relevant to the notion of IAB, not just Actual Benefit (AB).
  • PHI criteria, such as population health improvement and meeting public health needs, are not systematically considered in current evaluations.

Conclusions:

  • The concept of relative added value should incorporate Public Health Impact (PHI) for a more comprehensive drug assessment.
  • Expected improvement in medical service, informed by real-world post-registration data, should support definitive benefit assessments.
  • Drug evaluation at initial registration should consider expected medical service, with definitive assessment upon renewed registration based on real-world evidence and therapeutic strategy positioning.