Arrhythmias & electrophysiology

Public procurement of cardiac implantable electronic devices across Europe: are we purchasing value or cost-effectiveness?

EuropacePublished Qualitative interview study

An erratum to this article was published (Europace, 10 Mar 2026 ↗)

Authors' conclusion

Cardiac implantable electronic device procurement across Europe is heterogeneous and predominantly cost driven, with limited integration of clinical outcomes or value-based principles.

Study context

Population
Cardiologists and one industry expert in 22 European countries with mandatory public tendering for cardiac implantable electronic devices (CIEDs)
Participants
23 structured interviews
Outcome
CIED procurement models, clinician involvement and reimbursement
Methodological detailsstructured interviews, thematic analysis, 22 European countries
  • Structured interviews
  • Thematic analysis
  • 22 European countries

Main finding

As reported in the abstract

Procedure tariffs for single-chamber pacemakers

€1059 to €14 889

Original publication

Public procurement of cardiac implantable electronic devices across Europe: are we purchasing value or cost-effectiveness? Europace. Published 18 February 2026. doi:10.1093/europace/euaf323

Composed by AI from the published abstract and checked against it. How Briefs are made →

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