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Health technology assessment

Assessment of medical devices for home infusion

National Committee for the Evaluation of Medical Devices and Health Technologies (CNEDiMTS)

Aims of the
assessment

The objective of this document is to reassess the various categories of medical devices for home infusion, as well as the associated services, in order to ensure a proper basis for the renewal of their reimbursement. The reassessment had the following aims:
- to evaluate the actual benefit of medical devices for home infusion, taking into account the therapeutic effect / adverse effects ratio, the role in the therapeutic strategy and the benefit to public health of these products;
- to define the indications and clinical situations for the use of the different types of medical devices for home infusion;
- to define the ways in which these products will be listed in the List of Products and Services Qualifying for Reimbursement (LPPR);
- to determine the conditions of use and of prescription.

Date September 2010
Summary

Home infusion is an alternative to hospital admission, but this practice must nevertheless be strictly supervised in view of the risks of infection or of misuse. The reassessment of medical devices for home infusion enabled the indications for management and the methods of use and of prescription to be updated. On the basis of the opinion of the working group, the National Committee for the Assessment of Medical Devices and Health Technologies (CNEDiMTS) recommends that medical devices for home infusion should be considered as carriers for medicinal products and labile blood products and thus that their management should come under that for the products or medicinal products that have been prescribed. A proposed tariff arising from this report is appended to the opinion issued by CNEDiMTS; it describes the equipment, consumables and services required for the implementation of the various types of care associated with infusion, independently of the different methods of management.

Method

The method used is based on the critical analysis of data from the scientific literature and data from manufacturers, and on the views of healthcare professionals brought together in a multi-disciplinary working group. Manufacturers, professional trade unions of service providers and funding bodies were asked for their opinions during the course of this work.

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