title: [Scientific evidence and the cost of innovations in the health-care system].
abstract: When depicting the relationship between evidence and the cost of an innovation in the health-care system, the overall risks of assessment, the redistribution of risks in a regulated market, and the ethical consequences must first be taken into account. There are also evidence-based criteria and economic considerations which are relevant when calculating the cost of an innovation. These topics can indicate, but not exhaustively deal with the complicated relationship between scientific evidence and calculating the cost of an innovation in the health-care system. The following three statements summarize the current considerations in the continuing discussion of this topic: *Scientific evidence undoubtedly exists which should be taken into consideration when calculating the cost of an innovation in the health-care system. *The existing scientific evidence is, however, not sufficient to reach such a decision. Additional information about the benefit perceived by the patient is required. *No standardized method exists to measure this additional information. Therefore, a definition problem also exists in the health-care system when setting a price according to scientific evidence.
authors.affiliation: Klinische Okonomik, Universität Ulm, Ulm, Germany. Franz.Porzsolt@uniklinik-ulm.de
authors.forename: Franz
authors.initials: F
authors.lastname: Porzsolt
authors.forename: Jonas
authors.initials: J
authors.lastname: Schreyögg
mesh_terms: D003363:Cost Control / Q000639:trends; D003362:Cost-Benefit Analysis; D004059:Diffusion of Innovation; D016527:Drug Costs / Q000706:statistics & numerical data*; D019317:Evidence-Based Medicine / Q000191:economics*; D005544:Forecasting; D005858:Germany; D006801:Humans; D013677:Medical Laboratory Science / Q000191:economics*; D009313:National Health Programs / Q000191:economics*; D011788:Quality of Life; D018570:Risk Assessment; D035703:Therapies, Investigational / Q000191:economics*
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