MétaCan
Menu
Back to cohort
Record W2302435133 · doi:10.13162/hro-ors.v4i1.2796

Evaluating the Cost-effectiveness of Pharmaceuticals in Canada

2016· article· fr· W2302435133 on OpenAlexaffvenueabout
Katherine Boothe

Bibliographic record

VenueHealth Reform Observer - Observatoire des Réformes de Santé · 2016
Typearticle
Languagefr
FieldEconomics, Econometrics and Finance
TopicHealth Systems, Economic Evaluations, Quality of Life
Canadian institutionsMcMaster University
Fundersnot available
KeywordsTransparency (behavior)Context (archaeology)NegotiationHarmonizationGovernment (linguistics)Pharmaceutical industryLegislationPharmaceutical policyBusinessDrug pricingPublic economicsPolitical sciencePublic relationsPublic administrationHealth policyEconomicsActuarial scienceMedicineHealth carePharmacologyLaw

Abstract

fetched live from OpenAlex

Canada adopted guidelines for the economic evaluation of pharmaceuticals in 1994, and a central process for drug assessment in 2003. The context and the way the issue reached the agenda in the two time periods differed. The guidelines were adopted amidst growing academic interest in methods for economic evaluation of pharmaceuticals in Canada and internationally, and were first promoted by an entrepreneur from the pharmaceutical industry. The Common Drug Review (CDR) was adopted in a context of broader intergovernmental negotiations over health reforms, and came onto the agenda as a policy option that addressed pharmaceuticals but avoided the fraught question of public insurance. Both processes aim to harmonize drug assessment in Canada and ensure that publicly reimbursed drugs are cost-effective. Neither is the subject of legislation or regulation, but the CDR enjoys greater uptake as a result of an intergovernmental agreement that all new drugs will be subject to its review. Evaluation of the CDR has been more robust, and finds a split in opinion among stakeholders concerning the CDR’s benefits. This article describes the reforms using information drawn from government and CCOHTA/CADTH documents, published reflections of participants and secondary literature, and nine expert interviews. It finds that although the CDR’s design and implementation respond to some of the shortcomings of the Canadian guidelines, there are still important unresolved tensions between harmonization and transparency in drug assessment, and new challenges regarding pharmaceutical pricing and use of evidence. The way these tensions are resolved has important implications for broader attempts to reform public drug coverage in Canada. Le Canada a adopté en 1994 des recommandations pour l'évaluation des médicaments et, en 2003, un processus centralisé d'évaluation des médicaments. Le contexte et la façon dont le problème a émergé sur l'agenda différaient d'une période à l'autre. Les recommandations ont été adoptées dans un contexte d'intérêt croissant des universitaires pour les méthodes de l'évaluation pharmaco-économique, au Canada comme à l'étranger, et ont été d'abord portées par un entrepreneur politique issu de l'industrie pharmaceutique. Le Programme Commun d'Évaluation des Médicaments (PCEM) a été adopté dans un contexte plus vaste de négociations inter-gouvernementales à propos des réformes de santé, et a émergé sur l'agenda politique comme une solution au problème posé par les médicaments qui évitait de poser la question complexe de leur prise en charge publique. Les deux processus partageaient un objectif d'harmonisation de l'évaluation pharmaceutique au Canada, et de garantie de coût-efficacité des médicaments couverts par l'assurance publique. Aucun n'a fait l'objet d'une loi ou de régulation, mais les décisions du PCEM sont plus suivies en raison de l'accord inter-gouvernemental stipulant que tout nouveau médicament doit être soumis à son approbation. Le PCEM a été plus sérieusement évalué, ce qui a dévoilé une opinion divisée sur son bilan au sein des parties prenantes. Cet article décrit les réformes, en utilisant l'information recueillie dans les documents gouvernementaux et du OCCETS/ACMTS, des réflexions publiées par les participants et les données secondaires, ainsi que neuf entretiens avec des experts. Il montre que, bien que, dans sa conception et sa mise en place, le PCEM ait tenté de répondre à certaines lacunes des recommandations de 1994, il reste des conflits non résolus entre harmonisation et transparence dans le processus d'évaluation, ainsi que des défis nouveaux sur la détermination des prix et l'utilisation de l'évidence. La façon de résoudre ces conflits aura des conséquences importantes sur les tentatives plus générales de réformer la couverture publique des médicaments au Canada.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.062
metaresearch head score (Gemma)0.005
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Meta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.124
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0620.005
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0030.000
Bibliometrics0.0000.001
Science and technology studies0.0010.001
Scholarly communication0.0000.001
Open science0.0010.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.549
GPT teacher head0.519
Teacher spread0.030 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations4
Published2016
Admission routes3
Has abstractyes

Explore more

Same venueHealth Reform Observer - Observatoire des Réformes de SantéSame topicHealth Systems, Economic Evaluations, Quality of LifeFrench-language works237,207