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Barcelona, Spain was the site of this year’s
European Congress. An all-time ISPOR high of over 1,100 international
professionals attended the ISPOR 6th Annual European Congress at the
Princesa Sofia Intercontinental, 9 November through 11 November 2003.
Attendance figures reflect an increase of over 20% versus last year,
following in the trend of ever-growing attendance at the ISPOR European
Congresses each year.

Congress Registration
Sunday, 9 November 2003
After the pre-Congress morning ISPOR Short Courses, the Congress began with
the grand opening of the Contributed Poster Presentations - Session I at
noon. Sean Sullivan PhD, 2003-2004 ISPOR President & Professor, University
of Washington, Seattle, Washington, USA, gave a welcome to the Congress
attendees. He was then followed by the program chairs Xavier Badia Llach
PhD, Managing Director, Health Outcomes Research Europe, Barcelona, Spain
and Joan Rovira PhD, Senior Health Economist (Pharmaceuticals), Health,
Nutrition and Population, The World Bank, Washington, DC, USA, who gave the
introduction and Congress objectives. Sr. Ignasi Fina I Sanglas, the
Councillor of Public Health for the Barcelona City Council extended a warm
welcome on behalf of the city to those in attendance.

First Plenary Session-Using Outcomes Research in Pharmaceutical and
Medical Device Decisions &
Reimbursement in a Decentralized Health Care
System
(l-r) Joan Rovira, PhD, Lluis Bohigas, PhD, Antoni Gilabert, PhD,
MBA,
Jean-Francois Baladi MBA, Frederic Daoud, MD, MSc
The First Plenary Session, “Using Outcomes Research In Pharmaceutical And
Medical Device Decisions & Reimbursement In A Decentralized Health Care
System: Lessons Learned,” explored the current trends for health systems to
decentralize in Europe which may create a threat to the efficiency and
equity of health systems. The session was moderated by Joan Rovira PhD, and
featured presentations from Lluis Bohigas MD, from Spain’s Ministry of
Health, Madrid, Spain, who spoke on “The Role of Government in Medical &
Reimbursement Decisions in a Decentralized System”; Antoni Gilabert MD, Head
of Pharmaceutical Care & Complimentary Benefits, Catalan Department of
Health, Barcelona, Spain, dealing with the topic of “The Role of the Health
Systems in the Decision Process in a Decentralized System”; Jean Francois
Baladi MBA, Director of Health Policy and Pharmacoeconomics, Novartis Pharma
Canada, Inc., Quebec, Canada, who spoke on “Use of Outcomes Research in
Pharmaceutical Medical & Reimbursement Decisions in a Decentralized System”;
and Frederic Daoud MD, MSc, Epidemiologist Director, Medalliance, Paris,
France, who discussed “Use of Outcomes Research in Medical Device &
Diagnostic Medical & Reimbursement Decisions in a Decentralized System.”

Second Plenary Session-Opportunities and Threats of Direct-to-Consumer
Advertising
After a half-hour break, the concurrent contributed Workshop Presentations
were held in two sessions of 7 workshops each in the categories of quality
of life study, methodology issues, health care policy-reimbursement issues,
compliance issues, clinical study methodology issues, cost study methodology
issues.
The first day of the 6th Annual ISPOR European Congress ended with the
Exhibitors’ Open House Reception and Poster Presentations – Session I
Viewing sponsored by MEDTAP International, and then the Student Welcome
Reception. The topic of “Globalization of the Student Council: Building
Bridges into Europe,” was presented by Ritesh Kumar MS, University of
Michigan, College of Pharmacy, Ann Arbor, MI, USA.

