F. Mennini, L. Gitto, R. Scrivo, F. Drago, Marco Iezzi, L. Terranova, M. Ruggeri, A. Marcellusi, S. Russo, R. Viti, A. Cicchetti
{"title":"The Promotion of Drug Innovation in Italy: Critical Aspects and Unsolved Problems","authors":"F. Mennini, L. Gitto, R. Scrivo, F. Drago, Marco Iezzi, L. Terranova, M. Ruggeri, A. Marcellusi, S. Russo, R. Viti, A. Cicchetti","doi":"10.5301/GRHTA.5000216","DOIUrl":"https://doi.org/10.5301/GRHTA.5000216","url":null,"abstract":"The pharmaceutical sector is characterized by the level of investments required in response to the growing challenges in terms of demand for health.In most European countries the pharmaceutical industry, through production, research, intermediate goods and wages, contributes to GDP for a value of about 1%. The impact of the pharmaceutical industry on the added value varies from 23 billion euro in Switzerland to 9.6 billion euro in Spain; for Italy, this value is about 14 billion euro, higher than the average of other European countries.However, despite these positive findings, Italy can hardly keep up with other European countries in investments in R&D in the pharmaceutical sector.An even larger amount of resources is required by the development of personalized therapies and new generation drugs, e.g. developed through biotechnology, which are more effective in responding to complex health needs. Clear rules, aimed at defining and fostering innovation, together with competitive pricing models, are require...","PeriodicalId":228031,"journal":{"name":"Global and Regional Health Technology Assessment","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127718818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Berto, S. Adami, C. Botsios, Valentina Fantelli, A. M. Grion, F. Ometto, L. Punzi, Chiara Roni, G. Scroccaro
{"title":"Real World Data use and Applications in the Integrated Management of Rheumatic Disease","authors":"P. Berto, S. Adami, C. Botsios, Valentina Fantelli, A. M. Grion, F. Ometto, L. Punzi, Chiara Roni, G. Scroccaro","doi":"10.5301/GRHTA.5000212","DOIUrl":"https://doi.org/10.5301/GRHTA.5000212","url":null,"abstract":"","PeriodicalId":228031,"journal":{"name":"Global and Regional Health Technology Assessment","volume":"227 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115517483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"14° Convegno Nazionale Economia e Politica del Farmaco e delle Tecnologie Sanitarie Novara, 23 Giugno 2015","authors":" ","doi":"10.5301/grhta.2015.14791","DOIUrl":"https://doi.org/10.5301/grhta.2015.14791","url":null,"abstract":"","PeriodicalId":228031,"journal":{"name":"Global and Regional Health Technology Assessment","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122000980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cost-consequence analysis of aprepitant compared to standard therapy (5-HT3 + corticosteroids) for the prevention of highly emetogenic chemotherapy-induced nausea and vomit","authors":"R. Ravasio, G. Rosti","doi":"10.5301/GRHTA.5000195","DOIUrl":"https://doi.org/10.5301/GRHTA.5000195","url":null,"abstract":"IntroductionPrevention of chemotherapy-induced nausea and vomiting (CINV) remains an important goal for patients receiving cytotoxic treatment. The objective of this study was to assess, from the I...","PeriodicalId":228031,"journal":{"name":"Global and Regional Health Technology Assessment","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131352324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cost-Effectiveness Analysis of Long-Acting Bronchodilators for the Treatment of COPD (Moderate to Very Severe)","authors":"R. Ravasio","doi":"10.5301/GRHTA.5000204","DOIUrl":"https://doi.org/10.5301/GRHTA.5000204","url":null,"abstract":"","PeriodicalId":228031,"journal":{"name":"Global and Regional Health Technology Assessment","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127579122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Innovation and Drugs Price and Reimbursement: A Comparison between Italy and the other Major EU Countries","authors":"C. Jommi","doi":"10.5301/GRHTA.5000206","DOIUrl":"https://doi.org/10.5301/GRHTA.5000206","url":null,"abstract":"This paper aims at investigating (i) differences and commonalities of drugs Price and Reimbursement (P&R) criteria between Italy and the other major EU countries and (ii) comparative advantages, pi...","PeriodicalId":228031,"journal":{"name":"Global and Regional Health Technology Assessment","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116251356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Economic Analysis of the Immunostimulant OM-85 for the Prevention of