Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-11T14:30:27.979Z Has data issue: false hasContentIssue false
  • English
  • Français

IMPLEMENTATION OF LOCAL/HOSPITAL-BASED HEALTH TECHNOLOGY ASSESSMENT INITIATIVES IN LOW- AND MIDDLE-INCOME COUNTRIES

Published online by Cambridge University Press:  21 September 2012

Randa Attieh  and
Marie-Pierre Gagnon
Randa Attieh
Affiliation:
Quebec University Hospital Research Centre
Marie-Pierre Gagnon
Affiliation:
Quebec University Hospital Research Centre, Faculty of Nursing email: marie-pierre.gagnon@fsi.ulaval.ca
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives: The objective of this study is to review the implementation of health technology assessment (HTA) at the local and hospital levels in low- and middle-income countries (LMIC). This review will provide a starting point for identifying the conditions for HTA implementation in hospitals in LMIC through the analysis of experiments conducted in these countries.

Methods: A systematic review of the literature was conducted to document the local-/hospital-level HTA experiments performed in LMIC.

Results: This systematic review showed that few experiments of local HTA in LMIC have been published to date, with only five articles found in our survey. These documents report studies of clinical effectiveness and economic evaluation at the local level in certain Asian and Latin American countries. In addition, pharmaceuticals and medical devices were the most common topics covered by HTA at the local level in these countries.

Conclusions: Currently, HTA plays an increasingly important role in healthcare systems in supporting decision making for healthcare policies and practices. This systematic review contributes to identify priorities in the process and methodology of HTA implementation at the local/hospital level in LMIC. The paucity of HTA in LMIC is often assumed to be due to the lack of formally tasked HTA agencies, to politics and to shortage of resources.