Congress Welcome (l-r) Xavier Badia Llach PhD, Joan Rovira, PhD, lm. Sr.
Ignasi Fina, Barcelona City Council
Monday, 10 November 2003
The morning began with a continuation of the Contributed Poster
Presentations – Session I Viewing, followed by the ISPOR Distinguished
Service Awards & ISPOR Research Excellence Awards Presentation. Sean
Sullivan PhD, 2003-2004 ISPOR President and Professor, University of
Washington, Seattle, WA, USA, presented the 2003 recipient of the ISPOR
Research Excellence Award for Practical Application Excellence to
Jean-Michel Gaspoz MD as senior author of the research paper: “Cost
Effectiveness Of Aspirin, Clopidogrel, Or Both For Secondary Prevention Of
Coronary Heart Disease.” The Second Plenary Session followed: “Opportunities
And Threats Of Direct-To-Consumer Advertising,” which discussed trends in
change in direct to consumer advertising focusing on patients taking place
in Europe. The session was moderated by Xavier Badia Llach PhD. Speakers
included Jeffrey L. Sturchio PhD, Merck, External Human Health Affairs,
Whitehouse Station, NJ, USA, who spoke on the industry perspective; Charles
Inlander, President, People’s Medical Society, Allentown, PA, USA, who spoke
on the patient perspective; and Albert Jovell PhD, Director General,
Fundació Biblioteca Josep Laporte, Barcelona, Spain, who spoke on the
decision-makers perspective.
After a half-hour break, the Contributed Podium Presentations were held
concurrently on values and valuation, diabetes, health care planning and
management, and methods. After Lunch, sponsored by Caro Research, Exhibits &
Contributed Poster Presentations – Session I and Session II of the
Contributed Podium Presentations commenced featuring the categories values
and valuation - Session II, gastrointestinal disorders, cardiovascular
diseases - Session I, and making evaluations work.
This was followed by concurrent Issues Panels- Session I. Session I
consisted of “The Use Of Patient-Reported Outcomes Data In Economic
Evaluation Studies: Do Outcomes Researchers And Health Economists Understand
Each Other?” with moderator Agota Szende MSc, Research Associate, MEDTAP
International, London, United Kingdom, and panelists Xavier Badia PhD,
General Director, Health Outcomes Research Group, Barcelona, Spain; Nancy
Leidy PhD, Global Scientific Director, MEDTAP International, Bethesda, MD,
USA; Mark Nuijten PhD, MD, MBA, Director of European Business Development,
MEDTAP International, Amsterdam, The Netherlands; and Klas Svensson MS,
Senior Statistical Scientist, AstraZeneca R&D, Lund, Sweden; “Evaluating The
Clinical Importance Of Differences In Pro Measures - Concepts, Methods And
Integration Into Clinical Drug Development And Into The Regulatory Process,”
with moderator Patrick Marquis MD, Managing Director, Mapi Values, Boston,
USA; with speakers Phillipe Lehert, Eg, PhD, UN, Department of Mathmatical
Statistics, University of Melbourne, WHO, Australia, University of Mons,
FUCAM, Brussels, Belgium, and Meryl Brod PhD, President, The BROD GROUP,
Mill Valley, CA, USA. “Adjusting International Drug Prices To Local
Conditions: Differential Pricing Vs. Equity Pricing,” with moderator
Fernando Antoñanzas, Professor of Economics, Universidad de La Rioja,
Logroño, and SOIKOS, Barcelona, Spain, and panelists Adrian Towse MA, Mphil,
Director, The Office of Health Economics, London, United Kingdom; Joan
Rovira PhD, Senior Health Economist, HNP, The World Bank, Washington DC,
USA; and “Methodological And Practical Challenges In Using Economic
Evaluation In Drug Reimbursement Decisions,” with moderator Michael Drummond
PhD, Professor of Health Economics, Centre for Health Economics, University
of York, United Kingdom, and panelists Mark Sculpher PhD, Professor,
University of York, York, United Kingdom; Annemarie Jansen PhD, Policy
Advisor Pharmacoeconomics, College Voor Zorgverzekeringen (CVZ), The
Netherlands; Per Carlsson, Associate Professor, Linköping University and
Pharmaceutical Benefits Board, Sweden; Martin Backhouse, Head of Health
Economics, RDI, Novartis, Basel, Switzerland; Lou Garrison PhD, Vice
President, Health Economics, Roche, Switzerland. Issue Panels-Session II
included “How Much Evidence Is Enough? Application Of Value Of Information
Theory To Reimbursement Decisions,” with moderator Peter Neumann ScD,
Associate Professor of Policy and Decision Sciences, Harvard School of
Public Health, Boston, MA, USA, and panelists Mark Sculpher MSc, PhD,
Professor, University of York, Heslington York, United Kingdom; Neil Hawkins
PhD, Statistician, Centre for Health Economics, University of York, York,
United Kingdom; Hans Severans PhD, Universiteit Maastricht, Nymegen, The
Netherlands; “Challenges For Local Companies In Attaining The Targeted Price
And Maximum Reimbursement,” with moderator Jeanni van Loon MSc, General
Manager Mapi Values Netherlands, Houten, The Netherlands, and panelists
Annemarie Jansen PhD, Policy Advisor Pharmacoeconomics, College Voor
Zorgverzekeringen (CVZ), The Netherlands; Guido van den Boom PhD, Health
Outcome Manager Novartis Pharma, Arnhem, The Netherlands; Jens Grueger PhD,
Head of Health Economics Department, Novartis Pharmaceuticals, Basel,
Switzerland; “What Incentive Do Pharmaceutical Firms Have For
Pharmacogenomics?” with moderator Adrian Towse PhD, Director, Office of
Health Economics, London, United Kingdom, and panelists David Veenstra
PharmD, PhD, Assistant Professor, Pharmaceutical Outcomes Research and
Policy Program (PORPP) and Institute for Public Health Genetics, University
of Washington, Seattle, WA, USA; James Jarrett MA, Research Associate,
Cambridge Genetics Knowledge Park, Cambridge, UK, University of East Anglia,
Norwich, UK; Sarah Wordsworth MSc, Genetics Programme Leader, Health
Economics Research Centre, University of Oxford, UK; and “The Role Of
Standardized Economic Disease Models For Health Technology Assessment And
Reimbursement,” with moderator Joan Rovira PhD, Senior Health Economist, HNP,
The World Bank, Washington DC, USA, and panelists Lou Garrison PhD, Vice
President, Health Economics, Roche, Switzerland; Ron Akehurst BS, Dean of
School of Health & Related Research, ScHARR, The University of Sheffield,
Sheffield, UK.
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ISPOR
makes its
presence known again
in our host facility |
