Objectives: In European hospitals, budgetary pressure is driving centralized purchasing and increasing the importance of procurement in market access. Centralized purchasing is thought to lead to cost savings through stronger negotiating power, economies of scale and reduced inventory. The objective of this study was to understand the procurement methods for disposable medical devices employed by European hospitals and their impact on market access. MethOds: A review of hospital purchasing practices was conducted in France, Germany and England, including published articles and government websites. Twelve 45-60 minute telephone interviews were conducted with hospital decision makers (purchasers, pharmacists and clinicians) in 2013. Results: Most disposable medical devices are evaluated at the facility level by committees made up of clinicians, procurement specialists, pharmacists and management. France and Germany require listing on the facility formulary and typically procure via tendering and group purchasing. England has a national procurement body but hospitals regularly purchase products directly from the manufacturer. All three countries report that austerity measures are causing many facilities to limit the number of products per category. Product trials and clinician preference are seen as the main drivers of adoption however clinicians are under increasing pressure to justify costs. Hospital purchase decisions are increasingly likely to be based on non-product specific attributes such as total cost of purchasing including volume discounts, broad portfolio of products, and administrative costs. cOnclusiOns: In the current environment, market access for disposable medical devices will require a strong economic argument in addition to evidence of superior quality. Although clinicians still drive the adoption of consumable medical devices, in the absence of a strong clinician preference, non-product specific attributes may determine market access. Manufacturers can support their economic messaging along categories of inventory reduction and a broad portfolio of products that allows for administrative efficiencies and reduced shipping costs.Objectives: The Portuguese National Health System (NHS) identified the need to easily access information that allowed identification of all medical devices (MDs) with their respective manufacturers, distributors, characteristics, and purposes. The objective of the creation of an information system is to collect, store and analyze data of each MD and to provide NHS resources management, health technology assessment (HTA), as well as data about the Portuguese market. MethOds: A system consisting of a database that is a repository, and an application system that stores the information was built. For the registry of information all MDs should disclose their respective instructions of use, labels and price. The concept of unique medical device and a process to assign a code to each device was designed, and tested by collecting data from NHS acquisitions. The prescription of medi...
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