The European Journal of Health Economics

, Volume 8, Supplement 2, pp 87–93

The burden of rheumatoid arthritis and access to treatment: determinants of access

Original paper

DOI: 10.1007/s10198-007-0090-1

Cite this article as:
Lundqvist, J., Kastäng, F., Kobelt, G. et al. Eur J Health Econ (2008) 8: 87. doi:10.1007/s10198-007-0090-1


As part of the study “The Burden of Rheumatoid Arthritis (RA) and Patient Access to Treatment”, this paper reviews the impact on access to RA drugs of the approval processes, pricing and funding decisions and times to market (access) in different countries. In addition, an overview of health technology assessments (HTA) and the economic literature related to RA treatments is provided. The time from approval to market access ranged from immediate to over 500 days in the countries included in the study. A total of 55 HTA reports were identified, 40 of them in the period between 2002 and 2006; 29 were performed by European HTA agencies, 14 in Canada and 7 in the United States. A total of 239 economic evaluations related to RA were identified in a specialized health economic database (HEED).


Rheumatoid arthritisHealth technology assessmentTreatment access

JEL Classification


Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • J. Lundqvist
    • 1
  • F. Kastäng
    • 1
  • G. Kobelt
    • 2
  • B. Jönsson
    • 3
  1. 1.i3/InnovusStockholmSweden
  2. 2.Department of OrthopedicsUniversity of LundLundSweden
  3. 3.Department of EconomicsStockholm School of EconomicsStockholmSweden