HTA in Spain · Agenda •Spanish Health System – General Overview •HTA process for decision...
Transcript of HTA in Spain · Agenda •Spanish Health System – General Overview •HTA process for decision...
HTA in Spain
Jaime Espin, PhD
Professor
Agenda
• Spanish Health System – General
Overview
• HTA process for decision making
• HTA agencies in Spain
• HTA & medicines (ambulatury and
hospital)
• (Some) conclusions
Spanish Health System
• 1986 – General Health Law established a National Health Service (NHS)
• Spain is a health care management decentralized system, with universal coverage and finance for general taxation
• 17 regions with competences in public health, healthcare services planning and full control budget
• Health care is provided free of charge, except for pharmaceuticals
Source: http://www.ispor.org/HTARoadMaps/Spain.asp
Source: Sampietro-Colom L1, Asua J, Briones E, Gol J; AuNETS Group. History of health technology assessment: Spain. Int J Technol Assess Health Care. 2009 Jul;25 Suppl
1:163-73. doi: 10.1017/S026646230909059X. Epub 2009 Jun 19.
Source: Kanavos P, Espin J, van der Aardweg S. Short - and long - term effects of value-based pricing vs. external price referencing. EMINET (2010 Jan)
HTA agencies in Spain
HTA agencies in Spain
Activities of HTA Agencies in Spain (%)
Source: Pérez Cañellas, Elena. Las Agencias de Evaluación de Tecnologías en España. Análisis de actividad y situación actual. Análisis de actividad y situación actual.
Tesina Master en Administración y Dirección de Servicios Sanitarios. 2011
Type of products
Products by HTA Agencies in Spain
Network of HTA Agencies in Spain
Medicines – A different history
P&R in Spain (II)
Source: PPRI
P&R in Spain (III)
Source: PPRI
Pricing - Procedure
Remark: In Spain the reimbursement decision precedes the price decision,
since only reimbursable products have a regulated price
Interministerial Commission
of Pharmaceutical Prices
Representatives from
Ministry of Health
Ministry of Finance
Ministry of Industry
Directorate General of
Pharmacy and Health
Products
P&R in Spain (IV)
Source: PPRI
Genesis Group – Hospital Pharmacist
(Some) Conclusions
• Several institutions (too many) made HTA
in Spain
• Lack of coordination (until now)
• High quality of the reports, but they are not
mandatory
• Financial crisis – need of avoid
overlapping in the activities
Thank you very much for your attention!!!