Ritesh Kumar MS, ISPOR Student
Council Chair |
Six concurrent ISPOR Forums followed. The
Medical Device and Diagnostics Council Forum discussed the topic “Diagnostic
Testing Provides Actionable Information - Actual Value Versus Perceived
Value: Are There Any Discrepancies?” with moderator Markus Siebert MS, ISPOR
European Medical Device and Diagnostics Council, Chair, Business Area
Director – Economic Affairs, EUCOMED, Brussels, Belgium; with speakers M.
Feldmann MD, PhD Professor, ASKLEPIOS Fachkliniken, München-Gauting,
Institut für Laboratoriumsdiagnostik, Gauting, Germany, and Helmut Wenzel
PhD, Roche Diagnostics GmbH, Applied Health Economics & Outcomes Research,
Mannheim, Germany. The Quality Of Life Special Interest Group Forum
discussed the topic “Translation and Cultural Adaptation: Is it Time for a
Harmonized Approach to linguistic Validation?” with moderator Pennifer
Erickson PhD, Co-founder, O.L.G.A., State College, PA, USA, with speakers
Diane Wild MSc, Director, Oxford Outcomes, Oxford, United Kingdom, speaking
on “ISPOR's Principles of Good Practice for Translation and Cultural
Adaptation,” Catherine Acquadro MD, ERIQA Group Coordinator, Mapi Research,
Lyon, France, speaking on “EMEA/ERIQA Guidelines for Translation and
Cultural Adaptation,” and M. Kubin MD, McS, Global Health Economics and
Outcomes Research, Bayer, Wuppertal, Germany, speaking on “Industry
Perspectives on the Role of Guidelines for Transplantation and cultural
Adaptation.” The Polish Chapter Forum discussed the topic “Pharmacoeconomics
in Poland: Current Status and Development Perspectives,” with moderator
Marcin Czech, PhD MD MBA Clinical Research Health Economics Manager, Servier,
Warsaw, Poland, and speakers Pawel Kawalec, MD, Drug Management Department,
Collegium Medicum, Jagiellonian University, Krakow, Poland, who gave an
introduction on “Polish Pharmaceutical Market And Pharmacoeconomics.” Marcin
Czech, PhD, MD, MBA, spoke on “Pharmacoeconomics In Poland – Barriers And
Perspectives,” and Tomasz Hermanowski PhD, Warsaw Business School, Warsaw,
Poland, spoke on Educational Initiatives.
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ISPOR Polish Chapter Forum,
ISPOR 6th Annual European Congress (l-r):
Marcin Czech MBA, MD, ISPOR Polish Chapter President-Elect,
Clinical
Research Health Econonomics Manager, Servier Polska, Warsaw, Poland; Tomasz
Hermanowski PhD, ISPOR Polish Chapter Treasurer, Professor, Warsaw
University of Technology-Business, Warsaw, Poland; Pawel Kawalec MD, ISPOR
Polish Chapter Secretary, Specialist on Pharmacoeconomics, Jagiellonian University, Krakow, Poland |
The ISPOR Russian Chapter Forum discussed the topic “The Formation of
Pharmacoeconomics in Russia,” with moderator Pavel Vorobyov MD, President of
RSPOR, Professor, Head of Department, Moscow Medical Academy, Moscow,
Russia, with speakers Pavel Vorobyov MD, President of RSPOR, Professor, Head
of Department, Moscow Medical Academy, Moscow, Russia, who spoke on “Quality
Management in Russia,” Maria Avksentieva PhD, Assistant, Russian Society of
Pharmacoeconomics and Outcomes Research, Moscow, Russia, who spoke on
“Experience of Pharmacoeconomic Researchers in Russia,” Maria Sura MD,
Executive Director, Russian Society for Pharmacoeconomics and Outcomes
Research, Moscow, Russia, who spoke on The Formulary System of the Russian
Public Health Services, and Alexander Bykov PhD, Pharmacoeconomics Manager,
Sanofi-Synthelabo, Moscow, Russia, who spoke on The Drug Supply in Russia.
The Risk Management Special Interest Group Forum discussed the topic
“Exploring Risk Assessment in the Development of Pharmaceuticals in Europe,”
with moderator and speaker Anthony Lockett, PhD, MD, DMS, Director, Product
Services, Covance, Leeds, West Yorkshire, UK and Peter Davey MD, FRCP, Head
of Pharmacoeconomics, University of Dundee, Department of Clinical ,
Ninewells Hospital & Medical School, Dundee, Scotland.
The ISPOR Vision 2010 Committee Forum, lead by the ISPOR Vision 2010
committee members: Ron Akehurst, Dean of School of Health & Related
Research, ScHARR, The University of Sheffield, Sheffield, UK; Karen Rascati
RPh, PhD, Professor, University of Texas, Austin, TX, USA; Sean Sullivan
PhD, Professor and Director, University of Washington, Pharmaceutical
Outcomes Research and Policy Program, Seattle, WA, USA discussed long-term
strategic initiatives to enhance the effectiveness and efficiency of the
organization as well as areas of growth for ISPOR.
The day ended with the Exhibitors’ Wine & Cheese Reception & Poster
Presentation – Session II.
Tuesday, 11 November 2003
The 3rd day of the congress started with The Contributed Poster
Presentations – Session II viewing followed by the Third Plenary Session,
“Impact Of Outcomes Research Information On Real Clinical Practice,” with
moderator Paul Kind MPhil, Senior Research Fellow, York University, York,
UK, and speakers Peter Davey MD, FRCP, Head of Pharmacoeconomics, University
of Dundee, Dundee, Scotland, United Kingdom, who spoke on the hospital
perspective, Alicia Granados MD, PhD, Associate Professor, Department of
Medicine, University of Barcelona, Barcelona, Spain, who spoke on the
Regional Health System Perspective, and Paul Wallace MD, Professor of
Primary Health Care, Royal Free & University College Medical School and
Director of the North Central Thames Primary Care Research Network (NoCTeN),
London, United Kingdom, who spoke on the clinical practice perspective.
Session III of the Contributed Podium Presentations followed with
presentations in the categories of quality of life outcomes - Session I,
mental health, cardiovascular diseases - Session II, adherence/ compliance,
and cost-effectiveness studies.
During Lunch, sponsored by Aegisnet with Exhibits & Contributed Poster
Presentations – Session II Viewing, the ISPOR Best Poster Presentation
Awards in the categories of General, New Investigator, and Student were
presented by ISPOR Papers Awards Task Force Chair – European Congress,
Jenifer Ehreth PhD, Director Reimbursement and Government Affairs, Medtronic
Europe SA, Tolochenau, Switzerland.
Concurrent Contributed Podium Session IV followed with topics of quality of
life outcomes-Session II; other cost studies, cardiovascular disease
preventative studies, prescribing studies, and messages for the health care
industry.