Keywords

Health technology assessment (HTA)Low- and middle-income countries (LMIC)Hospital/local levelSystematic review
Type
ASSESSMENTS
Information
International Journal of Technology Assessment in Health Care , Volume 28 , Issue 4 , October 2012 , pp. 445 - 451
Copyright
Copyright © Cambridge University Press 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Arellano, LE, Reza, M, Blasco, JA, Andradas, E. A content analysis of health technology assessment programs in Latin America. Int J Technol Assess Health Care. 2009;25:570–576.CrossRefGoogle ScholarPubMed
2.Attinger, OE, Panerai, BR. Transferability of health technology assessment with particular emphasis on developing countries. Int J Technol Assess Health Care. 1988;4:545–554.CrossRefGoogle Scholar
3.Banta, D.The development of health technology assessment. Bethesda, MD: National Library of Medicine; 1998.Google Scholar
4.Banta, D, Almeida, RT. Health technology assessment in Brazil. Int J Technol Assess Health Care. 2009;25 (Suppl 1):255–259.CrossRefGoogle ScholarPubMed
5.Battista, RN, Déry, V, Jacob, Ret al.L'évaluation des technologies et des modes d'intervention en santé dans les hôpitaux universitaires. Montréal: AETMIS, 2003.Google Scholar
6.Chen, Y, Qian, X, Tang, Z, et al.Situation analysis of prenatal diagnosis technology utilization in China: Current situation, main issues, and policy implications. Int J Technol Assess Health Care. 2004;20:524–530.CrossRefGoogle Scholar
7.Corabian, P, Hailey, D, Harstall, C, Juzwishin, D, Moga, C. Mentoring a developing health technology assessment initiative in Romania: An example for countries with limited experience of assessing health technology. Int J Technol Assess Health Care. 2005;21:522–525.CrossRefGoogle ScholarPubMed
8.Danguole, J. Development of health technology assessment in Lithuania. Int J Technol Assess Health Care. 2009;25 (Suppl 1):140–142.CrossRefGoogle ScholarPubMed
9.De Rosas-Valera, M. Health technology assessment in Philippines. Int J Technol Assess Health Care. 2009;25 (Suppl 1):231–233.CrossRefGoogle ScholarPubMed
10.Draborg, E, Gyrd-Hansen, D, Poulsen, PB, Horder, M. International comparison of the definition and the practical application of health technology assessment. Int J Technol Assess Health Care. 2005;21:89–95.CrossRefGoogle ScholarPubMed
11.Ergon, J. Development of health technology assessment in. A personal perspective. Int J Technol Assess Health Care. 2002;18:171–183.Google Scholar
12.Gagnon, MP, Lepage-Savary, D, Gagnon, J, et al.Introducing patient perspective in Health Technology Assessment at the local level. BMC Health Serv Res. 2009;9:54.CrossRefGoogle ScholarPubMed
13.Gagnon, MP, Sanchez, E, Pons, JM. From recommendation to action: Psychosocial factors influencing physician intention to use Health Technology Assessment (HTA) recommendations. Implementat Sci. 2006;1:8.CrossRefGoogle ScholarPubMed
14.Gagnon, MP. Opportunities to promote efficiency in Hospital Decision-making through the use of Health Technology assessment. Can Health Serv Res Found. 2011. http://www.chsrf.ca/PublicationsAndResources/ResearchReports/ArticleView/11–12-13/4d19ad7c-e5e8–4c6f-8d5f-b45406da99a6.aspx (accessed December 13, 2011).Google Scholar
15.Granados, A, Jonsson, E, Banta, HD, et al.EUR-ASSESS Project Subgroup Report on Dissemination and Impact. Int J Technol Assess Health Care. 1997;13 (2):220–286.CrossRefGoogle ScholarPubMed
16.Granados, A. Health technology assessment and clinical decision-making: Which is the best evidence? Int J Technol Assess Health Care. 1999;15:585–592.CrossRefGoogle ScholarPubMed
17.Gomez-Dantes, O, Frenk, J. Health technology assessment in Mexico. Int J Technol Assess Health Care. 2009;25:(Suppl 1):270–275.CrossRefGoogle ScholarPubMed
18.Hivon, M, Lehoux, P, Denis, JL, Tailliez, S. Use of health technology assessment in decision making: Coresponsibility of users and producers? Int J Technol Assess Health Care. 2005;21:268–275.CrossRefGoogle ScholarPubMed
19.HTAi in collaboration with INAHTA. Resources for health technology assessment. International Network of Agencies for Health Technology Assessment. http://www.inahta.net/upload/HTA_resources/AboutHTA_Resources_for_HTA.pdf (accessed Sept. 3, 2012).Google Scholar
20.Hutubessy, RC, Hanvoravongchai, P, Edijer, TT, et al.Diffusion and utilization of magnetic resonance imaging in Asia. Int J Technol Assess Health Care. 2002;18:690–704.Google ScholarPubMed
21.International Network for Agencies in Health Technology Assessment. http://www.inahta.orgGoogle Scholar
22.Jonsson, E, Banta, HD. Management of health technologies: An international view. BMJ. 1999;319:1293.CrossRefGoogle Scholar
23.Kapol, N, Maitreemit, P, Chalongsuk, R, et al.Making health technology assessment information available for decision-making: The development of a Thai database. J Med Assoc Thai. 2008;91 (Suppl 2):S8–10.Google ScholarPubMed
24.Lehoux, P, Battista, R. Évaluation des technologies de la santé au Québec: Bilans et défis. In Le système de santé au Québec: Organisations, acteurs et enjeux Québec: Les Presses de l'Université Laval. 2003;435–464.Google Scholar
25.Lertpitakpong, C, Chaikledkaew, U, et al.A determination of topics for health technology assessment in Thailand: Making decision makers involved. J Med Assoc Thai. 2008;91 (Suppl 2):S100–109.Google ScholarPubMed
26.Leys, M. Health Technology assessment; the contribution of qualitative research. Int J Technol Assess Health Care. 2003;19:317–329.CrossRefGoogle ScholarPubMed
27.McGregor, M, Brophy, JM. End-user involvement in health technology assessment (HTA) development: A way to increase impact. Int J Technol Assess Health Care. 2005;21:263–267.CrossRefGoogle ScholarPubMed
28.Juzwishin, D, Olmstead, D, Menon, D. Hospital-based technology assessment programmes: Two Canadian examples. World Hosp Health Serv. 1996;32:2–9.Google ScholarPubMed
29.Moga, C, Corabian, P, et al.Developing health technology assessment in Romania. Eurohealth. 2003;9:30–34.Google Scholar
30.National Center for Health and Clinical Excellence (NICE). www.nice.org.uk/niceinternational.Google Scholar
31.Oortwijn, W, Mathijssen, J, Banta, D. The role of health technology assessment on pharmaceutical reimbursement in selected middle-income countries. Health Policy. 2010;95:174–184.CrossRefGoogle ScholarPubMed
32.Rubinstein, A, Pichon-Riviere, A, Augustovski, F. Development and implemention of health technology assessment in Argentina: Two steps forward and one step back. Int J Technol Assess Health Care. 2009;25 (Suppl 1):260–269.CrossRefGoogle ScholarPubMed
33.Perry, S, Marx, E. What technologies for health care in developing countries? World Health Forum. 1992;13:356–362.Google ScholarPubMed
34.Sivalal, S. Health technology assessment in Malaysia. Int J Technol Assess Health Care. 2009; 25 (Suppl 1):224–230.CrossRefGoogle ScholarPubMed
35.Sorenson, C, Drummond, M, Kristensen, FB, Busse, R. How can the impact of health technology assessment be enhanced? Policy brief. On behalf of the European Observatory on Health Systems and Policies. Copenhagen: World Health Organization, 2008.Google Scholar
36.Tan-Torres, T. Technology assessment in developing countries. World Health Forum. 1995;16:74–76.Google ScholarPubMed
37.Tantivess, S, Teerawattananon, Y, Mills, A. Strengthening cost-effectiveness analysis in Thailand through the establishment of the Health Intervention and Technology Assessment Program. Pharmacoeconomics. 2009;27:931–945.CrossRefGoogle ScholarPubMed
38.Teerawattananon, Y, Tantivess, S, et al.Historical development of health technology assessment in Thailand. Int J Technol Assess Health Care. 2009;25 (Suppl 1):241–252.CrossRefGoogle ScholarPubMed
39.Yang, BM. The future of health technology assessment in healthcare decision making in Asia. Pharmacoeconomics. 2009;27:891–901.CrossRefGoogle ScholarPubMed