The initial Piperska Group consisted of 33 leading healthcare professionals drawn from 9 EU countries. They convened in the Piperska Conference Centre in Stockholm in January 2008 to debate ways of maintaining the ideals underlying socially-funded and equal health services across Europe alongside the growing demands of the 21st century.
Current members are actively involved in reimbursement, formulary listing and/or enhancing the rational use of drugs in their countries.
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The meeting in Sweden identified the optimisation of the use of new expensive technologies as the biggest challenge faced by healthcare services throughout Europe. This was encapsulated in the agreed vision "to ensure robust systems are in place in Europe to enhance the rational use of drugs, including new expensive drugs, to improve health".