There is an increasing demand for pharmaco-economic evaluation, in addition to the assessment of clinical benefit (cost effectiveness / cost-benefit / cost-utility–cost/QALY). As a consequence, the Profession is no longer asked to provide only clinical evidence but also to comment on economic data. If the Profession wants to continue to be kept involved in the reimbursement decision making, it will need to take this equation into account.
The CRT, through its collaboration platform concept, has a role to play in promoting knowledge and understanding of Health Economics (and HTA) among cardiologists, so that their participation in the debate and decision-making can develop.
In addition to awareness actions towards ESC Board members, the 2 main objectives identified by this workstream were:
- Develop recommendations on questions dealing with HE to be included in future ESC Survey/Registry datasets.
- Develop a directory of existing EU databases/registries, containing epidemiological and "health and economic" (medical resource use, QoL...) data related to CVD.
Long-standing project team
> For the development of recommendations for future registries:
- The project was started with 2 pilot registries to be launched by the ESC EurObservational Research Programme.
- For the “HF” registry: recommendations were made on the CRF as to info/data to be captured
- For the “Ablation of Afib” registry: the Protocol and the CRF were reviewed by the CRT project team and recommendations were incorporated in the final CRF by the Registry Steering Committee.
- An Health Economics expert has been appointed in the ESC EORP Oversight Committee
> For the development of a directory of existing EU databases containing “health economics” data:
Step 1 : Contacts made with ESC NCS Presidents and Guidelines Coordinators + Country Health Attachés + Industry local affiliates, to inquire about database existence containing HE data and the contact persons.
Step 2 : a more detailed questionnaire sent to all registries contacts identified in phase1 + those selected through literature and PUBMED search.
• Results: 232 registries identified and containing useful/interesting information.
• These registries were incorporated in a prototype tool, developed by the ESC, for a “dedicated dynamic portal”, facilitating searching by fields within a directory of all identified databases.