Early assessment of medical technologies to inform product development and market access

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IJzerman, Maarten J. and Steuten, Lotte M.G. (2011) Early assessment of medical technologies to inform product development and market access. Applied health economics and health policy, 9 (5). pp. 331-347. ISSN 1175-5652

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Abstract:Worldwide, billions of dollars are invested in medical product development
and there is an increasing pressure to maximize the revenues of these
investments. That is, governments need to be informed about the benefits of
spending public resources, companies need more information to manage their
product development portfolios and even universities may need to direct their
research programmes in order to maximize societal benefits. Assuming that all
medical products need to be adopted by the heavily regulated healthcare market
at one point in time, it is worthwhile to look at the logic behind healthcare
decision making, specifically, decisions on the coverage of medical products and
decisions on the use of these products under competing and uncertain conditions.
With the growing tension between leveraging economic growth through
R&D spending on the one hand and stricter control of healthcare budgets on
the other, several attempts have been made to apply the health technology
assessment (HTA) methodology to earlier stages of technology development
and implementation. For instance, horizon scanning was introduced to systematically
assess emerging technologies in order to inform health policy. Others have
introduced iterative economic evaluation, e.g. economic evaluations in earlier
stages of clinical research.However,most of these methods are primarily intended
to support governments in making decisions regarding potentially expensive new
medical products. They do not really inform biomedical product developers on
the probability of return on investment, nor do they inform about the market
needs and specific requirements of technologies in development. It is precisely this
aspect that increasingly receives attention, i.e. is it possible to use HTA tools and methods to inform biomedical product development and to anticipate further development and market access. Several methods have been used in previous decades, but have never been compiled in a comprehensive review.
Themain objective of this article was to provide an overview of previous work
andmethods in the field of earlyHTA, and to put these approaches in perspective
through a conceptual framework introduced in this paper.Aparticular goal of the
review was to familiarize decision makers with available techniques that can be
employed in early-stage decision making, and to identify opportunities for further methodological growth in this emerging field of HTA.
Item Type:Article
Copyright:© 2011 Adis
Faculty:
Management and Governance (SMG)
Research Group:
Link to this item:http://purl.utwente.nl/publications/77830
Official URL:http://dx.doi.org/10.2165/11593380-000000000-00000
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