Publikationstyp: Beitrag in wissenschaftlicher Zeitschrift
Art der Begutachtung: Peer review (Publikation)
Titel: The health technology assessment of the compulsory accident insurance scheme of hand transplantation in Switzerland
Autor/-in: Brügger, Urs
Plessow, Rafael
Hess, Sascha
Caballero, Ascension
Eichler, Klaus
Meyer, Viktor
von Wartburg, Urs
DOI: 10.1177/1753193414559463
Erschienen in: Journal of Hand Surgery (European Volume)
Band(Heft): 40
Heft: 9
Seite(n): 914
Seiten bis: 923
Erscheinungsdatum: 2014
Verlag / Hrsg. Institution: Sage
ISSN: 1753-1934
2043-6289
Sprache: Englisch
Schlagwörter: Hand transplantation; Cost; Reimbursement; Evidence-based health care; Health technology assessment; Immunosuppression
Fachgebiet (DDC): 360: Soziale Probleme und Sozialversicherungen
617.5: Orthopädische Chirurgie
Zusammenfassung: Recently the decision-making committee of the compulsory Swiss accident insurance scheme needed to make a basic decision as to whether to fund hand transplantation under that scheme or not. A Health Technology Assessment was commissioned to inform decision-making and gain experience with applicability of the method. The following were main findings from various domains. Compared with prosthesis fitting, the outcome of hand transplantation is satisfactory for function and sensibility. Complications due to immunosuppression are frequent, sometimes severe and potentially life-shortening. The direct medical costs over the entire life span calculated for a 35-year-old unilaterally amputated base case patient were CHF 528,600 (EUR 438,500) higher than for a prosthesis. There are challenging ethical, legal and organizational issues. The committee decided not to reimburse hand transplantation for ethical reasons. The Health Technology Assessment has been shown to be a useful tool for decision-making in the context of Swiss accident insurance.
URI: https://digitalcollection.zhaw.ch/handle/11475/16516
Volltext Version: Publizierte Version
Lizenz (gemäss Verlagsvertrag): Lizenz gemäss Verlagsvertrag
Departement: School of Management and Law
Organisationseinheit: Winterthurer Institut für Gesundheitsökonomie (WIG)
Enthalten in den Sammlungen:Publikationen School of Management and Law

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Brügger, U., Plessow, R., Hess, S., Caballero, A., Eichler, K., Meyer, V., & von Wartburg, U. (2014). The health technology assessment of the compulsory accident insurance scheme of hand transplantation in Switzerland. Journal of Hand Surgery (European Volume), 40(9), 914–923. https://doi.org/10.1177/1753193414559463
Brügger, U. et al. (2014) ‘The health technology assessment of the compulsory accident insurance scheme of hand transplantation in Switzerland’, Journal of Hand Surgery (European Volume), 40(9), pp. 914–923. Available at: https://doi.org/10.1177/1753193414559463.
U. Brügger et al., “The health technology assessment of the compulsory accident insurance scheme of hand transplantation in Switzerland,” Journal of Hand Surgery (European Volume), vol. 40, no. 9, pp. 914–923, 2014, doi: 10.1177/1753193414559463.
BRÜGGER, Urs, Rafael PLESSOW, Sascha HESS, Ascension CABALLERO, Klaus EICHLER, Viktor MEYER und Urs VON WARTBURG, 2014. The health technology assessment of the compulsory accident insurance scheme of hand transplantation in Switzerland. Journal of Hand Surgery (European Volume). 2014. Bd. 40, Nr. 9, S. 914–923. DOI 10.1177/1753193414559463
Brügger, Urs, Rafael Plessow, Sascha Hess, Ascension Caballero, Klaus Eichler, Viktor Meyer, and Urs von Wartburg. 2014. “The Health Technology Assessment of the Compulsory Accident Insurance Scheme of Hand Transplantation in Switzerland.” Journal of Hand Surgery (European Volume) 40 (9): 914–23. https://doi.org/10.1177/1753193414559463.
Brügger, Urs, et al. “The Health Technology Assessment of the Compulsory Accident Insurance Scheme of Hand Transplantation in Switzerland.” Journal of Hand Surgery (European Volume), vol. 40, no. 9, 2014, pp. 914–23, https://doi.org/10.1177/1753193414559463.


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