scholarly journals Value Drivers for Pharmaceutical Products in Health Technology Assessment (HTA) in Saudi Arabia: Results from a Capacity Building, Multi-Stakeholder Workshop

2021 ◽  
Author(s):  
Hussain A. Al-Omar ◽  
Ibrahim A. Aljuffali ◽  
Oriol Sola-Morales
Keyword(s):  
Saudi Arabia ◽  
Health Technology Assessment ◽  
Capacity Building ◽  
Technology Assessment ◽  
Health Technology ◽  
Pharmaceutical Products ◽  
Value Drivers ◽  
Stakeholder Workshop ◽  
Multi Stakeholder

CAPACITY BUILDING IN AGENCIES FOR EFFICIENT AND EFFECTIVE HEALTH TECHNOLOGY ASSESSMENT

2016 ◽  
Vol 32 (4) ◽  
pp. 292-299 ◽  
Author(s):  
Debjani Mueller ◽  
Iñaki Gutiérrez-Ibarluzea ◽  
Tara Schuller ◽  
Marco Chiumente ◽  
Jeonghoon Ahn ◽  
...  
Keyword(s):  
Health Technology Assessment ◽  
Capacity Building ◽  
Technology Assessment ◽  
Health Technology ◽  
Group Discussions ◽  
Middle Income ◽  
Working Together ◽  
Effective Decision ◽  
Effective Decision Making ◽  
The Impact

Objectives: Health technology assessment (HTA) yields information that can be ideally used to address deficiencies in health systems and to create a wider understanding of the impact of different policy considerations around technology reimbursement and use. The structure of HTA programs varies across different jurisdictions according to decision-maker needs. Moreover, conducting HTA requires specialized skills. Effective decision making should include multiple criteria (medical, economic, technical, ethical, social, legal, and cultural) and requires multi-disciplinary teams of experts working together to produce these assessments. A workshop explored the multi-disciplinary skills and competencies required to build an effective and efficient HTA team, with a focus on low- and middle-income settings.Methods: This proceeding summarizes main points from a workshop on capacity building, drawing on presentations and group discussions among attendees including different points of view.Results and Conclusions: The workshop and thus this study would have benefited from a larger variety of stakeholders. Therefore, the conclusions arising from the workshop are not the opinion of a representative sample of HTA professionals. Nonetheless, organizations and speakers were carefully selected to provide a valuable approach to this theme. Thus, these proceedings highlight some of the gaps and needs in the education and training programs offered worldwide and calls for further investigation.

scholarly journals Pharmaceutical companies’ views on a health technology assessment (HTA) entity in Saudi Arabia

2020 ◽  
Vol 28 (6) ◽  
pp. 662-668
Author(s):  
Hussain Abdulrahman Al-Omar ◽  
Abdulaziz Abdulhadi Attuwaijri ◽  
Ibrahim Abdulrahman Aljuffali
Keyword(s):  
Saudi Arabia ◽  
Health Technology Assessment ◽  
Technology Assessment ◽  
Health Technology ◽  
Pharmaceutical Companies

PP165 Content Instead Of Orders: Experiences Of Launching A Knowledge Base

2019 ◽  
Vol 35 (S1) ◽  
pp. 68-68
Author(s):  
Gergő Merész ◽  
Bence Takács
Keyword(s):  
Health Technology Assessment ◽  
Knowledge Base ◽  
Technology Assessment ◽  
Technical Specification ◽  
Health Technology ◽  
Content Management ◽  
Corporate Identity ◽  
Pharmaceutical Products ◽  
Security Requirements ◽  
Community Knowledge

