Public procurement of cardiac implantable electronic devices across Europe: are we purchasing value or cost-effectiveness?
Cardiac implantable electronic device procurement across Europe is heterogeneous and predominantly cost driven, with limited integration of clinical outcomes or value-based principles. While not designed to evaluate cost-effectiveness directly, this study identifies procurement structures that may support or hinder value-based decision-making. Further research is needed to assess how procurement impacts clinical outcomes, innovation adoption and system sustainability.
Authors
- Josep M. Figueras
- Z. Ihara (ORCID: https://orcid.org/0000-0003-0613-0263)
- K. Dzhinsov (ORCID: https://orcid.org/0000-0002-4369-4255)
- Michał M. Farkowski (ORCID: https://orcid.org/0000-0003-1673-7712)
- Rubén Casado-Arroyo (ORCID: https://orcid.org/0000-0002-3876-6074)
- Stefan Simović
- Anastasia D. Egorova (ORCID: https://orcid.org/0000-0001-9312-2338)
- Dr Francisco Leyva
- Haran Burri
- Piotr Szymański (ORCID: https://orcid.org/0000-0001-9486-7892)
- Lucia Osoro (ORCID: https://orcid.org/0009-0006-0787-7237)
- Diana Țînț
- Elena Arbelo
- Michiel Rienstra
- Nikola Kozhuharov
- P Sommer
- Francisco Moscoso Costa
- Jose Luis Merino
- Runa Landen
- Laurent Fauchier
- Helmut Pürerfellner
- Christophe Leclerq
- Jean-Claude De Haro
- Serge Boveda
- Martin Martinek
Institutions
- European Observatory on Health Systems and Policies (BE)
- Université Libre de Bruxelles (BE)
- University Medical Center Groningen (NL)
- University of Kragujevac (RS)
- Aston University (GB)
- Aix-Marseille Université (FR)
- Leiden University Medical Center (NL)
- Heart and Diabetes Center North Rhine-Westphalia (DE)
- Hospital Universitario La Paz (ES)
- University Hospital of Bern (CH)
- Abbott (United Kingdom) (GB)
- European Society of Cardiology (FR)
- Transylvania University of Brașov (RO)
- Assistance Publique Hôpitaux de Marseille (FR)
- Aston Medical (France) (FR)
- Centre Hospitalier Universitaire de Tours (FR)
- University Hospital of Geneva (CH)
- Azienda Ospedaliero-Universitaria di Modena (IT)
- Hospital Clínic de Barcelona (ES)
- University Multipurpose Hospital for Active Treatment "Sveti Georgi" (BG)
- Ministry of Interior (IT)
- Hôpital Pontchaillou (FR)
- Camilo José Cela University (ES)
- Hospital da Luz (PT)
- Krankenhaus der Elisabethinen (AT)
- Clinique Pasteur (FR)
- Narodowy Instytut Leków (PL)
- University of Gothenburg (SE)
Publication Details
- Journal
- EP Europace
- Published
- 2026-02-01
- DOI
- https://doi.org/10.1093/europace/euaf323
- Primary Topic
- Cardiac pacing and defibrillation studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00