10 Trends in HEOR


Por: Diana González-Bravo
MD, Epidemiólogo
Investigador MBE


By: Diego Rosselli
MD. MSc. EdM
Director General

The Health Economics and Results Research (HEOR) has gained power and distinction among government and other stakeholders in health system decision-making, those who consider how to provide the best possible results in health and health economics, at an affordable costs. ISPOR (International Society for Pharmacoeconomics and Health Outcomes) is the leading global society in the field, issued a newsletter in which identified the trends of greatest impact called “2018 Top 10 HEOR Trends”.

Afterwards, you can find Diego Rosselli’s appreciation about the trends in Health Economics.





The boom of health economics is a global phenomenon. Government, insurers, providers, the pharmaceutical/ medical device industry and the users of the health systems (which in the end are all of us) all over the world faced increasing costs and needs in health. This is the reason why the document that has just produced ISPOR 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 worth it, to give the document even more credibility, to highlight the consensus and participatory methodology that gave rise to it (obviously with Colombian participation).

Some of these “10 trends” we have been experienced closely in Colombia in recent years. Among them, strategies to regulate the rising prices of many innovative medicines, with mechanisms such as centralized procurement of drugs or price regulation. The clear definition of how to accept or not the growing biosimilar boom is another debate that has taken place here in several areas. Universal coverage in health, which is far from being a reality in many countries of the Latinamerican region, is an issue in which we also have an advantage. It is shameful to see how the United States is far behind in this indicator of equity and, ultimately, of true social development. We may not be as prepared (speaking of Latinamerica) as in the Old Continent, for the demographic change that is coming, with a population that ages at a rate greater than that experienced by developed countries first. Our hospitals, our health system, and our care routes have had to make a quick turnaround to adapt to the needs imposed by chronic non-communicable diseases. It is for there that epidemiology goes.

Briefly, the new public health policies imposes different paradigms, to influence on lifestyles, to empower communities so that citizens themselves can assume new challenges, many of them in prevention and no longer in therapy.

With this starter, I only hope that you consult this interesting document, so that you reflect, each one from your corner, so that you ask me what I have to do in this new way of seeing the reality of health, in its definition will amplified and become wider.

The complete document can be found here


ISPOR 2018. Top 10 HEOR trends. Available at

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