Steigenberger, Caroline; Windisch, Friederike; Vogler, Sabine (2023): Barriers and Facilitators in Pricing and Funding Policies of European Countries That Impact the Use of Point-of-Care Diagnostics for Acute Respiratory Tract Infections in Outpatient Practices. Diagnostics, 13. p. 3596.

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Official URL (please open in a new browser tab/window): https://doi.org/10.3390/diagnostics13233596

Abstract

Antimicrobial resistance is a major global health threat, which is increased by the irrational use of antibiotics, for example, in the treatment of respiratory tract infections in community care. By using rapid point-of-care diagnostics, overuse can be avoided. However, the diagnostic tests are rarely used in most European countries. We mapped potential barriers and facilitators in health technology assessment (HTA), pricing, and funding policies related to the use of rapid diagnostics in patients with community-acquired acute respiratory tract infections. Expert interviews were conducted with representatives of public authorities from five European case study countries: Austria, Estonia, France, Poland, and Sweden. Barriers to the HTA process include the lack of evidence and limited transferability of methods established for medicines to diagnostics. There was no price regulation for the studied diagnostics in the case study countries, but prices were usually indirectly determined via procurement. The lack of price regulation and weak purchasing power due to regional procurement processes were mentioned as pricing-related barriers. Regarding funding, coverage (reimbursement) of the diagnostic tests and the optimized remuneration of physicians in their use were mentioned as facilitators. There is potential to strengthen peri-launch policies, as optimized policies may promote the uptake of POCT.

Item Type: Article
Uncontrolled Keywords: diagnostic techniques; respiratory system; respiratory tract infections; ambulatory care; drug resistance; microbial; prospective payment system; health policy
Subjects: OEBIG > Pharmaoekonomie
Date Deposited: 27 Aug 2024 09:43
Last Modified: 27 Aug 2024 09:43
URI: https://jasmin.goeg.at/id/eprint/3806