Development of health technology assessment in China: New challenges

Chen, Yingyao; He, Yao; Chi, Xunyouzhi; Wang, Yan; Shi, Lizheng

doi:10.5582/bst.2018.01038

Cited by 32 publications

(53 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The Chinese government is committed to the introduction of HTA. However, the activities among different actors are still fragmented and need a concerted effort to integrate the principles, processes, and governance fully into the healthcare system (9).…”

mentioning

confidence: 99%

Addressing the challenges of implementing a Health Technology Assessment Policy Framework in South Africa

Mueller

2020

Int J Technol Assess Health Care

View full text Add to dashboard Cite

Objective South Africa's commitment to progressively achieve universal health coverage can lead to the effective and appropriate use of Health Technology Assessment (HTA) to strengthen the healthcare system. The study aimed to analyze the challenges faced in the formal implementation and utilization of HTA in the public health sector. Methods Review and analysis of health technology policies and legislation introduced in South Africa since 1965 serves as the backbone of this study. Walt and Gilson's health policy triangle framework and Kingdon's model were used for data analysis. In addition, a semi-structured survey was conducted among key stakeholders, including those attending HTA workshops that were held in 2016 and 2017. Results The document review identified appropriate legislative and policy framework for informing healthcare decisions. Survey participants (n = 55) reported limited political support, local capacity, and awareness of HTA as barriers to implementing HTA. They noted that adequate financial resources and availability and sharing of quality data are primary drivers for HTA development. Effective governance, collaboration, and cooperation between key stakeholders of the healthcare system were suggested as possible ways forward for the institutionalization of HTA. Conclusion The South African government's goal to introduce the national health insurance program provides an excellent opportunity to formally introduce the use of HTA in decision making. Individual capacity development supported by institutional and organizational environments is urgently needed to achieve its full potential.

show abstract

mentioning

confidence: 99%

Addressing the challenges of implementing a Health Technology Assessment Policy Framework in South Africa

Mueller

2020

Int J Technol Assess Health Care

View full text Add to dashboard Cite

show abstract

“…The response rate from policy makers was especially low. This may be because policy makers are relatively unaware of HTA (2), may not be very familiar with HTA terminology, or have concerns about the interpretation of their responses.…”

Section: Resultsmentioning

confidence: 99%

“…Although it has been used occasionally by policy makers, it most often existed in the academic sector. A recent analysis by Chen et al of the barriers to HTA development in China found that government leadership has limited awareness of HTA and does not value its importance for informing health policy and decision making (2). Furthermore, there has been no systematic evaluation of the level of development of HTA in China and how it compares to that in high-income countries and other middle-income countries.…”

mentioning

confidence: 99%

Mapping of Health Technology Assessment in China: Situation Analysis and International Comparison

Chen

Chi

et al. 2019

Int J Technol Assess Health Care

Self Cite

View full text Add to dashboard Cite

ObjectivesTo analyze the current development of HTA in China and to identify areas for improvement, we mapped the level of HTA development in China and compared it with the level of HTA development in ten other countries using a survey instrument.MethodsWe launched a nationwide survey targeting different stakeholders. For this purpose, we used a validated instrument that enables mapping HTA development in a country using eight domains. The views of the respondents regarding the overall level of HTA development and for each domain were compared with the results of a mapping study that included ten countries.ResultsIn total, we received 222 responses, 33 from policy-makers, 158 from researchers, and 31 from industry, as well as health provider representatives including 8 from hospitals, centers for disease control and prevention. We calculated the mean score for the level of HTA development. The overall HTA development for China was scored at 76.4 (out of a maximum of 146). Although the total score for China was comparable to the mean score of 75.6 among the ten countries, China scored significantly lower than the mean score of 117.0 among the three developed countries. In addition, China scored significantly lower in the domain of institutionalization compared to the other ten countries.ConclusionsChina needs to tackle the issue of low HTA institutionalization to strengthen the foundation of HTA development. Future government initiatives that institutionalize HTA, for example, establishing a national HTA system or consortium, will improve the development of HTA in China.

show abstract

“…The Key Lab of Health Technology Assessment at Fudan University is one of the core members of Health Technology Assessment International and is conducting a series of studies related to leadership and development in health technology assessment, knowledge translation, health policy, health economics, and hospital management. 8 …”

Section: Constructing and Optimizing National And Regional Clinical Rmentioning

confidence: 99%

Evidence‐based medicine in China

Wang

Jin

2019

Chronic Diseases and Translational Medicine

View full text Add to dashboard Cite

Development of health technology assessment in China: New challenges

Cited by 32 publications

References 4 publications

Addressing the challenges of implementing a Health Technology Assessment Policy Framework in South Africa

Addressing the challenges of implementing a Health Technology Assessment Policy Framework in South Africa

Mapping of Health Technology Assessment in China: Situation Analysis and International Comparison

Evidence‐based medicine in China

Contact Info

Product

Resources

About