Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-20T07:36:18.342Z Has data issue: false hasContentIssue false

STAKEHOLDERS’ PERCEPTIONS OF HEALTH TECHNOLOGY ASSESSMENT IN TURKEY

Published online by Cambridge University Press:  20 November 2017

Kirstin Ozturk
Affiliation:
Turkish Science & Technology Research [email protected]
Bilgehan Karadayı
Affiliation:
Turkish Ministry of Health
Olgun Şener
Affiliation:
Turkish Ministry of Health

Abstract

Background: In April of 2014, the Turkish Ministry of Health held the First Annual Health Technology Assessment (HTA) Meeting in Antalya.

Objectives: The objectives were to understand the perceptions of stakeholders regarding the current status of HTA and document their recommendations and strategies for promoting systematic use of HTA in Turkey.

Methods: The study was conducted using a qualitative written survey assessing current compliance with the fifteen HTA principles suggested by Drummond et al. (Key principles for the improved conduct of health technology assessments for resource allocation decision. Int J Technol Assess Health Care. 2008;24:244–258) and a qualitative method referred to as the Collective Intelligence Platform®.

Results: A total of 216 stakeholders representing academic, public, and the private health sector attended the annual meeting; 178 completed the survey and 183 participated in the Platform. Quantitative Results: Survey participants reported that, although Turkey does not currently fully comply with any of the fifteen HTA principles, there is some compliance with all of them. The overall average score for all fifteen principles was 3.04. Quantitivate Results: Participants recommended a more transparent, independent, and evidence-based policy decision-making system through better coordination of HTA activities, data aggregation, capacity development, and a national HTA core model and framework.

Conclusions: Platform participants described the current HTA environment as disjointed and lacking in resources and support from policy-making leaders. Despite the persisting challenges, awareness of the strengths and weaknesses of the current system combined with increasing interaction among Turkish stakeholders and the international HTA community can meaningfully contribute to the continued development and promotion of HTA in Turkey.

Type
Policies
Copyright
Copyright © Cambridge University Press 2017 

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

REFERENCES

1. OECD. OECD reviews of health care quality: Turkey 2014: Raising standards. Paris: OECD Publishing; 2014:115.CrossRefGoogle Scholar
2. Turkish Statistical Institute. Healthcare Expenditures Statistics 1999–2015; (updated November 15, 2016). http://www.turkstat.gov.tr/PreHaberBultenleri.do?id=21527 (accessed March 17, 2017).Google Scholar
3. Turkish Ministry of Health [Internet]. Ankara: Ministry of Health Strategic Plan for 2013–2017 (updated July 01, 2015). http://www.sp.gov.tr/tr/stratejik-plan/s/855/Saglik+Bakanligi+2013-2017 (accessed May 13, 2016). Turkish.Google Scholar
4. Turkish Public Health Institution[Internet]. Ankara: Turkish Public Health Institution Strategic Plan for 2014–2017. http://www.sp.gov.tr/tr/stratejik-plan/s/978/Turkiye+Halk+Sagligi+Kurumu+2014-2017 (accessed May 13, 2016). Turkish.Google Scholar
5. Turkish Public Hospital Institution [Internet]. Ankara: Turkish Public Hospital Institution Strategic Plan 2014–2018. http://www.sp.gov.tr/tr/stratejik-plan/s/403/Turkiye+Kamu+Hastaneleri+Kurumu+2014-2018. (accessed May 13, 2016). Turkish.Google Scholar
6. Turkish Social Security Institution. Monthly Statistics Report for December 2016. http://www.sgk.gov.tr/wps/portal/sgk/tr/kurumsal/istatistik/aylik_istatistik_bilgileri (accessed January 22, 2017). Turkish.Google Scholar
7. World Bank. Turkey - Restructuring of health sector support project. Washington, DC: World Bank Group. 2016. http://documents.worldbank.org/curated/en/306061467993511615/Turkey-Restructuring-of-Health-Sector-Support-Project (accessed March 19, 2017).Google Scholar
8. World Bank. Turkey - Health system strengthening and support project: Procurement plan. Washington, DC: World Bank Group. 2016. http://documents.worldbank.org/curated/en/903911473672103614/Turkey-Health-System-Strengthening-and-Support-Project-procurement-plan (accessed March 19, 2017).Google Scholar
9. Drummond, MF, Schwarts, JS, Jonsson, B, et al. Key principles for the improved conduct of health technology assessments for resource allocation decision. Int J Technol Assess Health Care. 2008;24: 244-258.CrossRefGoogle Scholar
10. Kahveci, R, Meads, C. Analysis of strengths, weaknesses, opportunities, and threats in the development of a health technology assessment program in Turkey. Int J Technol Assess Health Care. 2008;24: 235-240.CrossRefGoogle ScholarPubMed
11. Republic of Turkey Ministry of Science, Industry and Technology. Turkey Biotechnology Strategy and Action Plan (2015-2018). May 2015. Republic of Turkey Ministry of Science, Industry and Technology. http://www.sanayi.gov.tr/DokumanGetHandler.ashx?dokumanId=017882b9-01fe-4b8c-86dd-b5d9ca996e60 (accessed February 22, 2017). Turkish.Google Scholar
12. Health Institutes of Turkey. Laws. 19 November 2014. Health Institutes of Turkey. http://www.tuseb.gov.tr/yuklemeler/TUSEB_Kanunu_6569.pdf (accessed February 23, 2017). Turkish.Google Scholar
13. KAYSİS. National Legal System Database (KAYSİS). Record No. 57261. (updated February 22, 2017). https://kms.kaysis.gov.tr/Home/Goster/57261 (accessed February 23, 2017). Turkish.Google Scholar
14. Kahveci, R, Koç, EM, , Küçük. Health technology assessment in Turkey. Int J Technol Assess Health Care. 2017. [Epub ahead of print].CrossRefGoogle Scholar
15. World Health Organization. Resolution WHA67.23 Health intervention and technology assessment in support of universal health coverage. 67th World Health Assembly. Geneva; 2014.Google Scholar