Can Health Technology Assessment (HTA) provide a solution to tackle the increasing health-care expenditure in India?

Dang, Amit; Vallish, B N

doi:10.4103/0019-557x.184570

Cited by 7 publications

(7 citation statements)

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“…Additionally, vertical programmes on AIDS or Tuberculosis or the National Health Mission, which supports states to improve or maintain key health indicators, may be other users of HTA to enhance delivery of care. In addition to the government, the pharmaceutical industry, insurance companies and healthcare providers have been identified as relevant stakeholders in the process [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Budgeting for a billion: applying health technology assessment (HTA) for universal health coverage in India

Dabak

Pilasant

Mehndiratta

et al. 2018

Health Res Policy Sys

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BackgroundIndia recently launched the largest universal health coverage scheme in the world to address the gaps in providing healthcare to its population. Health technology assessment (HTA) has been recognised as a tool for setting priorities as the government seeks to increase public health expenditure. This study aims to understand the current situation for healthcare decision-making in India and deliberate on the opportunities for introducing HTA in the country.MethodsA paper-based questionnaire, adapted from a survey developed by the International Decision Support Initiative (iDSI), was administered on the second day of the Topic Selection Workshop that was conducted as part of the HTA Awareness Raising Workshop held in New Delhi on 25–27 July, 2016. Participants were invited to respond to questions covering the need, demand and supply for HTA in their context as well as the role of their organisation vis-à-vis HTA. The response rate for the survey was about 68% with 41 participants having completed the survey.ResultsThree quarters of the respondents (71%) stated that the government allocated healthcare resources on the basis of expert opinion. Most respondents indicated reimbursement of individual health technologies and designing a basic health benefit package (93% each) were important health policy areas while medical devices and screening programmes were cited as important technologies (98% and 92%, respectively). More than half of the respondents noted that relevant local data was either not available or was limited. Finally, technical capacity was seen as a strength and a constraint facing organisations.ConclusionThe findings from this study shed light on the current situation, the opportunities, including potential topics, and challenges in conducting HTA in India. There are limitations to the study and further studies may need to be conducted to inform the role that HTA will play in the design or implementation of universal health coverage in India.Electronic supplementary materialThe online version of this article (10.1186/s12961-018-0378-x) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Budgeting for a billion: applying health technology assessment (HTA) for universal health coverage in India

Dabak

Pilasant

Mehndiratta

et al. 2018

Health Res Policy Sys

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“…In India, although no study has accurately described the economic burden of the disease among Indian patients, the costs associated with breast cancer are expected to be high because of the high proportion of out-of-pocket (OOP) expenditure for treatment, leading to catastrophic payments, which are caused by overdependence on the private health care sector and poor health insurance uptake. 47 A 2016 study from Punjab reported that 36.23% of the total breast cancer treatment cost was for drugs ( Fig 1 ). Obtaining treatment from the private sector was costlier than from the public sector, and the costs increased with older age and a higher stage of cancer at diagnosis.…”

Section: Impact Of Cancer Treatment On Patients With Breast Cancermentioning

confidence: 99%

Overview of Breast Cancer and Implications of Overtreatment of Early-Stage Breast Cancer: An Indian Perspective

Bhattacharyya¹,

Doval

Desai

et al. 2020

JCO Global Oncology

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The prevalence and mortality of breast cancer is increasing in Asian countries, including India. With advances in medical technology leading to better detection and characterization of the disease, it has been possible to classify breast cancer into various subtypes using markers, which helps predict the risk of distant recurrence, response to therapy, and prognosis using a combination of molecular and clinical parameters. Breast cancer and its therapy, mainly surgery, systemic therapy (anticancer chemotherapy, hormonal therapy, targeted therapy, and immunotherapy), and radiation therapy, are associated with significant adverse influences on physical and mental health, quality of life, and the economic status of the patient and her family. The fear of recurrence and its devastating effects often leads to overtreatment, with a toxic cost to the patient financially and physically in cases in which this is not required. This article discusses some aspects of a breast cancer diagnosis and its impact on the various facets of the life of the patient and her family. It further elucidates the role of prognostic factors, the currently available biomarkers and prognostic signatures, and the importance of ethnically validating biomarkers and prognostic signatures.

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“…8 HTA provides evidence about the effectiveness and affordability of newer drugs and technologies by comparison of the risks and costs, therefore, providing information about the indications of use for a newly introduced health technology to medical practitioners. 20 The other applications for HTA in India include supporting development of a pricing strategy for newer drugs and technology for the entire nation or state; thereby helping in providing value-based pricing for the drugs and technology. 1,18 Additionally, it will support in preparation of clinical practice guidelines for maximum efficiency of interventions.…”

Section: Resources For the Reviewmentioning

confidence: 99%

Latest developments and scope of Health Technology Assessment in India: Tapping into the future

et al. 2022

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Health Technology Assessment (HTA) is a multifaceted approach for informing policy by considering social, medical, economic and ethical aspects in a systematic and transparent manner. HTA is an important tool for decision-making, priority-setting and for resource allocation, leading to Universal Health Coverage (UHC). The importance of HTA becomes more pronounced in developing countries such as India. In this review, we have summarised the status and future scope of HTA in India after referring to the scientific literature available in the form of journal articles and government reports. HTA supports prioritisation of healthcare services to be included in UHC and the provision of affordable and quality healthcare services in India. India established ‘HTA in India’ (HTAIn) in January 2017 as a starting point in HTA activities and this centre conducts HTA studies of various methodologies upon receiving requests from the different central and state departments. HTA in India is a relatively new concept and the processes are not streamlined compared to countries where HTA is established. Although an HTA manual is present for guiding the HTA process in India, there is lack of clarity on the HTA information considered for translating evidence into policy or practice. Additionally, there is a dearth of individual capacity to undertake high quality HTA in the country. HTAIn initiative showcases India’s political commitment towards achieving UHC and for HTA. However, there is an imminent need to expand the role of the technical partners and regional resource hubs in capacity building in HTA by involving the private sector in HTA processes.

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Can Health Technology Assessment (HTA) provide a solution to tackle the increasing health-care expenditure in India?

Cited by 7 publications

References 0 publications

Budgeting for a billion: applying health technology assessment (HTA) for universal health coverage in India

Budgeting for a billion: applying health technology assessment (HTA) for universal health coverage in India

Overview of Breast Cancer and Implications of Overtreatment of Early-Stage Breast Cancer: An Indian Perspective

Latest developments and scope of Health Technology Assessment in India: Tapping into the future

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