Abstract
ObjectivesDespite the efforts of the European Union (EU) to promote voluntary cooperation among Health Technology Assessment (HTA) agencies, different reimbursement decisions for the same drug are made across European countries. The aim of this paper is to compare the agreement of cancer drug reimbursement decisions using inter-rater reliability measures.MethodsThis study is based on primary data on 161 cancer drug reimbursement decisions from nine European countries from 2002 to 2014. To achieve our goal, we use two measures to analyze agreement, in other words, congruency: (i) percentage of agreement and (ii) the κ score.ResultsOne main conclusion can be drawn from the analysis. There is a weak to medium agreement among cancer drug decisions in the European countries analyzed (based on the percentage of agreement and the κ score). England and Scotland show the highest consistency between the two measures, showing a medium agreement. These results are in line with previous literature on the congruency of HTA decisions.ConclusionsThis paper contributes to the HTA literature, by highlighting the extent of weak to medium agreement among cancer decisions in Europe.
Publisher
Cambridge University Press (CUP)
Reference25 articles.
1. 25. Proposal for a Regulation (EC) No 2018/0018(COD)of the European Parliament and of the Council on health technology assessment and amending Directive 2011/24/EU (2018). [Accessed 14 February 2018 https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A52018PC0051#document1].
2. Kappa coefficient: A popular measure of rater agreement;Tang;Shanghai Arch Psychiatry,2015
3. A Coefficient of Agreement for Nominal Scales
4. What is driving HTA decision-making? Evidence from cancer drug reimbursement decisions from 6 European countries
5. “Yes”, “No” or “Yes, but”? Multinomial modelling of NICE decision-making
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