IntroductionIn Hungary, the procedure for health technology assessment of innovative pharmaceutical products allows 13 assessors 43 calendar days to evaluate reimbursement submissions. These short timelines have created a need for smart capacity building, namely, streamlining the scientific evaluation process while making sure that the quality of the critical appraisals remain high. The objective of this study was to present and evaluate the implementation of an online knowledge base to distill community knowledge, and also for management purposes.MethodsThe scope and the content-, functional-, and technical specification was developed, and information technology security requirements were identified during the pre-implementation phase. An existing platform was chosen for adaptation, ensuring that descriptive follow-up data is available on uptake for monitoring purposes. Both the adaptation and maintenance were carried out internally by the Department of Health Technology Assessment at the National Institute of Pharmacy and Nutrition.ResultsThe key requirements identified when developing the specification were searchability, low maintenance need, low operating costs and attractivity for users. An already existing open-source, flat file content management system was chosen for adaptation. In terms of content, a health technology assessment handbook, process documentation, a news bulletin section was created, and corporate identity elements were added. Since the start of the service in September 2018, the number of total daily page downloads to the knowledge base varied between four and 1,193 (average 205 per day), with the assessment handbook topping the overall page visit statistics.ConclusionsThe implementation of this knowledge base enables the Department of Technology Assessment to rely more on the formalized community knowledge when carrying out critical appraisal, while enabling better knowledge and quality management. Uptake remains an issue on the long run, indicating a need for continuous content development.

HEALTH TECHNOLOGY ASSESSMENT IN PORTUGAL

2000 ◽  
Vol 16 (2) ◽  
pp. 520-531 ◽  
Author(s):  
Manuela Mota Pinto ◽  
Francisco Ramos ◽  
João Pereira
Keyword(s):  
Health Technology Assessment ◽  
Technology Assessment ◽  
Universal Coverage ◽  
Health Technology ◽  
Pharmaceutical Products ◽  
Economic Evaluations ◽  
National Agency ◽  
Wide Range ◽  
Hospital Stays ◽  
National Tax

The Portuguese healthcare system is often portrayed as a National Health Service (NHS) model, characterized by universal coverage, comprehensive benefits, nearly free services, national tax financing, and public ownership or control of the factors of production. However, in reality the system fails to accomplish these features in a complete way. There coexist a number of occupation-related health insurance schemes that were originally intended to be integrated into the NHS. In addition, in key areas the NHS does not provide the wide range of services it promises. The public sector has a predominant role in the provision of hospital stays and general practitioner consultations, but the private sector provides a major portion of specialist consultations, dental consultations, and diagnostic services. Major problems in the system led to health reforms in the 1990s. New reform proposals include some specific steps concerning health technology, including standards for medical equipment based on quality, geographic distribution, sustainability, and cost-effectiveness. A new National Plan of Health Equipment was completed in 1998, aimed at improving the distribution of equipment. Despite reforms, healthcare expenditures continue to rise. There is general agreement that gains in efficiency could be made. This situation is beginning to encourage interest in health technology assessment (HTA) in Portugal, although these activities are not yet very developed. Recently, legislation requiring presentation of economic evaluations for new pharmaceutical products was enacted. Present plans also call for the creation in the future of a national agency for HTA.

Burning Issues in Health Technology Assessment and Policy Making: What's Keeping Senior Health Technology Assessment Users and Producers up at Night?

2020 ◽  
Vol 36 (1) ◽  
pp. 5-7
Author(s):  
Rebecca Trowman ◽  
Daniel A Ollendorf ◽  
Laura Sampietro-Colom
Keyword(s):  
Health Technology Assessment ◽  
Technology Assessment ◽  
Stakeholder Involvement ◽  
Health Technology ◽  
Working Relationships ◽  
External Stakeholder ◽  
Multi Stakeholder ◽  
Near Future ◽  
Policy Forum ◽  
Do So

A key working session, held as part of the Health Technology Assessment international (HTAi) Global Policy Forum meeting asks members to share “What's Keeping Me Up At Night.” Members—senior thought leaders from health technology assessment (HTA) agencies, payer organizations, industry, and the HTAi Board—share without fear or favor the thorny issues related to HTA that are challenging them now or likely to do so in the near future. This article contains a reflection on the discussions at this session over the last 2 years and focuses on the recurrent and repeated themes: internal and external stakeholder involvement in HTA processes; globalization of HTA and the future of HTA (namely innovative technologies, tide of data and the “war for talent”). While the aim of these informal sessions is not to produce solutions, it reinforces the importance of developing a truly multi-stakeholder HTA community with working relationships built on mutual trust and long-standing engagement.

