Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-20T06:55:21.910Z Has data issue: false hasContentIssue false
  • English
  • Français

Assessing progression of health technology assessment implementation in Asia: a balanced scorecard for cross comparison of selected countries in Asia

Published online by Cambridge University Press:  21 July 2022

Ritu Kumar ,
Christian Suharlim ,
Ana Amaris Caruso Open the ORCID record for Ana Amaris Caruso [Opens in a new window] ,
Colin Gilmartin ,
Meenakshi Mehra  and
Hector Eduardo Castro
Ritu Kumar
Affiliation:
Management Sciences for Health, Arlington, VA 22203, USA
Christian Suharlim
Affiliation:
Management Sciences for Health, Arlington, VA 22203, USA
Ana Amaris Caruso*
Affiliation:
Management Sciences for Health, Arlington, VA 22203, USA
Colin Gilmartin
Affiliation:
Management Sciences for Health, Arlington, VA 22203, USA
Meenakshi Mehra
Affiliation:
Management Sciences for Health, Arlington, VA 22203, USA
Hector Eduardo Castro
Affiliation:
Management Sciences for Health, Arlington, VA 22203, USA
*
*Author for correspondence: Ana Amaris Caruso, E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

To provide an update on the use of health technology assessment (HTA) in Asia and lessons for countries seeking to advance HTA.

Methods

Build upon the research by Chootipongchaivat and the World Health Organization identifying eighteen “factors conducive to the development of HTA in Asia.” These factors were used to create a balanced scorecard to assess the progress of HTA, measuring progress against each factor in China, India, Indonesia, Malaysia, Philippines, South Korea, Taiwan, Thailand, and Vietnam. A scoring system was used wherein: 1, No progress; 2, milestone at early stages, ad hoc HTA use; 3, progress on milestone but limited impact; 4, significant progress but limited remit; and 5, significant progress on milestone, routine HTA informs decisions. Total scores indicated progress of HTA while milestone scores provided contextual insights within countries. Literature reviews and expert interviews were used to complete scorecards.

Results

South Korea and Thailand scored highest with seventy-three and seventy-one points, respectively, while Vietnam scored lowest at 28.5. Advanced HTA programs have independent HTA agencies with a broad remit, explicit process and methods, network of researchers, and routine use of HTA. Taiwan and Malaysia fall in a middle tier, with established HTA programs with limited remit. The final tier with China, India, Indonesia, Philippines, and Vietnam, emerging HTA processes.

Conclusions

Universal Health Coverage goals have catalyzed expansion of HTA. Political will, technical expertise, and sustained financing remain challenges for sustainable HTA programs. Legislation supporting HTA is helpful but political will is key. Recommendations for regional collaboration are provided.

Keywords

Health technology assessmentHealth policyPolicy implementationHealth financingHealth systems
Type
Policy
Information
International Journal of Technology Assessment in Health Care , Volume 38 , Issue 1 , 2022 , e60
Copyright
© The Author(s), 2022. Published by Cambridge University Press

