DEVELOPMENT OF HEALTH TECHNOLOGY ASSESSMENT IN ROMANIA

2017 ◽  
Vol 33 (3) ◽  
pp. 371-375 ◽  
Author(s):  
Silvia Gabriela Scintee ◽  
Marius Ciutan
Keyword(s):  
Rapid Assessment ◽  
Competent Authority ◽  
Main Tool ◽  
Health Technology ◽  
Decision Makers ◽  
The European Union ◽  
Review Of The Literature ◽  
Patients Rights ◽  
Cross Border ◽  
Personal Experiences

Objectives: The aim of this study was to describe and analyze the introduction of health technology (HTA) in Romania.Methods: Based on a review of the literature and legislative documents and personal experiences and observations, the authors describe, evaluate, and explain the background and evolution of the HTA system.Results: Initiatives to introduce HTA in Romania date from the early 1990s, but real steps were taken only in 2012 when the European Union Directive 2011/24/ on the application of patients’ rights in cross-border health care had to be passed into Romanian law.The main developments consist of: the establishment of a national competent authority, the development of a methodology for the rapid assessment of drugs, setting HTA as the main tool for compiling the list of medicines to be covered by the NHIF, and capacity building initiatives. One early result of HTA implementation was an updated list of reimbursed drugs, allowing Romanian patients access to new, innovative medicines.Conclusions: In Romania, HTA become an issue for all stakeholders: decision makers are interested in cost-containment, patients in obtaining the best care, and producers in receiving acceptable reimbursement remains on the health policy agenda. Further steps are envisaged, especially for international collaboration, which is considered an important factor for HTA development in Romania.

scholarly journals Cross-border healthcare in the European Union: clarifying patients' rights

BMJ ◽  
2011 ◽  
Vol 342 (jan17 2) ◽  
pp. d296-d296 ◽  
Author(s):  
H. Legido-Quigley ◽  
I. Passarani ◽  
C. Knai ◽  
R. Busse ◽  
W. Palm ◽  
...  
Keyword(s):  
European Union ◽  
The European Union ◽  
Patients Rights ◽  
Cross Border

THE USE AND IMPACT OF RAPID HEALTH TECHNOLOGY ASSESSMENTS

2000 ◽  
Vol 16 (2) ◽  
pp. 651-656 ◽  
Author(s):  
David Hailey ◽  
Paula Corabian ◽  
Christa Harstall ◽  
Wendy Schneider
Keyword(s):  
Health Technology Assessment ◽  
Healthcare System ◽  
Technology Assessment ◽  
Rapid Assessment ◽  
Health Technology ◽  
Decision Makers ◽  
Assessment Program ◽  
Detailed Evaluation ◽  
The Impact

Objectives: To consider the impact of rapid health technology assessments undertaken as part of a program in a provincial healthcare system in response to urgent requests for advice.Methods: Review of the development and preparation of 20 rapid assessment reports, communication with decision makers within the healthcare system, and appraisal of data subsequent to preparation of the reports.Results: Fourteen of the assessments were judged to have had an influence on policy and other decisions, as judged by responses from those who had requested advice. Another four were considered to have provided guidance, while having less immediate influence on decisions, and two others had no apparent impact. Quality of the assessments was considered acceptable, on the basis of literature that subsequently became available and from comments received.Conclusions: These brief reports are considered to be a useful component of a health technology assessment program. However, they should be regarded as provisional appraisals and followed up with more detailed evaluation where possible.