Defining capacity building in the context of HTA: a proposal by the HTAi Scientific Development and Capacity Building Committee

2019 ◽  
Vol 35 (5) ◽  
pp. 362-366 ◽  
Author(s):  
Franz Pichler ◽  
Wija Oortwijn ◽  
Alric Ruether ◽  
Rebecca Trowman
Keyword(s):  
Decision Making ◽  
Health Technology Assessment ◽  
Interest Groups ◽  
Capacity Building ◽  
Technology Assessment ◽  
Health Technology ◽  
Scientific Development ◽  
Multiple Stakeholders ◽  
Building Activities ◽  
Definition Of

AbstractObjectivesTo develop a definition of “capacity building” relevant to Health Technology Assessment international (HTAi).MethodsA review of capacity building activities undertaken by HTAi members, members of the International Network of Agencies for Health Technology Assessment (INAHTA), and regional HTA networks was compared against general literature on capacity building definitions and frameworks. The findings were reviewed by the HTAi Scientific Development and Capacity Building Committee. Furthermore, the Executive Committee and Interest Groups of HTAi provided input on the draft final paper.ResultsThe literature demonstrated the need for a definition of capacity building specific to HTA. In the context of HTAi, it was necessary for the definition to cover (i) the broadest range of HTA-related activities, (ii) multiple stakeholders involved in the HTA process, and (iii) the spectrum of activities that compose capacity building. We propose the following definition of HTA capacity building: The process by which individuals and organizations develop or strengthen abilities related to understanding, providing input to, conducting, or utilizing HTA for health policy and decision making, as well as, developing awareness and support in the environment within which HTA is being used.ConclusionA definition of HTA-related capacity building that was intended to provide clarity about what this term means to HTAi was developed. As HTA is context-dependent, a need for further work to develop an operationalization “menu” relevant to the specific needs in which HTA is being used was identified.

Scientific Development of HTA—A Proposal by the Health Technology Assessment International Scientific Development and Capacity Building Committee

2019 ◽  
Vol 35 (4) ◽  
pp. 263-265 ◽  
Author(s):  
Gert Jan van der Wilt ◽  
Alric Rüther ◽  
Rebecca Trowman
Keyword(s):  
Health Technology Assessment ◽  
Capacity Building ◽  
Technology Assessment ◽  
Health Technology ◽  
Scientific Development ◽  
Scientific Quality ◽  
Specific Patient ◽  
Health Technologies ◽  
Current Trends

AbstractObjectivesTo report from the Scientific Development and Capacity Building Committee of Health Technology Assessment International (HTAi) on activities that are being undertaken within HTAi regarding the promotion of scientific rigor in the field of health technology assessment (HTA).MethodsRetrieval of definitions of HTA that the SDCB committee considered reflective of the current practice of HTA, followed by a narrative synthesis of the core components of HTA.ResultsSeveral definitions of HTA have been provided, all sharing the notion that HTA is the formal, systematic, and transparent inquiry into the meaning and value, broadly defined, of health technologies, when used in specific patient populations.Many frameworks and tools have been developed for assessing the quality of specific tasks that may be conducted in the context of HTA. Collating such frameworks and tools is likely to be helpful in developing standards and in providing guidance as to how the scientific quality of HTA may be secured. Two current trends in HTA were noted: a stronger health systems focus, and the need to involve stakeholders throughout the HTA process. A wider systems’ perspective requires that plausible alternative scenarios are being developed, and wide consultation of various stakeholders is a prerequisite to the development of such scenarios with data from various sources.ConclusionsCurrent trends in HTA will lead to different demands on the HTA expert. The task of this emerging policy professional would be not just to provide technical information for problem-solving, but also to combine it with a new function of facilitating public deliberation and learning.

