Skip to Main content Skip to Navigation
Journal articles

Special funding schemes for innovative medical devices in French hospitals: The pros and cons of two different approaches

Abstract : Financing innovative medical devices is an important challenge for national health policy makers, and a crucial issue for hospitals. However, when innovative medical devices are launched on the European market there is generally little clinical evidence regarding both efficacy and safety, both because of the flaws in the European system for regulating such devices, and because they are at an early stage of development. To manage the uncertainty surrounding the reimbursement of innovation, several European countries have set up temporary funding schemes to generate evidence about the effectiveness of devices. This article explores two different French approaches to funding innovative in-hospital devices and collecting supplementary data: the coverage with evidence development (CED) scheme introduced under Article L. 165-1-1 of the French Social Security Code; and national programs for hospital-based research. We discuss pros and cons of both approaches in the light of CED policies in Germany and the UK. The CED policies for devices share common limitations. Thus, transparency of CED processes should be enhanced and decisions need to be made in a timely way. Finally, we think that closer collaboration between manufacturers, health authorities and hospitals is essential to make CED policies more operational.
Document type :
Journal articles
Complete list of metadata

https://hal-universite-paris-saclay.archives-ouvertes.fr/hal-03402695
Contributor : Nicolas Martelli Connect in order to contact the contributor
Submitted on : Monday, October 25, 2021 - 5:39:42 PM
Last modification on : Monday, November 8, 2021 - 12:20:02 PM

Links full text

Identifiers

Citation

Nicolas Martelli, Hélène van den Brink. Special funding schemes for innovative medical devices in French hospitals: The pros and cons of two different approaches. Health Policy, Elsevier, 2014, 117 (1), pp.1-5. ⟨10.1016/j.healthpol.2014.04.007⟩. ⟨hal-03402695⟩

Share

Metrics

Record views

15