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HEALTH TECHNOLOGY ASSESSMENT OF MEDICINES IN GREECE: PHARMACEUTICAL INDUSTRY EXECUTIVES' VIEWS

Published online by Cambridge University Press:  07 May 2014

Eleni Armataki ,
Eleftheria Karampli ,
John Kyriopoulos  and
Elpida Pavi
Eleni Armataki
Affiliation:
Department of Health Economics, National School of Public Health, Athens, Greece
Eleftheria Karampli
Affiliation:
Department of Health Economics, National School of Public Health, Athens, Greece
John Kyriopoulos
Affiliation:
Department of Health Economics, National School of Public Health, Athens, Greece
Elpida Pavi
Affiliation:
Department of Health Economics, National School of Public Health, Athens, Greece
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Abstract

Objectives: The aim of this study was to investigate originator pharmaceutical companies’ practices in relation to health technology assessment (HTA) and the views and perceptions of their executives on the importance of HTA in pricing and reimbursement of medicines in Greece.

Methods: A qualitative study was performed, using individual semi-structured interviews based on an interview schedule with open-ended questions. The target population was market access departments’ executives of originator pharmaceutical companies. Our target sample consisted of sixteen executives, of whom ten agreed to participate. Saturation point was reached after eight interviews. Data were audio recorded, transcribed verbatim, and analyzed using content analysis.

Results: Participants considered HTA as a very important complementary tool for decision making in health policy, particularly in the field of pharmaceuticals and medical devices. They believed that, in Greece, HTA could be institutionalized for the reimbursement mechanism of medicines under certain conditions relating to current health policy-making attitudes and conditions pertaining in the country. They considered that there are many constraints which must be overcome as well as opportunities to be exploited.

Conclusions: Decisions in pharmaceutical policy should be scientifically substantiated and HTA should be institutionalized primarily for reimbursement decisions. Development of guidelines for conducting pharmaco-economic evaluation, change in health policy goals, recording of cost and epidemiological data, and broader participation of all stakeholders in HTA decision-making processes are suggested as prerequisites for a successful implementation of HTA in Greece.

Keywords

Technology assessmentBiomedicalEconomicsPharmaceuticalHealth expendituresReimbursement mechanismsGreeceQualitative research
Type
Policies
Information
International Journal of Technology Assessment in Health Care , Volume 30 , Issue 2 , April 2014 , pp. 226 - 232
Copyright
Copyright © Cambridge University Press 2014 

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