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Evaluation of the reference value of the incremental parameter "cost-effectiveness" for Russian healthcare system

https://doi.org/10.17749/2070-4909/farmakoekonomika.2020.071

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Abstract

Introduction. Presently, the willingness-to-pay threshold (cost-effectiveness threshold, incremental cost-effectiveness ratio) is used as one of the decision-making criteria for reimbursement in some foreign countries with a developed system of healthcare technologies evaluation (HTE). However, in Russia, the willingness-to-pay threshold (WPT) is undetermined, which complicates the evaluation of clinical-economical effectiveness of medical technologies, including medicines.

Aim. The study aimed to calculate WPT for the Russian healthcare system using the available foreign experience.

Materials and Methods. WPT was calculated with the following methods: the method proposed by the WHO, hemodialysis cost-effectiveness standard, case-based reasoning (CBR), and the evaluation of the shadow cost of the budget.

Results. WPT was calculated for the Russian healthcare system using four different methods of calculation. According to the method proposed by the WHO, WPT was 2,235,201.60 Rub for DALY in the RF; according to the hemodialysis cost-effectiveness standard, it was 1,748,623.36 Rub for QALY; according to the method of the evaluation of the shadow cost of the budget, it was 313,878.21 Rub for DALY and 365,060.31 Rub for QALY; and according to the method of the case-based reasoning, it was 7,494,944.00 Rub for QALY.

Conclusion. The study results showed that the optimal WPT values for the Russian healthcare system were those obtained by the method of the WHO (2,235,201.60 Rub). The authors propose to use this value as one of the decision-making criteria for the reimbursement of medical technologies, including medicinal drugs.

About the Authors

T. S. Teptsova
Center for Healthcare Quality Assessment and Control of the Ministry of Healthcare of the Russian Federation
Russian Federation

Tatyana S. Teptsova - Chief Specialist, Department of Methodological Support of Comprehensive HTA.

10-5 Khokhlovskii pereulok, Moscow 109028



N. Z. Musina
Center for Healthcare Quality Assessment and Control of the Ministry of Healthcare of the Russian Federation; Saint Petersburg State Chemical Pharmaceutical University; Russian Presidential Academy of National Economy and Public Administration; Russian Medical Academy of Postgraduate Education
Russian Federation

Nuriya Z. Musina - PhD (Pharmaceutical Sciences), Head of the Development and Communications Department of the Center for Healthcare Quaiity Assessment and Control of the Ministry of Health RF Associate Professor at the Department of Management and Pharmaceutical Economics in Saint Petersburg SCPU MH RF; Head of the Health Technology Assessment Laboratory of Institute for Applied Economic Research of the Russian PANE PA; Associate Professor at the Department of Economics, RMACPE.

10-5 Khokhlovskii pereulok, Moscow 109028; 14 let. A Prof. Popov Str., Saint Petersburg 197376; 82 Vernadskogo prospect, Moscow 119571; 2-1 Barrikadnaya Str., Moscow 123995



V. V. Omelyanovsky
Center for Healthcare Quality Assessment and Control of the Ministry of Healthcare of the Russian Federation; Russian Medical Academy of Postgraduate Education; Financial Research Institute of the Ministry of Finance of the Russian Federation
Russian Federation

Vitaly V. Omelyanovskiy - MD, Dr Sci Med, Professor, General Director of the Center of Healthcare Quality Assessment and Control of Ministry of Health RF; Head of the Center for Healthcare Funding, Financial Research Institute of the Ministry of F R; Head of the Chair of Healthcare Economics, Management and Technology Assessment, RMACPE,  Scopus Author ID: 6507287753; WoS Researcher ID: P-6911-2018.

10-5 Khokhlovskii pereulok, Moscow 109028; 2-1 Barrikadnaya Str., Moscow 123995; 3-2 Nastasyinsky pereulok, Moscow 127006



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For citation:


Teptsova T.S., Musina N.Z., Omelyanovsky V.V. Evaluation of the reference value of the incremental parameter "cost-effectiveness" for Russian healthcare system. FARMAKOEKONOMIKA. Modern Pharmacoeconomic and Pharmacoepidemiology. 2020;13(4):367-376. (In Russ.) https://doi.org/10.17749/2070-4909/farmakoekonomika.2020.071

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