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The aim of this study was to analyze influences of process- and technology-related characteristics on the outcomes of coverage decisions. Using survey data on 77 decisions from 13 countries, we examined whether outcomes differ by 14 variables that describe components of decision-making processes and the technology. We analyzed the likelihood of committees covering a technology, i.e. positive (including partial coverage) vs. negative coverage decisions. We performed non-parametric univariate tests and binomial logistic regression with a stepwise variable selection procedure.

We identified a negative association between a positive decision and whether the technology is a prescribed medicine (p = 0.0097). Other significant influences on a positive decision outcome included one disease area (p = 0.0311) and whether a technology was judged to be (cost-)effective (p < 0.0001). The first estimation of the …