What aspects of the health technology assessment process recommended by international health technology assessment agencies received the most attention in Poland in 2008?

2011 ◽  
Vol 27 (1) ◽  
pp. 84-94 ◽  
Author(s):  
Katarzyna Kolasa ◽  
Malgorzata Dziomdziora ◽  
Liberty Fajutrao
Keyword(s):  
Health Technology Assessment ◽  
Technology Assessment ◽  
International Health ◽  
Target Population ◽  
Health Technology ◽  
Pharmaceutical Products ◽  
Primary Objective ◽  
Social Consequences ◽  
International Standards ◽  
Assessment Process

Objectives: The primary objective of this study was to determine the extent to which international standards on transparency and quality are met by the health technology assessment (HTA) process in Poland. A secondary objective is to describe the outcomes of the HTA process and their associated factors.Methods: All published online HTA appraisal and meeting proceedings on pharmaceutical products in 2008 were reviewed using a score card developed from international checklists recommended by INAHTA and ECHTA.Results: The sixty-nine reports reviewed showed that five of nine transparency standards and six of eight quality standards were usually met by the HTA reports. Areas for improvement for transparency include inputs from external stakeholders, availability of English summaries, conclusions, implications of results, and suggested program of action. Areas of improvement for quality include appropriateness of target population and comparator/s, sufficiency of evidence on efficacy and safety, methodological rigor, economic model assumptions, and adaptation to the Polish setting. A consideration of the ethical and social consequences to the healthcare system must also be strengthened.Conclusions: The study demonstrates that the incorporation and implementation of the HTA appraisal process in Poland has been successful. HTA appraisal reports in Poland have considered most of the international standards of transparency and quality. Recommendations for both HTA users and doers are forwarded for the improvement of the HTA process in the Polish setting.

scholarly journals CHANGING HEALTH TECHNOLOGY ASSESSMENT PARADIGMS?

2016 ◽  
Vol 32 (4) ◽  
pp. 191-199 ◽  
Author(s):  
Don Husereau ◽  
Chris Henshall ◽  
Laura Sampietro-Colom ◽  
Sarah Thomas
Keyword(s):  
Health Technology Assessment ◽  
Technology Assessment ◽  
Stakeholder Engagement ◽  
Innovation Process ◽  
Health Technology ◽  
Real World Data ◽  
Horizon Scanning ◽  
Scientific Dialogue ◽  
Technology Lifecycle ◽  
Multi Stakeholder

Objectives: Health technology assessment (HTA) has to innovate to best support changing health system environments and to help provide access to valuable innovation under fiscal constraint.Methods: Issues associated with changing HTA paradigms were identified through scoping and explored through deliberation at a meeting of industry and HTA leaders.Results: Five broad areas of change (engagement, scientific dialogue, research prioritization, adaptive approaches, and real world data) were identified. The meeting focused on two themes derived from these: re-thinking scientific dialogue and multi-stakeholder engagement, and re-thinking value, affordability, and access. Earlier and ongoing engagement to steer the innovation process and help achieve appropriate use across the technology lifecycle was perceived as important but would be resource intensive and would require priority setting. Patients need to be involved throughout, and particularly at the early stages. Further discussion is needed on the type of body best suited to convening the dialogue required. There was agreement that HTA must continue to assess value, but views differed on the role that HTA should play in assessing affordability and on appropriate responses to challenges around affordability. Enhanced horizon scanning could play an important role in preparing for significant future investments.Conclusions: Early and ongoing multi-stakeholder engagement and revisiting approaches to valuing innovation are required. Questions remain as to the most appropriate role for HTA bodies. Changing HTA paradigms extend HTA's traditional remit of being responsive to decision-makers demands to being more proactive and considering whole system value.

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