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HEALTH TECHNOLOGY ASSESSMENT FOR DECISION MAKING IN LATIN AMERICA: GOOD PRACTICE PRINCIPLES.

Published on Jan 1, 2018in International Journal of Technology Assessment in Health Care1.418
· DOI :10.1017/S0266462318000326
Andres Pichon-Riviere14
Estimated H-index: 14
,
Natalie Soto5
Estimated H-index: 5
+ 2 AuthorsLaura Sampietro-Colom14
Estimated H-index: 14
Sources
Abstract
Objectives: The aim of this study was to identify good practice principles for health technology assessment (HTA) that are the most relevant and of highest priority for application in Latin America and to identify potential barriers to their implementation in the region. Methods: HTA good practice principles proposed at the international level were identified and then explored during a deliberative process in a forum of assessors, funders, and product manufacturers. Results: Forty-two representatives from ten Latin American countries participated. Good practice principles proposed at the international level were considered valid and potentially relevant to Latin America. Five principles were identified as priority and with the greatest potential to be strengthened at this time: transparency in the production of HTA, involvement of relevant stakeholders in the HTA process, mechanisms to appeal decisions, clear priority-setting processes in HTA, and a clear link between HTA and decision making. The main challenge identified was to find a balance between the application of these principles and the available resources in a way that would not detract from the production of reports and adaptation to the needs of decision makers. Conclusions: The main recommendation was to progress gradually in strengthening HTA and its link to decision making by developing appropriate processes for each country, without trying to impose, in the short-term, standards taken from examples at the international level without adequate adaptation of these to local contexts.
  • References (13)
  • Citations (3)
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References13
Newest
#1Federico Augustovski (UBA: University of Buenos Aires)H-Index: 25
#2Andrea AlcarazH-Index: 6
Last. Andres Pichon-Riviere (UBA: University of Buenos Aires)H-Index: 14
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In this paper, we provide a short summary of recent trends and key issues regarding the current status of health technology assessment (HTA) in Latin America. Initially, we describe worldwide and region-wide initiatives that foster the institutionalization of HTA for decision making and health policy in our region. Then, we describe some countries in the region that are worth mentioning for their application of HTA at a national level. The target audiences are those researchers and decision make...
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#1Andres Pichon-Riviere (UBA: University of Buenos Aires)H-Index: 14
#2Federico Augustovski (Hospital Italiano de Buenos Aires)H-Index: 25
Last. Michael Drummond (Ebor: University of York)H-Index: 72
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Objectives: A set of fifteen key principles (KP) has been recently proposed to guide decisions on the structure of HTA programs, the methods of HTA, the processes for conducting HTA and the use of HTA findings in decision-making. The objective of this research is to explore whether these KPs are relevant and useful in Latin America (LA), and to what extent they are being applied. Methods: A Web-based survey was sent to 11,792 HTA researchers and users in LA to explore the perceived relevance of ...
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#1Peter J. Neumann (Tufts Medical Center)H-Index: 81
#2Michael Drummond (Ebor: University of York)H-Index: 72
Last. Sean D. Sullivan (UW: University of Washington)H-Index: 65
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Previously, our group—the International Working Group for HTA Advancement—proposed a set of fifteen Key Principles that could be applied to health technology assessment (HTA) programs in different jurisdictions and across a range of organizations and perspectives. In this commentary, we investigate the extent to which these principles are supported and used by fourteen selected HTA organizations worldwide. We find that some principles are broadly supported: examples include being explicit about ...
39 CitationsSource
#1Michael Drummond (Ebor: University of York)H-Index: 72
#2J. Sanford Schwartz (UPenn: University of Pennsylvania)H-Index: 61
Last. Sean D. Sullivan (UW: University of Washington)H-Index: 65
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Health technology assessment (HTA) is a dynamic, rapidly evolving process, embracingdifferent types of assessments that inform real-world decisions about the value (i.e.,benefits, risks, and costs) of new and existing technologies. Historically, most HTAagencies have focused on producing high quality assessment reports that can be used bya range of decision makers. However, increasingly organizations are undertaking orcommissioning HTAs to inform a particular resource allocation decision, such as...
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“Key principles for the improved conduct of health technology assessment for resource allocation decisions.” The title says it all. I am amazed that such a summary is even possible and that it defines this field so well. Perhaps this report will be cited for years to come as the best and central definition of HTA. A field like this can be defined in other ways.
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#1Corinna SorensonH-Index: 14
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#1Ezekiel J. EmanuelH-Index: 81
#2Victor R. FuchsH-Index: 44
Last. Alan M. GarberH-Index: 63
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THE MISMATCH BETWEEN US HEALTH EXPENDITURES AND the resources devoted to learning which health interventions are most effective is both striking and unwise. Each year US individuals spend more than 2 trillion on health care. More than 00 billion is spent for research and development and for regulatory approval of new technologies. Yet total spending on technology assessment almost certainly falls short of 1 billion per year— 0.05% of all US health care spending. Some of the trillion in he...
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#1Andres Pichon-Riviere (CONICET: National Scientific and Technical Research Council)H-Index: 14
#2Federico Augustovski (CONICET: National Scientific and Technical Research Council)H-Index: 25
Last. Laura Sampietro-ColomH-Index: 14
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OBJETIVOS: Un vinculo claro entre la evaluacion y la toma de decision constituye un principio de buena practica en evaluacion de tecnologias sanitarias (ETESA) reconocido a nivel internacional. El objetivo del Foro de Politicas en Latino-America (LatamPF) 2019 de Health Technology Assessment International fue explorar los diferentes modelos que vinculan la ETESA y la toma de decision y discutir su potencial aplicabilidad en Latino-America. METODOS: Este manuscrito esta basado en un documento bas...
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#1Andres Pichon-Riviere (CONICET: National Scientific and Technical Research Council)H-Index: 14
#2Federico Augustovski (CONICET: National Scientific and Technical Research Council)H-Index: 25
Last. Laura Sampietro-ColomH-Index: 14
view all 5 authors...
OBJECTIVE: One of the good practice principles for health technology assessment (HTA) is having a clear link between the assessment and decision making. The objective of the 2019 Latin American Policy Forum (LatamPF) of Health Technology Assessment International was to explore different models of connection between HTA and decision making and to discuss the potential applicability of such models in Latin America. METHODS: This paper is based on a background document and the deliberations of the ...
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Background Evidence-informed deliberative processes (EDPs) were recently introduced to guide health technology assessment (HTA) agencies to improve their processes towards more legitimate decision-making. The EDP framework provides guidance that covers the HTA process, ie, contextual factors, installation of an appraisal committee, selecting health technologies and criteria, assessment, appraisal, and communication and appeal. The aims of this study were to identify the level of use of EDPs by H...
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