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Sustainability of healthcare systems in Asia: exploring the roles of horizon scanning and reassessment in the health technology assessment landscape

Part of: Special Collection - Policy Forums

Published online by Cambridge University Press:  11 May 2020

Linda Mundy Open the ORCID record for Linda Mundy [Opens in a new window] ,
Rebecca Trowman  and
Brendon Kearney
Linda Mundy*
Affiliation:
School of Public Health, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide Health and Medical Sciences Building Corner of North Terrace and George Street, Adelaide South Australia, Australia
Rebecca Trowman
Affiliation:
Telethon Kids Institute, Perth Children's Hospital, Hospital Avenue, Nedlands, Western Australia, Australia
Brendon Kearney
Affiliation:
Department of Haematology, Chair, HTAi Asia Policy Forum, Royal Adelaide Hospital, South Australia, Australia
*
Author for correspondence: Linda Mundy, E-mail: linda.mundy@adelaide.edu.au
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Abstract

Objectives

The 2019 Health Technology Assessment International (HTAi) Asia Policy Forum (HAPF) discussed the role of horizon scanning (HS) and health technology reassessment (HTR) in supporting sustainable healthcare in Asia.

Methods

Discussions and presentations at the 2019 HAPF, informed by a literature review, results of a premeeting survey, and case studies of HTA agencies from the region form the basis of this paper.

Results

Five of the fourteen HTA agencies surveyed have established or are developing HS systems (HSSs), and six reported some experience with HTR. Although there were many differences in the respective HSSs, all were proactive and identified technologies within a 1–3-year time horizon. Commonalities included the criteria used to prioritize the technologies including burden and rarity of the disease, and cost to the health system and patients. Experience in HTR was not as extensive with most HTR activity being conducted on an ad hoc basis. Challenges for both HS and HTR include a lack of HTA capacity and good quality data, as well as a need for transparency and collaboration with industry.

Conclusions

With developing universal health care and HTA capacity in many countries in Asia, HS and HTR are in their infancy. Whilst several countries in the region are experienced in all facets of HTA, other countries are developing their HTA skill base. As such, there was a clear appetite for setting up a collaborative network in the Asia region to facilitate information sharing around HTA activities, and more specifically, HS and HTR methodologies, experiences, and assessments.

Keywords

Technology assessmentHealthDecision makingHealth policyEmerging health technologyHealth technology reassessmentHorizon scanning
Type
Policy
Information
International Journal of Technology Assessment in Health Care , Volume 36 , Issue 3 , June 2020 , pp. 262 - 269
Copyright
Copyright © Cambridge University Press 2020

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References

Bloom, DE. 7 Billion and counting. Science. 2011;333:562–9.10.1126/science.1209290CrossRefGoogle ScholarPubMed
Dieleman, JL, Squires, E, Bui, AL, Campbell, M, Chapin, A, Hamavid, H, et al. Factors associated with increases in US health care spending, 1996–2013. JAMA. 2017;318:1668–78 .10.1001/jama.2017.15927CrossRefGoogle ScholarPubMed
Harris, C, Green, S, Ramsey, W, King, R, Green, S.Sustainability in health care by allocating resources effectively (SHARE) 1: Introducing a series of papers reporting an investigation of disinvestment in a local healthcare setting. BMC Health Serv Res. 2017;17:323–35.10.1186/s12913-017-2210-7CrossRefGoogle Scholar
Productivity Commission. Efficiency in health. 2015. Available from: https://www.pc.gov.au/research/completed/efficiency-health/efficiency-health.pdf (accessed 12 September 2019).Google Scholar
Smith, BD, Tarricone, R, Vella, V. The role of product life cycle in medical technology innovation. J Med Mark. 2013;13:37–43.10.1177/1745790413476876CrossRefGoogle Scholar
Harris, C, Green, S, Ramsey, W, Allen, K, King, R.Sustainability in health care by allocating resources effectively (SHARE) 9: Conceptualising disinvestment in the local healthcare setting. BMC Health Serv Res. 2017;17:633–55.10.1186/s12913-017-2507-6CrossRefGoogle ScholarPubMed
Babaian, J. Understanding the healthcare life cycle. Available from: https://hcldr.wordpress.com/2019/02/19/understanding-the-healthcare-life-cycle/ (accessed 26 July 2019).Google Scholar
Kennedy-Martin, T, Mitchell, BD, Boye, KS, Chen, W, Curtis, BH, Flynn, JA, et al. The health technology assessment environment in Mainland China, Japan, South Korea, and Taiwan-implications for the evaluation of diabetes mellitus therapies. Value Health Reg Issues. 2014;3:108–16.10.1016/j.vhri.2014.03.001CrossRefGoogle ScholarPubMed
Mundy, L. Platelet-rich plasma: A case study for the identification of disinvestment opportunities using horizon scanning. Australian Health Rev. 2017;41:33–37.10.1071/AH15075CrossRefGoogle ScholarPubMed
Packer, C, Gutierrez-Ibarluzea, I, Simpson, S. The evolution of early awareness and alert methods and systems. Int J Technol Assess Health Care. 2012;28:199–200.10.1017/S0266462312000426CrossRefGoogle ScholarPubMed
Daruwalla, ZJ, Kambhammettu, S, Chainani, NR, McKeering, D, Bhattacharjee, K. Horizon scanning for new and emerging technologies in HealthTech. What do the present and future hold?. 2108. Available from: https://www.pwc.com/sg/en/publications/assets/healthcare-horizon-scanning-emerging-tech-2018.pdf (accessed 21 August 2019).Google Scholar
Packer, C, Fung, M, Stevens, A. Analyzing 10 years of early awareness and alert activity in the United Kingdom. Int J Technol Assess Health Care. 2012;28:308–14.10.1017/S026646231200030XCrossRefGoogle ScholarPubMed
Mundy, L, Kearney, BJ, Trowman, R. Background paper: Sustainability of healthcare systems in Asia: Exploring the roles of horizon scanning and reassessment in the HTA landscape. 2019. Available from: https://htai.org/wp-content/uploads/2020/03/HTAi_APF-2019-Background-Paper.pdf.Google Scholar
EuroScan International Network. A toolkit for the identification and assessment of new and emerging health technologies. 2014. Available from: https://www.euroscan-network.global/index.php/en/component/edocman/euroscan-toolkit (accessed 11 June 2019).Google Scholar
Mundy, L, Harris, E, Hewson, K, Jacobsen, N. Disinvestment in Australia and New Zealand. 2013. Available from: https://www.coaghealthcouncil.gov.au/Portals/0/Disinvestment%20in%20Australia%20and%20New%20Zealand_2013.pdf (accessed 11 June 2019).Google Scholar
Seo, HJ, Park, JJ, Lee, SH. A systematic review on current status of health technology reassessment: Insights for South Korea. Health Res Policy Syst Health Res Policy Syst. 2106;14:82–91.10.1186/s12961-016-0152-xCrossRefGoogle Scholar
Henshall, C, Schuller, T, Mardhani-Bayne, L. Using health technology assessment to support optimal use of technologies in current practice: The challenge of “disinvestment”. Int J Technol Assess Health Care. 21012;28:203–10.10.1017/S0266462312000372CrossRefGoogle Scholar
Chatham House. Chatham House Rule. Available from: https://www.chathamhouse.org/about/chatham-house-rule (accessed 24 November 2017).Google Scholar