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Journal of Market Access & Health Policy, Volume 14, Issue 3

2026 September - 21 articles

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Articles (21)

  • Article
  • Open Access
1 Citations
593 Views
17 Pages

Role of General Practitioners in European Health Technology Assessment, EU-HTA Innovation in Oncology as an Example

  • Daniel Widmer,
  • Hermenegildo Marcos Carrera,
  • Jörg Ruof,
  • Gunasekara Vidanamestrige Chamath Fernando and ,
  • Patrick Ouvrard,
  • Marie-Christine Bonnamour,
  • Mary McCarthy and
  • Shrikant Atreya
  • + 3 authors+ 0 author

Introduction: Different from established clinical guideline workstreams, the participation of general practitioners (GPs) in the health technology assessment (HTA) process at the European level is new. There is a research gap in this domain. The Euro...

(This article belongs to the Collection European Health Technology Assessment (EU HTA))
  • Article
  • Open Access
336 Views
16 Pages

Background: Palatability and ease of administration are recognised as key determinants of medication adherence in paediatric populations. Oral ibuprofen suspensions are among the most commonly used analgesic and antipyretic medications for children i...

  • Article
  • Open Access
513 Views
21 Pages

The Post-Authorisation Maze: Mapping of European Pharmaceutical Market Access Pathways in the Early JCA Era

  • Lisa-Maria Hagemann,
  • Karolin Eberle,
  • Jana Maurer,
  • Alexandra Carls and ,
  • Andreas D. Meid and
  • Eva-Maria Reuter
  • + 1 author+ 0 author

The Regulation (EU) 2021/2282 on health technology assessment (HTAR) harmonises clinical evidence assessment across Europe. However, national appraisal, pricing, and reimbursement processes remain divergent and could affect the efficiency of decision...

(This article belongs to the Collection European Health Technology Assessment (EU HTA))
  • Article
  • Open Access
519 Views
9 Pages

Real-World Shelf Life of Epinephrine Auto-Injectors in Canada: Implications for Renewal Frequency and Patient Burden

  • John Papastergiou,
  • Mille Vang Lybech,
  • Christoffer Mertz,
  • Anne Danø and ,
  • Jess Finney and
  • David Grabowski
  • + 1 author+ 0 author

Although patients in Canada at risk of anaphylaxis are recommended to maintain access to two in-date epinephrine auto-injectors (EAIs) at all times, underuse during emergencies remains common. Multiple factors contribute to this gap, but the impact o...

  • Article
  • Open Access
344 Views
17 Pages

Background: In Japan, official prices of pharmaceuticals have been determined by efficacy and safety. In 2019, Cost-Effectiveness Evaluation (CEE) was introduced to adjust these prices according to Incremental Cost-Effectiveness Ratios (ICERs). Objec...

  • Editorial
  • Open Access
676 Views
7 Pages

Procedural Theatre: EU-HTA Between Ritual and Purpose—Why the Buyer’s Audit Has Outgrown the Transaction

  • Mondher Toumi,
  • Maarten Jacobus Postma,
  • Bruno Falissard,
  • Frank-Ulrich Fricke and ,
  • Stefano Capri,
  • Jürgen Wasem,
  • Steven Simoens,
  • Renato Bernardini,
  • Malgorzata Wojtal and
  • Pascal Auquier
  • + 9 authors+ 4 authors

Health technology assessment is a discipline that has developed, over five decades, an elaborate scientific and institutional identity centered on the evaluation of clinical evidence, comparative effectiveness, and economic value [...]

  • Article
  • Open Access
461 Views
17 Pages

A Model-Based Public-Payer Investment Appraisal of a National Home Hemodialysis Program in Greece: A Net Present Value Analysis

  • Vasileios Zavvos,
  • John Fanourgiakis,
  • Michael A. Talias,
  • Christos Iatrou and
  • Christos Ntais

Background: In-center hemodialysis is the dominant kidney replacement therapy modality in Greece and generates substantial recurring expenditure for the public payer. Home hemodialysis is not currently implemented at national scale, but it may reduce...

  • Article
  • Open Access
786 Views
14 Pages

The introduction of Joint Clinical Assessments (JCAs) under the European Union Health Technology Assessment Regulation (EU HTAR) represents a major structural reform aimed at reducing fragmentation and duplication in clinical evidence assessment acro...

(This article belongs to the Collection European Health Technology Assessment (EU HTA))
  • Article
  • Open Access
583 Views
16 Pages

Treatment Preferences in Acute Allergic Reactions—How Can the Context Impact the Preference for a Corticosteroid Mouth Film Versus Conventional Tablets?

  • Andrea Karadak,
  • Karin Wahlberg,
  • Göran Tornling,
  • James Kereki and ,
  • Leif Bjermer and
  • Jonas Hjelmgren
  • + 1 author+ 0 author

Background: The objective was to assess how preferences for a self-dissolving dexamethasone mouth film versus conventional tablets for acute allergic reactions may vary according to population characteristics and the level of outcome knowledge for th...

