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10 trends in health economics and health outcomes research


By: Diana González-Bravo
MD, Epidemiologist
MBE researcher


By: Diego Rosselli
MD. MSc. EdM
Managing Director

The Health Economics and Outcomes Research (HEOR) has gained strength and prominence as the government and other decision-making actors in health systems consider how to provide the best possible results, at affordable costs. The International Society for Pharmacoeconomics and Health Outcomes (ISPOR) is the leading global society in the field, issued a newsletter in which it identified the trends with the greatest impact called "2018 Top 10 HEOR Trends". Next, the appreciation of Dr. Diego Rosselli about the trends in Health Economics.

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The rise of the health economy is a global phenomenon. All the governments of the world, as well as insurers, providers, the pharmaceutical and medical device industry, and the users of health systems (which ultimately we are all) are facing increasing costs and needs that, also , they are increasing. That is why the document that ISPOR has just produced with the attractive title of "Top 10 HEOR Trends", the ten current trends in health economics and results research, is very timely. It would be worthwhile, to give the document even more credibility, to highlight the consensual and participatory methodology that gave rise to it (obviously with Colombian participation).

Some of these "10 trends" we have lived closely in Colombia in recent years. Among them, strategies to regulate the rising prices of many innovative drugs, with mechanisms such as centralized purchasing or price regulation. The clear definition of how to accept or not the growing boom in biosimilars is another debate that has taken place here in several areas. Universal coverage, which is far from being a reality in many countries in the region, is an issue in which we also have an advantage. It is shameful to see how the United States is still far behind in this indicator of equity and, ultimately, in true social development. Perhaps we are not as prepared, in all of Latin America, as in the Old Continent, for the demographic change that lies ahead, with a population that is aging at a faster rate than the developed countries first experienced. Our hospitals, our healthcare system, and our routes of care have had to make a rapid turn to adapt to the needs imposed by chronic noncommunicable diseases. This is where epidemiology goes.

In short, the new public health imposes different paradigms, to intervene on lifestyles, to empower communities so that citizens themselves take on new challenges, many of them in prevention and no longer in therapy.

With this mouth-opener, I only hope that you consult this interesting document, so that you reflect, each one from your corner, so that you ask me what corresponds to me to do in this new way of seeing the reality of health, in its increasingly definition wide.

The complete document can be consulted HERE


ISPOR 2018. Top 10 HEOR trends. Available in www.ispor.org.

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Luis Fernando Giacometti
3 years ago

Very clear explanatory note from Dr Roselli and a very interesting document that undoubtedly sets trends. The growing and irreversible irruption of new and expensive health technologies (read medicines, devices, techniques and instrumentation) that are not at all risk-free for the patient, forces us to face not only a political and / or economic debate, but also an ethical one regarding the future of the health care models.

3 years ago

Good afternoon

Very interesting article

Alonso Verdugo
3 years ago

Excellent summary, an additional topic, the 11th, would be the change in the payment model, from pay per event to pay for performance or quality of egress and retail health, which is leading groups like Wallmart to acquire health clinics «retail ». The way millenians consume health.
Thank you so much for such good posts.

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