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

O’Rourke, B, Oortwijn, W, Schuller, T (2020) The new definition of health technology assessment: A milestone in international collaboration. Int J Technol Assess Health Care. 36(3):187–190. doi:10.1017/S0266462320000215.CrossRefGoogle ScholarPubMed
Sibbald, S, Singer, P, Upshur, R, Martin, D (2009) Priority setting: What constitutes success? A conceptual framework for successful priority setting. BMC Health Serv Res. 9, 43. doi:10.1186/1472-6963-9-43.CrossRefGoogle ScholarPubMed
Liu, G, Wu, EQ, Ahn, J, et al (2020) The development of health technology assessment in Asia: Current status and future trends. Value Health Reg Issues. 21, 39–44. doi:10.1016/j.vhri.2019.08.472.CrossRefGoogle ScholarPubMed
Castro, H, Kumar, R, Suharlim, C, et al (2020) Practical guide for systematic priority setting and HTA introduction: A roadmap for policy action in low- and middle-income countries. Arlington, Virginia: USAID/MSH.Google Scholar
Chootipongchaivat, S, Tritasavit, N, Luz, A, Teerawattananon, Y, Tantivess, S (2015) Factors conducive to the development of health technology assessment in Asia: Impacts and policy options. Manila: World Health Organization, Regional Office for the Western Pacific.Google Scholar
Wang, H, Jin, C, Bai, F, et al (2019) Driving factors and mode transformation regarding health technology assessment (HTA) in China: Problems and recommendations. BioSci Trends. 13, 110–116.Google ScholarPubMed
Chen, Y, He, Y, Chi, X, Wei, Y, Shi, L (2018) The development of health technology assessment in China. BioSci Trends. 12, 102–108.CrossRefGoogle ScholarPubMed
Chen, Y (2020) Dr. (R. Kumar, Interviewer).Google Scholar
Department of Health Research (2020) Background: HTA in India [Internet]; [accessed on 25 Sept 2020]. Available at: https://htain.icmr.org.in/: https://htain.icmr.org.in/index.php/about-us/background.Google Scholar
Smith, RD Health technology assessments: The metrical evangelization of UHC in India [Internet]; [accessed on 25 Sept 2020]. Available at: http://somatosphere.net/; http://somatosphere.net/2020/health-technology-india-metrics-uhc.html/.Google Scholar
Sharma, M,Teerawattananon, Y, Luz, A, et al (2020) Institutionalizing evidence-informed priority setting for universal health coverage: Lessons from Indonesia. J Health Care Finance. 57, 1–12.Google ScholarPubMed
Gleed, G (2019) Final report iDSI country learning review: Indonesia. F1000Research. 8, 838.Google Scholar
Sudigdo, S (2020). InaHTAC Chair. (R. Kumar, Interviewer).Google Scholar
INAHTA Malaysian Health Technology Assessment Section (MAHTAS) [Internet]; [accessed on 7 Apr 2020]. Available at: www.inahta.org/members/mahtas.Google Scholar
Roza, S, Junainah, S, Izzuna, M, et al (2019) Health technology assessment in Malaysia: Past, present, and future. Int J Technol Assess Health Care. 35, 446–451.Google ScholarPubMed
IDSI (2020) Our impact: Philippines [Internet]; [cited 25 Sept 2020]. Available at: https://idsihealth.org/our-impact/philippines/.Google Scholar
Department of Health (2020) Draft. Philippines methods guide for health technology assessment. Manila, Philippines.Google Scholar
Center for Drug Evaluation (2020) Center for drug evaluation, Taiwan. About us [Internet]; [accessed on 25 Sept 2020]. Available at: https: //www.cde.org.tw/eng/.Google Scholar
Kao, K, Huang, LY, Gau, CS (2019) Outcomes and impacts of 10-year HTA implementation in Taiwan. Int J Technol Assess Health Care. 35, 1–5.CrossRefGoogle ScholarPubMed
Huang, LY (2020). Director CDE. (R. Kumar, Interviewer).Google Scholar
Dittrich, R, Asirifi, E (2017) Adopting health technology assessment. A report on the socio-cultural, political, and legal influences on health technology assessment adoption. Four case studies: England and Wales, Japan, Poland & Thailand. Working Paper 246.Google Scholar
Tanvejsilp, P, Taychakhoonavudh, S, Chaikledkaew, U, Ngorsuraches, S (2019) Revisiting roles of health technology assessment on drug policy in universal health coverage in Thailand: Where are we? And What is next? Value Health Reg Issues. 18, 78–82.Google ScholarPubMed
Leelahavarong, P, Doungthipsirikul, S, Kumluang, S, et al (2019) Health technology assessment in Thailand: Institutionalization and contribution to healthcare decision making: Review of literature. Int J Technol Assess Health Care. 35, 467–473.CrossRefGoogle ScholarPubMed
Vietnam Social Security (2018) Health technology assessment to change the face of medical policymaking [Internet]; [accessed on 25 Sept 2020]. Available at: https://vss.gov.vn/english/research/Pages/research.aspx?CateID=201&ItemID=8647.Google Scholar
iDSI (2020) Our impact: Vietnam [Internet]; [accessed on 25 Sept 2020]. Available at: https://idsihealth.org/our-impact/vietnam/.Google Scholar