Stakeholder Perception of Health Technology Assessment in Industrial Setting

Sundararajan, Sowmya; Pattanshetty, Sanjay; Aatre, Kiran R.; Gore, Manisha; Chouhan, Ravi Raj Singh

doi:10.5958/0976-5506.2019.00709.5

Cited by 3 publications

(4 citation statements)

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“…Regarding the latter, LLMIC governments have traditionally not allocated sufficient resources into health research [ 19 , 30 , 36 ] and with the absence of HTA-specific units within governments, this makes it even more challenging to allocate funding for HTA [ 30 ]. The limited availability of budgets to fund HTA, coupled with other barriers such as lack of capacity, and explicit HTA policies and guidelines limit HTA absorption by national governments [ 36 , 54 ]. Although the use of HTA from a private payer’s perspective was discussed [ 29 ] there was limited mention of the private sector as a service provider, with government institutions expected to be the main users of HTA [ 72 ].…”

Section: Resultsmentioning

confidence: 99%

How Least Developed to Lower-Middle Income Countries Use Health Technology Assessment: A Scoping Review

Falkowski

Ciminata

Manca

et al. 2022

Pathogens and Global Health

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Health Technology Assessment (HTA) is a multidisciplinary tool to inform healthcare decision-making. HTA has been implemented in high-income countries (HIC) for several decades but has only recently seen a growing investment in low- and middle-income countries. A scoping review was undertaken to define and compare the role of HTA in least developed and lower middle-income countries (LLMIC). MEDLINE and EMBASE databases were searched from January 2015 to August 2021. A matrix comprising categories on HTA objectives, methods, geographies, and partnerships was used for data extraction and synthesis to present our findings. The review identified 50 relevant articles. The matrix was populated and sub-divided into further categories as appropriate. We highlight topical aspects of HTA, including initiatives to overcome well-documented challenges around data and capacity development, and identify gaps in the research for consideration. Those areas we found to be under-studied or under-utilized included disinvestment, early HTA/implementation, system-level interventions, and cross-sectoral partnerships. We consider broad practical implications for decision-makers and researchers aiming to achieve greater interconnectedness between HTA and health systems and generate recommendations that LLMIC can use for HTA implementation. Whilst HIC may have led the way, LLMIC are increasingly beginning to develop HTA processes to assist in their healthcare decision-making. This review provides a forward-looking model that LLMIC can point to as a reference for their own implementation. We hope this can be seen as timely and useful contributions to optimize the impact of HTA in an era of investment and expansion and to encourage debate and implementation.

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Section: Resultsmentioning

confidence: 99%

How Least Developed to Lower-Middle Income Countries Use Health Technology Assessment: A Scoping Review

Falkowski

Ciminata

Manca

et al. 2022

Pathogens and Global Health

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“…The potential use of HTA curriculum could be for evidence-based healthcare decision-making, policy formulators, innovators, and Government of India. [ 40 ]…”

Section: Discussionmentioning

confidence: 99%

“…Findings from the present study reveals that in spite of having various healthcare challenges which meticulously require HTA involvements, especially in providing better primary care, India lacks rigorously in formal educational and training initiatives on HTA. [ 40 ] Introducing HTA among the major educational institutions can specifically address the regional as well as state specific healthcare challenges by strengthening the education and training courses. [ 27 28 29 30 41 ] Results indicate that an infinitesimal segment (2.81%; n 2) of the institutions are offering HTA with the constraint of virtual training.…”

Section: Discussionmentioning

confidence: 99%

“…In India, about 2 to 3% share from the GDP was apportioned for the education sector, which needs to be increased for development and promotion of educational endeavors in HTA curriculum. [ 40 ] Further, keeping in view the major healthcare concerns among the LMICs, there is a need for the promotion of HTA as a regular discipline by highlighting its progressive effects on public health practices and quality of care among the community. [ 53 54 55 56 ] The implementation of HTA curriculum prerequisites resources such as sustained institutional and university commitment along with manpower and financial commitments.…”

Section: Discussionmentioning

confidence: 99%

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Mapping of Health Technology Assessment (HTA) teaching and training initiatives: Landscape for evidence-based policy decisions in India

Dwivedi

Athe

Sahoo

et al. 2020

J Family Med Prim Care

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Demographic transitions accompanied with epidemiological shifts are affecting many countries around the globe. These apprehensions have raised the concern for constructing and sustaining healthcare systems especially among resource-constrained low- and middle-income-countries (LMICs) such as India. Introducing Health-Technology-Assessment (HTA) in the educational initiatives could support planners and policy-makers in formulating evidence-based-decision-making along with tackling inequalities/inefficiencies and promoting cost-effectiveness in resource allocation. A mapping exercise has been undertaken for examining the feasibility and implementation of HTA curriculum in the existing courses in India. To gain best possible insight on HTA curriculum, a situational analysis was conducted using systematic search strategy through search engines such as Google, Google Scholar, ProQuest and PubMed. Currently, seventy-one institutes in India are offering one or more courses through regular mode at undergraduate/postgraduate/diploma-certificate/doctorate-level pertaining to Medical-technology (MT), Biostatistics (BS), and Health-economics (HE). MT was offered in 37 institutes (52.12%), followed by BS in 23 (32.39%), and HE in nine (12.67%). Only two institutes (2.81%) are offering certificate-courses on HTA, mainly confined in virtual modules. This review reveals noticeable gaps in the existing curriculum in India and necessitates a novel academic initiative by introducing HTA in a full-fledged manner. Reforms in the research and educational initiatives need to be brought for promoting awareness regarding HTA. The application of domain needs to be widened from the field of health-policy formulators to research and teaching. This should be further strengthened with the strong academic collaborations to generate replicable findings, address challenges, and offer solutions for existing threats to HTA.

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The knowledge and attitude of Ghanaian decision-makers and researchers towards health technology assessment

Addo

Hall

Haas

et al. 2020

Social Science & Medicine

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Stakeholder Perception of Health Technology Assessment in Industrial Setting

Cited by 3 publications

References 0 publications

How Least Developed to Lower-Middle Income Countries Use Health Technology Assessment: A Scoping Review

How Least Developed to Lower-Middle Income Countries Use Health Technology Assessment: A Scoping Review

Mapping of Health Technology Assessment (HTA) teaching and training initiatives: Landscape for evidence-based policy decisions in India

The knowledge and attitude of Ghanaian decision-makers and researchers towards health technology assessment

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