ecancermedicalscience

Special Issue

Health technology assessment and value: the cancer value label (CAVALA) methodology

28 Oct 2016
Francisco Rocha-Gonçalves, Marina Borges, Patrícia Redondo, José Laranja-Pontes

In modern health care systems, the soaring prices of drugs pose at least three major challenges: the growing economic burden of diseases, the uncertainty regarding innovation in health care, and the use of generic drugs and new indications.

In this context, the assessment of health care technology is not just about drugs, it is about ensuring that the system’s resources, namely financial, yield maximum health benefits. So, the assessment is about relating inputs with outputs; and also, resources with health-related outcomes. However, this method is based on specific assumptions and has its shortcomings.

This paper proposes a methodology called Cancer Value Label (CAVALA) which is a holistic and flexible concept of value. CAVALA overcomes the rationale that suffers from the communicational trap of having to discuss money versus life years gained. Some examples of CAVALA demonstrate that it has the potential to support health care decisions. 

Using a step-by-step approach, we show how CAVALA can be implemented and further extended. We discuss its main uses to assess outcome selections, the pricing of drugs, and the decisions on the reimbursement of new drugs and indications.

Article metrics: 2582 views
1231
1351

Related Articles

Lekha Madhavan Nair, KM Jagathnath Krishna, Aswin Kumar, Susan Mathews, John Joseph, Francis Vadakkumparambil James
Hugo Tanaka, Deise Uema, Juliana FM Rego, Rui F Weschenfelder, Nathalia D’Agustini, Duilio R Rocha Filho, Juan M O'Connor, Romina Luca, Jose Eduardo R Nuñez, Milton José de Barros e Silva, Rachel P Riechelmann
Ana Karla Uribe Rivera, Andres Guevara Jabiles, Ivan Chavez Passiuri, Elica Garcia Leon, Melvy Guerrero Quiroga, Renier Cruz Baca, Jossue Espinoza Figueroa, Nelson Purizaca Rosillo, Eduardo Payet Meza
Yek-Ching Kong, Veni-Venusha Sakti, Richard Sullivan, Nirmala Bhoo-Pathy
Rima A Abdul-Khalek, Ghassan Abu-Sitta, Nassim El Achi, Walaa Kayyal, Ahmad Elamine, Aba Noubani, Marilyne Menassa, Fahad Ahmed, Richard Sullivan, Deborah Mukherji