Evidence map›Paper›PMID 42125274›Full record

ArticleGlobal & regional health technology assessment

More and earlier data from AIFA: do they impact on the regional policies? Results from an exploratory analysis.

Riccardo Novaro, Mattia Altini, Francesca Futura Bernardi, Francesco Brunetti, Pasquale Carulli, Florapia Giustiniani, Roberta Joppi, Anna Martini, Elisa Sangiorgi, Giovanna Scroccaro and 7 more

Abstract read
In one paragraph

Article in Global & regional health technology assessment. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Riccardo NovaroDepartment of Pharmaceutical Sciences, Università del Piemonte Orientale, Novara - Italy.ORCID https://orcid.org/0000-0002-6620-3754
Mattia AltiniAzienda USL Modena, Regione Emilia Romagna - Italy.
Francesca Futura BernardiUOS Politiche del farmaco e dei dispositivi medici - HTA, Regione Campania - Italy.
Francesco BrunettiSezione farmaci, dispositivi medici ed assistenza integrativa, Regione Puglia - Italy.ORCID https://orcid.org/0009-0002-3009-9497
Pasquale CarulliSezione farmaci, dispositivi medici ed assistenza integrativa, Regione Puglia - Italy.ORCID https://orcid.org/0009-0003-3447-3877
Florapia GiustinianiUOS Politiche del farmaco e dei dispositivi medici - HTA, Regione Campania - Italy.
Roberta JoppiDirezione Farmaceutico, protesica, dispositivi medici, Regione Veneto - Italy.ORCID https://orcid.org/0009-0006-3842-9728
Anna MartiniDirezione Farmaceutico, protesica, dispositivi medici, Regione Veneto - Italy.
Elisa SangiorgiArea Governo del farmaco e dei dispositivi medici, Regione Emilia Romagna - Italy.
Giovanna ScroccaroDirezione Farmaceutico, protesica, dispositivi medici, Regione Veneto - Italy.
Paolo StellaSezione farmaci, dispositivi medici ed assistenza integrativa, Regione Puglia - Italy.
Julia Gabriela SzyszkoArea Governo del farmaco e dei dispositivi medici, Regione Emilia Romagna - Italy.ORCID https://orcid.org/0009-0002-4022-7683
Ugo TramaUOS Politiche del farmaco e dei dispositivi medici - HTA, Regione Campania - Italy.
Rosy AmodeoDephaforum Srl, Milano - Italy.
Mauro PatronciniDephaforum Srl, Milano - Italy.
Giuliano BuzzettiDephaforum Srl, Milano - Italy.
Claudio JommiDepartment of Pharmaceutical Sciences, Università del Piemonte Orientale, Novara - Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: In Italy, drug prices and reimbursement are managed by the Italian Medicines Agency (AIFA), but regions actually enable patient access to medicines. Our aim is to provide evidence on (i) the current management of regional pharmaceutical policies, the use of resources and time to policy completion (TPC-procurement awarding), (ii) the potential impact on resources used and TPC of an earlier-enhanced access of regions to AIFA's data. Methods: Four regions (Veneto, Emilia-Romagna, Campania, Puglia) were selected on a purposive basis. Data on policies and resources used were retrieved from a literature review and interviews with regional officers. TPC was tracked for medicines approved for reimbursement in Italy from January 2023 to June 2024. The potential impact of an earlier-enhanced access to AIFA's data was detected through perceptual questionnaires self-compiled by regional officers. Results: To manage regional access, the regions employ a staff of 21 Full-Time-Equivalent (FTE) persons on average, ranging from 11 to 29. The mean TPC ranges from 135 to 361. The average score of perceived impact of an earlier-enhanced AIFA's data equals 3.3 within a range of 1-4 for both FTE and TPC. An earlier access to public information (e.g., innovativeness appraisal) is perceived as impactful on TPC. Availability of data that are currently not shared with regions may have a greater potential impact on FTE. Conclusions: A great consensus emerged on the importance of timely access to revised P&R data. Systematic early disclosure by AIFA could help to improve efficiency in resource utilization and to expedite patient access to innovative medicines.

Indexed as

AIFADataEfficiencyPharmaceutical policyRegions

Identifiers

PMID42125274
PMCPMC13159465

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.