Free Movement of Patients: Directive 2011/24 on the Application of Patients’ Rights in Cross-Border Healthcare

2012 ◽  
Vol 19 (1) ◽  
pp. 29-60 ◽  
Author(s):  
Miek Peeters
Keyword(s):  
Economies Of Scale ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Legal Framework ◽  
The European Union ◽  
Patient Mobility ◽  
Mutual Cooperation ◽  
Patients Rights ◽  
Cross Border ◽  
The Impact

Abstract This contribution comments on Directive 2011/24, providing a legal framework for cross border healthcare 13 years after the famous Kohll and Decker case law. The Directive contains provisions concerning the reimbursement of costs, the responsibilities of the Member States and their mutual cooperation in healthcare. Analysing the (potential) impact of the Directive 2011/24 on EU healthcare systems, patients and healthcare providers, it becomes clear that the impact of the Directives reaches far beyond patient mobility. The Directive creates patients’ rights, pays attention to the quality and safety of healthcare services and creates an excessive structure of cooperation in the field of healthcare. The European Union seems ready to use its economies of scale to improve healthcare for all European patients.

scholarly journals Development of the International Network of Agencies for Health Technology Assessment

2009 ◽  
Vol 25 (S1) ◽  
pp. 24-27 ◽  
Author(s):  
David Hailey
Keyword(s):  
Health Technology Assessment ◽  
Technology Assessment ◽  
Health Technology ◽  
Decision Makers ◽  
World Health ◽  
The European Union ◽  
International Network ◽  
Sector Decision ◽  
Health Organization ◽  
Literature Material

Objectives: To describe the development of the International Network of Agencies for Health Technology Assessment (INAHTA) and its activities.Methods: Review of literature material and other documents produced by or relating to INAHTA.Results: INAHTA includes organizations that provide health technology assessment (HTA) advice to governments and receive most of their funding from public sources. In early 2009, there were forty-six members from twenty-seven countries, including both national and regional agencies. Interaction with other organizations includes links to Health Technology Assessment International (HTAi), the European Union Network for Health Technology Assessment (EUnetHTA), PAHO (the Pan American Health Organization, and the World Health Organization (WHO). An important feature of INAHTA is the routine interaction of its members with public sector decision makers. Output from the network has included guidelines and frameworks on HTA, reports of surveys, and joint projects.Conclusions: INAHTA has developed as a global point of contact and information for those with interests in HTA.

The implementation of European Union (EU) rules on cross-border care: moving towards convergence?

2018 ◽  
Vol 15 (2) ◽  
pp. 141-159
Author(s):  
Zuzana Nordeng ◽  
Frode Veggeland
Keyword(s):  
European Union ◽  
Health Service ◽  
Service Providers ◽  
The European Union ◽  
Service Market ◽  
Eu Member States ◽  
Patients Rights ◽  
Cross Border ◽  
Contact Points ◽  
Health Service Providers

AbstractThis article studies the implementation of the European Union (EU)’s Patients’ Rights Directive in Germany and Norway. The objective of the Directive was to allow EU member states to have a say in the regulatory work, ensure predictability and uniformity in the application of EU rules on cross-border care, and enhance a move towards EU harmonisation in this area. So far, the implementation processes in Norway and Germany have mixed results regarding the likelihood of achieving uniformity and harmonisation. Although the Directive has had convergent effects on certain areas of cross-border care, such as setting up National Contact Points and providing patients with the basic right to treatment abroad, implementation also shows divergent patterns. In both countries, adapting to EU rules has strengthened patients’ rights to choose freely among health-service providers in a wider European health-service market. However, due to legal discretion and country-specific institutions within which the new rules are applied, divergent patterns prevail.

SUPPORTING DECISION MAKING IN CROSS-BORDER REGIONS: A HEALTH TECHNOLOGY ASSESSMENT TOOL FOR HOSPITALS

2012 ◽  
Vol 29 (1) ◽  
pp. 71-78 ◽  
Author(s):  
Saskia Knies ◽  
Gloria Lombardi ◽  
Matt Commers ◽  
Hans-Peter Dauben ◽  
Silvia Evers ◽  
...  
Keyword(s):  
Decision Making ◽  
Health Technology Assessment ◽  
Technology Assessment ◽  
Health Technology ◽  
Decision Makers ◽  
Decision Making Process ◽  
Decision Tool ◽  
Health Technologies ◽  
Border Regions ◽  
Cross Border

