Universität zu Köln

Stollenwerk, Bjoern, Lhachimi, Stefan K., Briggs, Andrew ORCID: 0000-0002-0777-1997, Fenwick, Elisabeth, Caro, Jaime J., Siebert, Uwe ORCID: 0000-0001-6425-7671, Danner, Marion and Gerber-Grote, Andreas (2015). COMMUNICATING THE PARAMETER UNCERTAINTY IN THE IQWIG EFFICIENCY FRONTIER TO DECISION-MAKERS. Health Econ., 24 (4). S. 481 - 491. HOBOKEN: WILEY-BLACKWELL. ISSN 1099-1050

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Abstract

The Institute for Quality and Efficiency in Health Care (IQWiG) developed-in a consultation process with an international expert panel-the efficiency frontier (EF) approach to satisfy a range of legal requirements for economic evaluation in Germany's statutory health insurance system. The EF approach is distinctly different from other health economic approaches. Here, we evaluate established tools for assessing and communicating parameter uncertainty in terms of their applicability to the EF approach. Among these are tools that perform the following: (i) graphically display overall uncertainty within the IQWiG EF (scatter plots, confidence bands, and contour plots) and (ii) communicate the uncertainty around the reimbursable price. We found that, within the EF approach, most established plots were not always easy to interpret. Hence, we propose the use of price reimbursement acceptability curves-a modification of the well-known cost-effectiveness acceptability curves. Furthermore, it emerges that the net monetary benefit allows an intuitive interpretation of parameter uncertainty within the EF approach. This research closes a gap for handling uncertainty in the economic evaluation approach of the IQWiG methods when using the EF. However, the precise consequences of uncertainty when determining prices are yet to be defined. (C) 2014 The Authors. Health Economics published by John Wiley & Sons Ltd.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Stollenwerk, Bjoern UNSPECIFIED UNSPECIFIED UNSPECIFIED Lhachimi, Stefan K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Briggs, Andrew UNSPECIFIED orcid.org/0000-0002-0777-1997 UNSPECIFIED Fenwick, Elisabeth UNSPECIFIED UNSPECIFIED UNSPECIFIED Caro, Jaime J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Siebert, Uwe UNSPECIFIED orcid.org/0000-0001-6425-7671 UNSPECIFIED Danner, Marion UNSPECIFIED UNSPECIFIED UNSPECIFIED Gerber-Grote, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-404084
DOI:	10.1002/hec.3041
Journal or Publication Title:	Health Econ.
Volume:	24
Number:	4
Page Range:	S. 481 - 491
Date:	2015
Publisher:	WILEY-BLACKWELL
Place of Publication:	HOBOKEN
ISSN:	1099-1050
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language WILLINGNESS-TO-PAY; ECONOMIC-EVALUATION; INFORMATION Multiple languages Economics; Health Care Sciences & Services; Health Policy & Services Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/40408