The part of the Ranking focusing on services outside the guaranteed services package provides a summary of reported and collected services, which are health technologies of proven efficacy in the given indication, often being innovations in a particular field of medicine. This applies to both medical devices and medicines.
Health technologies included in the individual services are ranked in accordance with evidence-based medicine principles, based on analysed studies indicating their proven effectiveness, efficiency and safety. Furthermore, their assessment is also based on innovation or effectiveness as compared with a commonly used alternative therapy. The assessment in accordance with the accepted criteria affects the score which the service may obtain in the Ranking.
This score is therefore a measure of injustice of limiting access to services. The higher the value, the more severe this limitation is for patients and the society as a whole. The overall score is the combined result of evaluation criteria adopted by WHC, which include an impact on public health and personal health, the strength of intervention, effectiveness, uncertainty of estimates and the price of the service.
The area of services not included in the package is continuously monitored and updated with each change of the list of reimbursed pharmaceuticals and medical devices.