  • Article
  • Open Access
671 Views
29 Pages

Background: Epidermolysis bullosa (EB) is a complex group of rare, inherited skin disorders that blister easily, imposing substantial burden on patients and carers. There is a lack of published evidence in the UK quantifying health-related quality of...

  • Article
  • Open Access
605 Views
16 Pages

This paper assesses the impact of uncertainty for investors on the economic valuation of medical innovation projects for orphan drugs or rare diseases. Conventionally, investor evaluation uses the deterministic discounted cash flow (DCF) method with...

  • Perspective
  • Open Access
825 Views
25 Pages

The European Union’s Health Technology Assessment Regulation (EU-HTA R) Will Prosper Despite Major Setbacks

  • Mondher Toumi,
  • Imen Soussi,
  • Bruno Falissard,
  • Steven Simoens and ,
  • Asma Jouini,
  • Maarten Postma,
  • Juergen Wasem,
  • Oriol Solà-Morales,
  • Laurent Boyer and
  • Pascal Auquier
  • + 10 authors+ 5 authors

Background: The EU Health Technology Assessment Regulation (EU-HTA R), effective January 2025, mandates Joint Clinical Assessments (JCAs) to harmonize HTA across Member States. However, its implementation raises fundamental questions about methodolog...

  • Article
  • Open Access
1 Citations
560 Views
11 Pages

Direct Public-Payer Costs of Dialysis Therapies in Greece: A Patient-Level Micro-Costing Study Across Modality and Provider Sector

  • Vasileios Zavvos,
  • John Fanourgiakis,
  • Michael A. Talias,
  • Aimilia Zachariou and ,
  • Marios Papasotiriou,
  • Christos Iatrou,
  • Nikolaos Kontodimopoulos and
  • Christos Ntais
  • + 3 authors+ 0 author

Background: Dialysis is a life-sustaining but resource-intensive treatment for patients with kidney failure. Contemporary Greek evidence on the public-payer cost of dialysis is limited, particularly for comparisons across modality, provider sector an...

  • Article
  • Open Access
1 Citations
774 Views
16 Pages

Despite the need for immediate treatment during acute allergic reactions (AARs), many patients do not consistently carry medication. A new mouth-dissolving dexamethasone film offers a portable, easily administered alternative to corticosteroid tablet...

  • Editorial
  • Open Access
665 Views
6 Pages

Analysis of How the Term “Shall” Is Understood and Applied to the EU-HTA Regulation

  • Mondher Toumi,
  • Samuel Aballéa,
  • Bruno Fallissard,
  • Claude Dussart and ,
  • Pascal Auquier and
  • Laurent Boyer
  • + 1 author+ 0 author

The European Health Technology Assessment (EU-HTA) Regulation extensively uses the word “shall”, and its use has caused confusion among audiences unfamiliar with legal terminology [...]

  • Review
  • Open Access
924 Views
13 Pages

The medical device manufacturing industry in Mexico faces a critical risk of losing competitiveness and sustainability due to its concentration on low-value-added manufacturing activities and limited integration into advanced stages of the value chai...

  • Editorial
  • Open Access
568 Views
13 Pages

Epistemological Tensions in the EU HTA Joint Clinical Assessment: The Illusion of Judgment-Free Evaluation

  • Mondher Toumi,
  • Bruno Falissard,
  • Asma Jouini,
  • Imen Soussi and ,
  • Steven Simoens,
  • Maarten Postma,
  • Laurent Boyer,
  • Borislav Borissov,
  • Renato Bernardini and
  • Pascal Auquier
  • + 9 authors+ 4 authors

The practice of Health Technology Assessment (HTA) inherently involves moral, epistemological, and ontological commitments, which shape how assessments are conducted, interpreted, and used for decision-making [...]

  • Perspective
  • Open Access
786 Views
16 Pages

The United States has one of the world’s largest criminal justice systems, with nearly 5.5 million people under correctional supervision and almost 2 million incarcerated. This scale of confinement, coupled with the rise of privatization across...

  • Systematic Review
  • Open Access
1 Citations
864 Views
23 Pages

Introduction: This systematic literature review (SLR) provides an analytical framework for clinical trials evaluating clinical outcomes of artificial intelligence-based digital health interventions (AI-DHI). Methods: The SLR was conducted in accordan...

  • Opinion
  • Open Access
2 Citations
1,010 Views
11 Pages

The EU-Joint Clinical Assessment Guidance Documents Fail to Address the Significance of Systematic Literature Reviews and Deviate from the State of the Art

  • Beata Smela,
  • Mondher Toumi,
  • Samuel Aballéa,
  • Steven Simoens and ,
  • Laurent Boyer,
  • Bruno Falissard,
  • Renato Bernardini,
  • Stefano Capri and
  • Pascal Auquier
  • + 4 authors+ 0 author

This paper summarizes an analysis of the Joint Clinical Assessment (JCA) subgroup’s recommendations for systematic literature reviews (SLRs). While the JCA offers clear guidance on study classification, exclusion criteria reporting, and PRISMA...

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J. Mark. Access Health Policy - ISSN 2001-6689