Analysis and Interpretation of Quality of
Life and Patient Reported Outcomes

(l-r) 2003-2004 ISPOR President Sean
Sullivan, PhD;
Barcelona Planning Committee Co-Chairman, Joan Rovira, PhD;
Barcelona Planning Committee Co-Chairman, Xavier Badia Llach, PhD
Contributed Workshops–Session III then followed
with seven workshops in the 5 categories of quality of life study
methodology issues, health policy/reimbursement issues, compliance issues,
clinical study methodology issues, cost study methodology issues. The day
concluded with Session IV Contributed workshops then seven workshops in 3
categories of health policy/reimbursement issues, clinical study methodology
issues, and cost study methodology issues, followed by the ISPOR Best Podium
Presentation Awards in the categories of General, New Investigator, and
Student were presented by ISPOR Papers Awards Task Force Chair – European
Congress, Jenifer Ehreth PhD, Director Reimbursement and Government Affairs,
Medtronic Europe SA.
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| Jeffrey L.
Sturchio PhD, MSD |
Charles
Inlander. President,
People’s Medical Society |
Albert Jovell
PhD |
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| Antoni Gilabert, PhD |
Antoni Gilabert, PhD |

Third Plenary Session-Impact of Outcomes Research Information on Real
Clinical Practice
| Total country
representation at the ISPOR 6th Annual European Congress in Barcelona,
Spain: 47 |
Albania
Algeria
Austria
Australia
Belgium
Bosnia
Brazil
Bulgaria
Canada
China
Croatia
Czech Republic |
Denmark
Estonia
Finland
France
Germany
Ghana
Greece
Hong Kong
Hungary
Iceland
Ireland
Israel |
Italy
Japan
Korea
Latvia
Macedonia
Mexico
Nigeria
Norway
Poland
Portuga
Russia
Serbia |
Slovak Republic
Slovenia
South Africa
South Korea
Spain
Sweden
Switzerland
The Netherlands
Turkey
UK
USA |
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