Evidence-based decision-making for diagnostic and therapeutic methods: the changing landscape of assessment approaches in Germany

dc.contributor.authorOlberg, Britta
dc.contributor.authorFuchs, Sabine
dc.contributor.authorMatthias, Katja
dc.contributor.authorNolting, Alexandra
dc.contributor.authorPerleth, Matthias
dc.contributor.authorBusse, Reinhard
dc.date.accessioned2018-12-03T10:50:46Z
dc.date.available2018-12-03T10:50:46Z
dc.date.issued2017-10-17
dc.description.abstractThis article examines the current status and most important changes over time to the legislative framework on the health technology assessment-informed decision-making process on diagnostic and therapeutic ‘methods’ in Germany. The relevant information was obtained through documentary analysis covering the period 1990 to 2017. The findings show that, even if the outpatient care sector appears to be much more regulated than the inpatient sector (based on a strict separation of the two care settings), developments in Germany have led to a more tightened assessment framework, making the use of evidence a firm component in the decision-making process. Nevertheless, a comprehensive approach for a systematic assessment of diagnostic and therapeutic ‘methods’ still does not exist. Readjustments of current regulations in Germany, such as the existing ‘Verbotsvorbehalt’ (i.e. provision of a diagnostic and therapeutic ‘method’ possible unless actively delisted) in the inpatient care setting, as well as further developments at the European level are needed in order to create a system that ensures early access to innovation under controlled study conditions.en
dc.description.sponsorshipTU Berlin, Open-Access-Mittel - 2017de
dc.identifier.issn1478-4505
dc.identifier.urihttps://depositonce.tu-berlin.de/handle/11303/8638
dc.identifier.urihttp://dx.doi.org/10.14279/depositonce-7772
dc.language.isoenen
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subject.ddc610 Medizin und Gesundheitde
dc.subject.otherhealth technologyen
dc.subject.otherdecision-making processen
dc.titleEvidence-based decision-making for diagnostic and therapeutic methods: the changing landscape of assessment approaches in Germanyen
dc.typeArticleen
dc.type.versionpublishedVersionen
dcterms.bibliographicCitation.articlenumber89en
dcterms.bibliographicCitation.doi10.1186/s12961-017-0253-1en
dcterms.bibliographicCitation.journaltitleHealth Research Policy and Systemsen
dcterms.bibliographicCitation.originalpublishernameBioMed Centralen
dcterms.bibliographicCitation.originalpublisherplaceLondonen
dcterms.bibliographicCitation.volume15en
tub.accessrights.dnbfreeen
tub.affiliationFak. 7 Wirtschaft und Management::Inst. Technologie und Management (ITM)::FG Management im Gesundheitswesende
tub.affiliation.facultyFak. 7 Wirtschaft und Managementde
tub.affiliation.groupFG Management im Gesundheitswesende
tub.affiliation.instituteInst. Technologie und Management (ITM)de
tub.publisher.universityorinstitutionTechnische Universität Berlinen

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