Paediatric Recurrent Upper Respiratory Tract Infections","authors":"R. Ravasio","doi":"10.5301/GRHTA.5000200","DOIUrl":"https://doi.org/10.5301/GRHTA.5000200","url":null,"abstract":"Objective: To evaluate the cost of preventing recurrent upper respiratory tract infections (URTIs) with a non- specific immunostimulating agent (OM-85) in at-risk children. Methods: A cost consequence analysis was conducted considering three different perspectives: Community, National Health Service and patient. A pre-existing decisional model was used to compare prophylaxis with OM-85 and no prophylaxis. The clinical data was based on the weighted average of the results of nine randomized pla-cebo-controlled trials identified by a Cochrane literature review. Clinical events considered in the model were natural resolution of the infection, onset of complications (acute otitis media, sinusitis, others) and their evolu-tion. Direct and indirect costs incurred by patient, NHS and Community were structured in accordance with the most authoritative guidelines and implemented with current Italian prices and tariffs. Sensibility analyses were performed to evaluate the model robustness. Results: The immunostimulating agent OM-85 achieved savings for 40.30 euro/patient in the perspective of the National Health Service and for 182.99 euro/patient in the community’s perspective. Sensitivity analyses con-firmed the robustness of base scenario results. Conclusions: Non-specific immunotherapy with OM-85 reduces the incidence of URTIs in at-risk children to-gether with savings for the community and NHS.","PeriodicalId":228031,"journal":{"name":"Global and Regional Health Technology Assessment","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131775305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. L. Pia, C. Mencacci, M. Pani, E. Spina, A. Vercellone
{"title":"Therapeutic continuity in the treatment of psychiatric disorders","authors":"S. L. Pia, C. Mencacci, M. Pani, E. Spina, A. Vercellone","doi":"10.5301/GRHTA.5000197","DOIUrl":"https://doi.org/10.5301/GRHTA.5000197","url":null,"abstract":"","PeriodicalId":228031,"journal":{"name":"Global and Regional Health Technology Assessment","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124852799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Willingness to pay for innovation: the case of the anti-HCV drugs from the Italian National Health Service perspective","authors":"F. Mennini, A. Marcellusi, R. Viti, M. Andreoni","doi":"10.5301/GRHTA.5000201","DOIUrl":"https://doi.org/10.5301/GRHTA.5000201","url":null,"abstract":"getti con una positività ematica all’HCV RNA è generalmente superiore al 3% nei nati prima del 1950 e aumenta progressivamente con l’età, mentre è considerevolmente più bassa, in assenza di tossicodipendenza, nelle generazioni più giovani (1). Il problema dell’infezione da HCV risiede nella possibile evoluzione clinica che si manifesta nel soggetto infetto nel medio/lungo periodo. Nel corso degli anni, infatti, l’HCV cronica può portare alla cirrosi epatica e, infine, alla morte. L’HCV è una malattia asintomatica e, come tale, viene trattata principalmente in una fase avanzata (1). Tra i pazienti che acquisiscono l’infezione da HCV, infatti, oltre il 90% diventa portatore cronico, sviluppando nel 65-95% dei casi un’epatopatia cronica e nel 10-30% dei casi un rischio di evolvere in cirrosi nell’arco di 25-30 anni (2). I soggetti cirrotici a loro volta hanno una probabilità per anno dell’1-3% di sviluppare DOI: 10.5301/GRHTA.5000201","PeriodicalId":228031,"journal":{"name":"Global and Regional Health Technology Assessment","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125078606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Adami, A. Alberti, M. Andretta, G. Buzzetti, E. Bonora, Nicola Braggio, M. Cancian, E. Concia, P. Conte, M. Boni, V. Fadda, A. Ferrarese, B. Giometto, R. Leone, V. Pengo, P. Pertile, L. Punzi, M. Saugo, G. Scroccaro, A. Vianello
{"title":"Therapeutic Value and Innovation of a Drug and Criteria for Evaluation: A Multidisciplinary Experience in the Veneto Region","authors":"S. Adami, A. Alberti, M. Andretta, G. Buzzetti, E. Bonora, Nicola Braggio, M. Cancian, E. Concia, P. Conte, M. Boni, V. Fadda, A. Ferrarese, B. Giometto, R. Leone, V. Pengo, P. Pertile, L. Punzi, M. Saugo, G. Scroccaro, A. Vianello","doi":"10.5301/GRHTA.5000196","DOIUrl":"https://doi.org/10.5301/GRHTA.5000196","url":null,"abstract":"","PeriodicalId":228031,"journal":{"name":"Global and Regional Health Technology Assessment","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122269448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}