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Drug provision and health technology assessment in France

https://doi.org/10.17749/2070-4909.2020.13.1.71-83

Abstract

The article presents the description of structural, organizational and methodological issues of health technology assessment (HTA) of French drugs as well as the state-reimbursable list of drugs. The HTA is conducted by an independent public body – French National Authority for Health (HAS). HAS evaluates medical products, procedures, services and technologies from a medical and economic points of view to make cost recovery decisions. HAS consists of two committees providing HTA: Transparency Committee and the Economic and Public Health Assessment Committee. Thus, the French HTA consists of two separate components within the same agency. The result of HAS evaluation of a drug is a conclusion on the level of clinical value and clinical added value, as well as the methodological quality of the studies and the size of the target patient population. Based on the evaluation results, HAS gives recommendations for the National Union of Health Insurance Funds, the Economic Committee for Healthcare Products and Ministry of Health and publishes its opinion on the HAS website. HAS decisions are of a recommendatory nature – the final decision whether to include the drug in reimbursement lists are made by the Ministry of Health and published in the Official Journal of French republic.

About the Authors

V. V. Omelyanovskiy
Research Financial Institution of the Ministry of Finance of the Russian Federation ; Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation
Russian Federation

Vitaly V. Omelyanovskiy – MD, Dr Sci Med, Professor, General Director ; Head of the Center for Healthcare Funding

Researcher ID: P-6911-2018; Scopus Author ID: 6507287753



A. V. Nikitina
Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation
Russian Federation
Anna V. Nikitina – Chief Specialist at the Department of Methodological Support of Comprehensive Health Technology Assessment


V. A. Lemeshko
Research Financial Institution of the Ministry of Finance of the Russian Federation ; Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation; Sechenov First Moscow State Medical University
Russian Federation
Valeriya A. Lemeshko – Deputy Head of the Department of Methodological Support of Comprehensive Health Technology Assessment;  Research assistant at the Center for Healthcare Funding; Post-graduate student at the Department of Pharmacology


G. R. Khachatryan
Research Financial Institution of the Ministry of Finance of the Russian Federation ; Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation
Russian Federation
Georgii R. Khachatryan – Head of the Department of Methodological Support of Comprehensive Health Technology Assessment; Junior Researcher at the Center for Healthcare Funding


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Review

For citations:


Omelyanovskiy V.V., Nikitina A.V., Lemeshko V.A., Khachatryan G.R. Drug provision and health technology assessment in France. FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology. 2020;13(1):71-83. (In Russ.) https://doi.org/10.17749/2070-4909.2020.13.1.71-83

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ISSN 2070-4909 (Print)
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