Innovation in European healthcare â what can Sweden learn? - LIF

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Decision-making of the Federal Joint Committee (Gemeinsamer Bundesausschuss - G-BA) Application – from the sessions organisations, sickness funds or patient associations Possible conclusions after benefit assessment Announcement of assessment procedure and possibility to participate via comments Permission or confirmation as service for the SHI care Systematic search of literature, assessment of benefit and harm, performed either by IQWIG or by G-BA working groups Exclusion as service for the SHI care Appraisal – assessment of benefit, necessity and cost/benefit relation Suspension of assessment until new evidence is provided Decision of the G-BA board Page 66
New possibility of testing potentially beneficial examination and treatment methods by the G-BA • The Federal Joint Committee has got the right to pass guidelines for testing examination and treatment methods whose benefit has not yet been sufficiently proved, but which show potential as a treatment alternative. • This possibility is anchored in the SHI care structure law (GKV- Versorgungsstrukturgesetz, abbreviated VStG) in the new section 137e of the German Social Code, Book Five (SGB V). • A request can be submitted by – the manufacturer of a medical product whose use significantly depends on the application of a new examination or treatment method – Companies that are not providers of a new method, but that have an economic interest in its provision by the statutory health insurance providers • This new testing possibility starts, when the new guideline of the G-BA has been approved by the German health ministry (probably during January/February 2013) Page 67
Page 1 and 2:
Innovation in European healthcare -
Page 3 and 4:
Introduction If it was up to the NI
Page 5 and 6:
GDP per capita 2011, thUSD Annual G
Page 7 and 8:
Import Technology uptake Export End
Page 9 and 10:
Venture capital flight away from li
Page 11 and 12:
Issues in Sweden: clinical research
Page 13 and 14:
Issues in Sweden: communication and
Page 15 and 16: Issues in Sweden: reimbursement for
Page 17 and 18: Summary - the innovation challenges
Page 19 and 20: InDex Pharmaceuticals InDex Pharmac
Page 21 and 22: Addressable Patient Population in E
Page 23 and 24: What conclusions can be drawn from
Page 25 and 26: Elekta has established a model for
Page 27 and 28: The five European countries 27
Page 29 and 30: German healthcare system • German
Page 31 and 32: Role of important Government and Of
Page 33 and 34: Role of important Government and Of
Page 35 and 36: Germany needs more healthcare for t
Page 37 and 38: 37 DRG was developed in the US in t
Page 39 and 40: The base rate varied during the con
Page 41 and 42: There are public, private for profi
Page 43 and 44: Financing System of the German SHI
Page 45 and 46: Central Changes in the German healt
Page 47 and 48: Innovations in the German Health Ca
Page 49 and 50: Cost of Pharmaceuticals and Medical
Page 51 and 52: Three steps for Integration of New
Page 53 and 54: NUB Process in the German DRG Syste
Page 55 and 56: Innovative drugs in the outpatient
Page 57 and 58: Implementation and use of innovativ
Page 59 and 60: Innovations in the outpatient secto
Page 61 and 62: Implementation and use of innovatio
Page 63 and 64: Implementation and use of innovatio
Page 65: Implementation and use of innovatio
Page 69 and 70: Structural Innovations in the Inpat
Page 71 and 72: Structural Innovations in the Outpa
Page 73 and 74: During the last ten years two centr
Page 75 and 76: France The healthcare system in Fra
Page 77 and 78: Financing of the French health care
Page 79 and 80: The French medical device industry
Page 81 and 82: The French Medical Devices Market:
Page 83 and 84: The average time necessary to get a
Page 85 and 86: Shortening the reimbursement proces
Page 87 and 88: A successful solution to provide ad
Page 89 and 90: 2. Pharmaceuticals 89
Page 91 and 92: Hospitals carry out more and more o
Page 93 and 94: ATU System: Off label use Exemption
Page 95 and 96: 3. Financial incentives and reimbur
Page 97 and 98: The evaluation of new products by t
Page 99 and 100: Some particularly expensive drugs a
Page 101 and 102: In hospitals, expensive and innovat
Page 103 and 104: The impact of T2A on innovation Act
Page 105 and 106: The Support for Innovative and Cost
Page 107 and 108: Financing innovation through the Pu
Page 109 and 110: 8 clusters specialised in the healt
Page 111 and 112: Medical Devices’ Patenting: less
Page 113 and 114: The example of the SAAT Conectus Al
Page 115 and 116: The UK The healthcare in the UK is
Page 117 and 118:
The NHS is underpinned by a set of
Page 119 and 120:
Today the PCTs are the main purchas
Page 121 and 122:
Prior to the Health and Social Care
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Primary Care Trusts (PCTs) have pla
Page 125 and 126:
