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Information Barriers to the Implementation of Economic Evaluations in Japan

Abstract

With increasing cost-containment pressures within healthcare systems worldwide, economic evaluations of medical technologies, particularly pharmaceuticals, are used to aid the allocation of expenditure and resources. Facing similar pressures, Japan will probably also introduce economic evaluation of health technology. However, the structure of the healthcare system in Japan does not lend itself naturally to the collection of the epidemiological and cost data required for economic evaluations in medicine. In addition, there are no formal methodological guidelines in place for these analyses. To overcome these information barriers in Japan, progress may be aided by the adoption of approaches used in other countries for data collection and guideline development.

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References

  1. Feeny DH, Torrance GW, Labelle R. Integrating economic evaluations and quality of life assessments. In: Spilker B, editor. Quality of life and pharmacoeconomics in clinical trials. 2nd ed. Philadelphia: Lippincott-Raven, 1996: 85–95

    Google Scholar 

  2. Drummond MF, O’Brien BJ, Stoddart GL, et al. Methods for the economic evaluation of health care programmes. 2nd ed. Oxford: Oxford University Press, 1997

    Google Scholar 

  3. Jacobs P, Bachynsky J, Baladi JF. A comparative review of pharmacoeconomic guidelines. Pharmacoeconomics 1995; 8 (3): 182–9

    PubMed  Article  CAS  Google Scholar 

  4. Drummond MF, Jefferson TD. Guidelines for authors and peer reviewers of economic submissions to the BMJ. BMJ 1996; 313: 275–83

    PubMed  Article  CAS  Google Scholar 

  5. Ikegami N, Drummond M, Fukuhara S, et al. Why has the use of health economic evaluation in Japan lagged behind that in other developed countries? Pharmacoeconomics 2002; 20 Suppl. 2: 1–7

    PubMed  Article  Google Scholar 

  6. Boyle M, Torrance G, Sinclair J, et al. Economic evaluation of neonatal intensive care of very-low-birth-weight infants. N Engl J Med 1983; 308: 1330–7

    PubMed  Article  CAS  Google Scholar 

  7. Netten A, Curtis L. Unit costs of health and social care. The Personal Social Services Research Unit (PSSRU), University of Kent, 2000

    Google Scholar 

  8. Schubert F. The Canadian model for the establishment of guidelines. Drug Inf J 1996; 30: 503–6

    Article  Google Scholar 

  9. Menon D, Schubert F, Torrance GW. Canada’s new guidelines for the economic evaluation of pharmaceuticals. Med Care 1996; 34 (12): DS77–86

    PubMed  CAS  Google Scholar 

  10. Glennie JL, Torrance GW, Baladi JF, et al. The revised Canadian guidelines for the economic evaluation of pharmaceuticals. Pharmacoeconomics 1999; 15 (5): 459–68

    PubMed  Article  CAS  Google Scholar 

  11. National Institute for Clinical Excellence. Guidance for manufacturers and sponsors: Technology Appraisals Process Series No 5. London: NICE, 2000

    Google Scholar 

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Correspondence to Shuzo Nishimura.

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Nishimura, S., Torrance, G.W., Ikegami, N. et al. Information Barriers to the Implementation of Economic Evaluations in Japan. Pharmacoeconomics 20, 9–15 (2002). https://doi.org/10.2165/00019053-200220002-00002

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  • DOI: https://doi.org/10.2165/00019053-200220002-00002

Keywords

  • Economic Evaluation
  • Japanese Government
  • Healthcare Intervention
  • Methodological Guideline
  • Canadian Experience