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Use of innovation payments to encourage the adoption of new medical technologies in the English NHS

Published on Sep 1, 2013in Health policy and technology
· DOI :10.1016/J.HLPT.2013.05.001
Corinna Sorenson14
Estimated H-index: 14
(LSE: London School of Economics and Political Science),
Michael Drummond73
Estimated H-index: 73
(Ebor: University of York),
Grahame Wilkinson3
Estimated H-index: 3
(LSE: London School of Economics and Political Science)
Abstract
Abstract Objectives This study aimed to investigate the use of innovation payments in the English NHS. Methods A structured on-line survey was developed to explore the use of innovation payments. The survey was disseminated to NHS hospital finance managers. A total of 20 surveys ( n =20) were returned. Results The majority (70%) of responding hospitals have applied for innovation payments. In one-third of cases, the payment was for medical devices, followed by drugs (31%), diagnostics (19%), and other technologies (15%). Innovation payments were generally requested because the existing HRG tariff did not reflect the cost of the technology. Processes for determining the payment varied across hospitals, with rates based on supporting evidence of the technology's benefits most common. While a good concept in principle, only about one-third of respondents believed innovation payments were effective in meeting their aims in practice. Conclusions Improvements to the current approach to innovation payments are needed.
  • References (22)
  • Citations (9)
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The U.S. process for approving innovative, high-risk medical devices has been criticized for taking longer than the European process. But a review of the data suggests that it takes the same amount of time or less for U.S. patients to gain access to such devices.
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