The new national level bodies overs
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The NHS, must deliver efficiency sa
Page 129 and 130:
PbR was first introduced in 2005/06
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The design of HRG4 reflects a signi
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PbR is being incrementally reformed
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NHS-funded primary care is provided
Page 137 and 138:
The Quality of Outcomes Framework (
Page 139 and 140:
The Health and Social Care Act (201
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The United Kingdom is a major produ
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£m Healthcare industries are clust
Page 145 and 146:
Several bodies aim to improve the k
Page 147 and 148:
National Institute for Health and C
Page 149 and 150:
Overview of key NICE assessment pro
Page 151 and 152:
NHS National Technology Adoption Ce
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“Innovation” has central place
Page 155 and 156:
Bodies to support innovation in hea
Page 157 and 158:
The UK is a world-leader in life-sc
Page 159 and 160:
There still exists large regional v
Page 161 and 162:
UK rankings and usage as a percenta
Page 163 and 164:
Multiple structural layers within N
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NHS lacks control mechanism for imp
Page 167 and 168:
Short-term budget-cycles often are
Page 169 and 170:
Actions described by respondents du
Page 171 and 172:
Actions described by respondents du
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Actions deriving from the review
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The following measures were suggest
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The planned compliance regime is ge
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Actions to incentivise innovation t
Page 181 and 182:
NICE’s HTA process: NICE’s stan
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The implementation of NICE guidelin
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Implementation: A recommended proce
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The NHS Technology Adoption Centre
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The Government has invested a recor
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The Government’s funding has also
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Case 2: AstraZeneca and NIHR Cancer
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The NIHR has also established Healt
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As part of the Government’s Life
Page 199 and 200:
All applications for the Biomedical
Page 201 and 202:
NOCRI has worked together with MRC
Page 203 and 204:
Academic Health Science Centres (AH
Page 205 and 206:
What can Sweden learn from the UK?
Page 207 and 208:
Facts - the proportions of Danish h
Page 209 and 210:
The Danish healthcare system is pri
Page 211 and 212:
Public-private investments in R & D
Page 213 and 214:
The Danish healthcare industry is a
Page 215 and 216:
Public investments in the future st
Page 217 and 218:
The public renewal fund is meant to
Page 219 and 220:
With the responsibility for adminis
Page 221 and 222:
Organisational chart - the capital
Page 223 and 224:
The Innovation environments invest
Page 225 and 226:
Overall the innovation environments
Page 227 and 228:
Sara established a successful busin
Page 229 and 230:
Infrastructure for Innovation - The
Page 231 and 232:
The networks consist of 22 innovati
Page 233 and 234:
The overall Danish Innovation infra
Page 235 and 236:
The new market maturing-fund will h
Page 237 and 238:
The new Danish Innovation strategy
Page 239 and 240:
Subsidy for new outpatient medicame
Page 241 and 242:
The evaluation and assessment of ne
Page 243 and 244:
Cost reduction in expensive hospita
Page 245 and 246:
The public procurement of Medtech -
Page 247 and 248:
Innovative public procurement of Me
Page 249 and 250:
What can Sweden learn from Denmark?
Page 251 and 252:
The Netherlands are spending more o
Page 253 and 254:
Health insurers are allowed to make
Page 255 and 256:
Financial flows in the Dutch health
Page 257 and 258:
Impact of the reform on providers
Page 259 and 260:
Impact of the reform on patients/in
Page 261 and 262:
Impact of the reform The Dutch heal
Page 263 and 264:
Innovations in the Dutch healthcare
Page 265 and 266:
The reimbursement system should all
Page 267 and 268:
Page 269 and 270:
Page 271 and 272:
Page 273 and 274:
Page 275 and 276:
Page 277 and 278:
Summary and conclusions 277
Page 279 and 280:
There is a correlation between a co
Page 281 and 282:
Conclusions - what can Sweden learn
Page 283 and 284:
Two general recommendations and one
Page 285:
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Innovation in European healthcare â what can Sweden learn? - LIF

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