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Pitfalls in Reimbursement Decisions for Oncology Drugs in South Korea: Need for Addressing the Ethical Dimensions in Technology Assessment

Authors
 Eun Cho  ;  Eun-Cheol Park  ;  Myoung Sheen Kang 
Citation
 ASIAN PACIFIC JOURNAL OF CANCER PREVENTION, Vol.14(6) : 3785-3792, 2013 
Journal Title
 ASIAN PACIFIC JOURNAL OF CANCER PREVENTION 
ISSN
 1513-7368 
Issue Date
2013
MeSH
Decision Making* ; Drug Costs* ; Humans ; Neoplasms/economics* ; Neoplasms/therapy ; Reimbursement Mechanisms/economics ; Reimbursement Mechanisms/ethics* ; Republic of Korea ; Technology Assessment, Biomedical/ethics*
Keywords
Decision Making* ; Drug Costs* ; Humans ; Neoplasms/economics* ; Neoplasms/therapy ; Reimbursement Mechanisms/economics ; Reimbursement Mechanisms/ethics* ; Republic of Korea ; Technology Assessment, Biomedical/ethics*
Abstract
This study aimed to discover to what extent ethical issues are considered in the reimbursement decision process based on health technology assessment (HTA) in Korea, especially for oncology medications. Public summary documents (PSDs) published by the Health Insurance Review and Assessment Service (HIRA) were analyzed for empirical and normative factors. For external comparison, PSDs presented by corresponding institutions of Australia and the United Kingdom were employed. Furthermore, the opinions of eight expert oncologists were obtained regarding the accountability of the evidence in PSDs. Among 7 oncology drugs, there were differences in the final decisions and empirical factors considered, such as selected comparators and interpretation of evidencebetween the PSDs from the three institutions. From an ethical viewpoint, the following matters were deficient in the HTA decision-making process for oncology drugs: clear and reasonable standards; identifying a nd evaluating ethical values; and public accountability for reasonableness about decisions and due process.
Files in This Item:
T201302548.pdf Download
DOI
10.7314/APJCP.2013.14.6.3785
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87447
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