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KMID : 1154920130080010094
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Korean Journal of Insurance Medicine
2013 Volume.8 No. 1 p.94 ~ p.111
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Current Trends of Comparative Effectiveness Research and the Political Implication for Korean Health Care
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Park Chong-Yon
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Abstract
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The concept of comparative effectiveness was not established recently. It is a redefined concept with more sense of purpose that was made by adding political implication to the concept that has been used. In the United States of America, Obama Government introduced the "Comparative Effectiveness Research (CER)" to health and medical sector in American Recovery and Reinvestment Act for recovery of U.S. economy in 2009 and established Patient-Centered Outcomes Research Institute (PCORI) that immediately and effectively manages the CER through Affordable Care Act in 2010. U.S. developed a strategic framework of activity and financial support for CER. Meanwhile, the European Union (EU) began to pay attention to the value of relative effectiveness assessment in the early 2000s to facilitate exchange of health technology-related experience among countries and improve quality, consistency and speed of reimbursement and pricing decisions among member countries. In Europe, relative effectiveness assessment has already used politically in the process of reimbursement and pricing decisions, and it is expected that relative effectiveness assessment will be
a basic advice on eligibility to reimbursement, on reimbursement rate. In order to develop CER as national health research project and successfully execute it, prioritization subject selection foundation must be established in reference to strategic framework and trends of U.S. and Europe and subject list must be made to continuously check what research needs to be executed and supported in the future. In addition, supplementing the existing legislative system and preparing plans for participation of relevant organizations rather than executing the research independently by the existing health care research-related organizations or academic institutions are necessary to use this research paradigm as a production mechanism of political evidence support and optimize the capability of research development and policy use. The core concept for this is to construct a public-private partnership for concentrating capabilities of principal agents who can participate in CER project such as relevant public or private organizations or expert groups. This is to find a plan to
utilize strengths that consider the function and role of relevant organizations. By connecting strengths of public part and private part with appropriate roll sharing and collaborating system, it can be developed as execution system of CER. In order to use the outcome of CER in policies, which decision making process of the field needs CER, the demand must be clearly understood and investment for CER in association with the fields that really have the needs must be planned. The
fields in need of CER inlude decision making process of public health security system, national health care, and clinical practice guideline making through large scale national health research project.
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KEYWORD
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Comparative effectiveness research (CER), National health research project, Political evidence support, Public-private partnership
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