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MEDICAL DEVICE PRICES IN ECONOMIC EVALUATIONS

Part of: Special Collection - Methods

Published online by Cambridge University Press:  20 May 2015

Ilke Akpinar ,
Philip Jacobs  and
Don Husereau Open the ORCID record for Don Husereau [Opens in a new window]
Ilke Akpinar
Affiliation:
Institute of Health Economicsiakpinar@ihe.ca
Philip Jacobs
Affiliation:
Institute of Health Economics
Don Husereau
Affiliation:
Institute of Health Economics
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Abstract

Objectives: Economic evaluations, although not formally used in purchasing decisions for medical devices in Canada, are still being conducted and published. The aim of this study was to examine the way that prices have been included in Canadian economic evaluations of medical devices.

Methods: We conducted a review of the economic concepts and implications of methods used for economic evaluations of the eleven most implanted medical devices from the Canadian perspective.

Results: We found Canadian economic studies for five of the eleven medical devices and identified nineteen Canadian studies. Overall, the device costs were important components of total procedure cost, with an average ratio of 44.1 %. Observational estimates of the device costs were obtained from buyers or sellers in 13 of the 19 studies. Although most of the devices last more than 1 year, standard costing methods for capital equipment was never used. In addition, only eight studies included a sensitivity analysis for the device cost. None of the sensitivity analyses were based on actual price distributions.

Conclusions: Economic evaluations are potentially important for policy making, but although they are being conducted, there is no standardized approach for incorporating medical device prices in economic analyses. Our review provides suggestions for improvements in how the prices are incorporated for economic evaluations of medical devices.

Keywords

Medical devicePricesEconomic evaluation
Type
Methods
Information
International Journal of Technology Assessment in Health Care , Volume 31 , Issue 1-2 , 2015 , pp. 86 - 89
Copyright
Copyright © Cambridge University Press 2015 

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