Objectives: The aim of this study was to develop an health technology assessment (HTA) decision tool to support the decision-making process on health technologies for hospital decision makers in cross-border regions.Methods: Several methods were used to collect information necessary to develop the cross-border mini-HTA decision tool. The literature was inventoried on HTA in border regions and local settings and the use of HTA by local decision makers. Semi-structured interviews with hospital decision makers in cross-border regions were also performed. Based on group discussion of the resulting information, it was decided to use the Danish mini-HTA guideline as a starting point for development of the decision tool. After finishing the first version of the decision tool it was tested in two pilot studiesResults: Some questions in the Danish mini-HTA guideline were not relevant. Other questions needed rephrasing and questions about cross-border situations were added. The pilots showed several missing topics, including legal questions and reimbursement issues. The final decision tool consists of three sections: a general section, a section for hospitals not cooperating cross-border and a section for hospitals that are cooperating with hospitals across a national or regional border.Conclusions: Based on our literature search, this may be the first cross-border mini-HTA decision tool. The decision tool will be of help for healthcare professionals and decision makers in border settings who would like to use HTA evidence to support their decision-making process.

scholarly journals El debate actual sobre la(s) frontera(s) aplicado al caso ibérico: elementos de des-fronterización y re-fronterización entre España y Portugal en el siglo XXI = The current debate on border(s) applied to the Iberian case: elements of de-bordering and re-bordering between Spain and Portugal in the 21st Century

2019 ◽  
Vol 30 ◽  
pp. 157
Author(s):  
Rubén Camilo Lois González ◽  
Luis Alfonso Escudero Gómez ◽  
Inês Gusman
Keyword(s):  
Regional Cooperation ◽  
Decision Makers ◽  
Current Debate ◽  
The European Union ◽  
Economic Relations ◽  
Cross Border ◽  
Effective Instrument ◽  
Siglo Xx ◽  
New Phase ◽  
Península Ibérica

Resumen: En las últimas décadas del siglo XX, los discursos sobre un mundo sin fronteras, donde las relaciones territoriales ya no son determinadas por los Estados, ganaron fuerza entre académicos y decisores políticos. Los proyectos de cooperación transnacional, como los que están en la base de la Unión Europea, parecían demostrar que las fronteras dejaban de significar discontinuidades económicas, políticas y sociales. Estos nuevos escenarios permitieron abrir una nueva fase en las relaciones entre territorios de España y Portugal y superar su separación histórica. Este acercamiento se refleja en la creación de estructuras de cooperación transfronteriza y décadas de constante crecimiento de las relaciones económicas entre ambos países. Este proceso conoció un decaimiento durante la crisis económica iniciada en 2008. En este artículo, se analiza la evolución de estas relaciones y se estudia la efectividad de esta cooperación como marco adecuado para la superación de los efectos de la crisis. Entre los territorios portugueses y españoles, una vez superada la recesión, las relaciones transfronterizas retomaron su vigor, especialmente a nivel local y regional. Así, avanzando en las complementariedades culturales, sociales y económicas, la cooperación puede ir más allá de los límites de los Estados y puede concebirse como un instrumento efectivo de desarrollo territorial.Palabras clave: Península Ibérica, cooperación regional, frontera, des-fronterización, re-fronterización.Abstract: Abstract: Since the last decades of the 20th century, the narrative of a world without borders, where territorial relations are no longer determined by States, has been gaining strength among academics and decision-makers. Transnational cooperation projects such as the European Union (EU) seem to demonstrate that borders no longer represent economic, political and social discontinuities. These new scenarios have opened a new phase in the relations between the territories of Spain and Portugal and overcome the historical separation. This is a rapprochement reflected in the creation of cross-border cooperation structures and in the decades of constantly growing economic relations between both countries, although the process was slowed by the economic crisis beginning in 2008. In this paper, the focus is the evolution of these relationships and also an analysis of the effectiveness of cooperation as an adequate means for overcoming the effects of the crisis. Since the crisis ended, cross-border relations between Portugal and Spain have regained their vigour, especially at the local and regional levels. Thus, thanks to cultural, social and economic complementarities, cooperation can overcome the limits of States and be conceived as an effective instrument for territorial development.Key words: Iberian Peninsula, regional cooperation, border, des-bordering, re-bordering.

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