Calderón PMR

Language: Spanish
References: 16
Page: 97-103
PDF size: 399.88 Kb.

ABSTRACT

Introduction: the use of health economics in health care decisions towards improved health is limited in Central America and the Caribbean. A health culture with an economic mindset that enhances access to new technologies is needed; one that increases the knowledge and application of economic evaluations among health stakeholders to make the most cost-effective decisions that improve health. Objective: to develop a checklist for the medical and pharmaceutical industries aimed to make new technologies more affordable, available and cost-effective in resource-constrained settings. Development: research was conducted to find new ways to make new drugs and technologies available to patients, healthcare providers, governments and society as a whole. The concept of Pillars of Cost-Effectiveness was coined based on three types of effectiveness ––clinical effectiveness, medical access effectiveness, and economic effectiveness. Research efforts resulted in the development of a practical guide to purchase new and innovative drugs in a cost-effective manner based on the concept of ―checklists‖ piloted by the aviation, medical and public health industries. Conclusions: the Pillars of Cost-Effectiveness Concept and the New Health Technology Cost-Effectiveness Checklist may become the norm or standard to ensure the universal goals of patients, providers, policy makers and payers; that is: (1) purchase the best drug and technology quality at the lowest cost with reasonable access, and (2) enhance healthcare partnerships and solutions towards improved individual and population health outcomes.

REFERENCES

1. Miot J, Thiede M. Adapting Pharmacoeconomics to Shape Efficient Health Systems en Route to UHC – Lessons from Two Continents. Frontiers in Pharmacology, 2017; (8): 715.

2. Drouin M, et al. Pharmacoeconomics: New ways to manage drug plan costs. Morneau Shepell News & Views, 2017; 1(14): 3-4.

3. Baxter A. High cost of healthcare is an economic killer. HealthExec for Leaders of Provider Institutions. AL in Healthcare, 2018. Disponible en: https://www.healthexec.com/topics/healthcare-economics/high-cost-healthcareeconomic- killer.

4. Staff Writers. One thing at a time: a brief history of checklists. Flight Safety, 2018. Disponible en: https://www.flightsafetyaustralia.com/2018/11/one-thing-at-a-time-a-brief-history-of-the-checklist/.

5. Izzo J. Airline Pilots Have Checklists, Maybe Leaders Should Too. Stepping Up: How Taking Responsibility Changes Everything. San Francisco (CA): Barret-Koehler Publishers; 2012.

6. Gawande A. The Checklist Manifesto: How to Get Things Right. New York (NY): Metropolitan Books; 2009.

7. World Health Organization. WHO surgical safety checklist cuts post-surgical deaths by 22%, US study finds. British Medical Journal Clinical Research, 2017; 357:j1935.

8. Woodman N, Walker I. World Health Organization Surgical Safety Checklist. World Federation of Societies of Anesthesiologists. ATOTW 325, 2016. Disponible en: https://www.wfsahq.org/resources/anaesthesia-tutorial-ofthe- week.

9. World Alliance fore Patient Safety.. Surgical Safety Checklist: Safe Surgery Saves Lives. Geneva, Switzerland: World Health Organization; 2008

10. Haynes AB, et al. A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population. The New England Journal of Medicine, 2009; 360:491-499.

11. WHO. Consolidated Ebola virus disease preparedness checklist. WHO/EVD/Preparedness/14 Rev.1. Geneva, Switzerland: World Health Organization; 2015.

12. Centers for Disease Prevention and Control (CDC). Detailed Emergency Medical Services (EMS) Checklist for Ebola Preparedness. Atlanta, Georgia: USA Department of Health and Human Services; 2014.

13. Centers for Disease Prevention and Control (CDC). Ebola Virus Disease Preparedness. Atlanta, Georgia: USA Department of Health and Human Services; 2017.

14. Mile Chapter ARC. Emergency Preparedness Checklist. Denver, Colorado: American Red Cross; 2006. Disponible en: https://www.redcross.org/content/dam/redcross/atg/Chapters/Division_1_- _Media/Denver/Denver_-_PDFs/EmergencyPreparednessChecklist.pdf.

15. Federal Emergency Management Agency. Emergency Preparedness Checklists. Washington (DC): USA Department of Homeland Security; 2017. Disponible en: https://www.fema.gov/preparedness-checklists-toolkits.

16. Calderon MR, et al. The Pillars of Cost-Effectiveness: A Practical Guideline for New Technology Cost- Effective Decision-Making. Abstract 55053. Poster Presented at ISPOR 20th Annual International Meeting; 2015 may 16 – 20; Philadelphia, USA: ISPOR; 2015.