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Why do we need HTA?

Two systematic literature reviews Angelis et al., 2018, and Hailey et al., 2016 which were conducted to evaluate the impact of HTA on health care systems concur in many of their findings. Angelis found that comprehensive and systematic assessment improves transparency which leads to rational decision making for it based on evidence. In the long-term, it might improve efficiency in resource allocation and raise public confidence and fairness.1 Again, Hailey found that HTA helps to improve resource allocation, as well as it generates cost saving through disinvestment decisions, at the same time HTA improve patient access to health technologies. Aside from enhancing research practice, he concluded that HTA improves the health status of patients in general.2

“a tragedy of today’s world is that the poorest countries, which often have the greatest need for critical assessment to make appropriate and affordable investments in health technology, have a limited basis for making those choices.”3 Quoted from Kaló et al 2016 “The purpose of HTA is to support policymakers with the best available information about new and already widely used health technologies in order to inform resource allocation decisions in a variety of settings, including low-income and middle-income countries (Grutters et al., 2011; Lopert et al., 2013; Mathew, 2011; Velasco-Garrido and Busse, 2005). Furthermore, the formal implementation of HTA can improve allocative efficiency (Henshall 2012; Tunis and Turkelson 2012) and have positive spillovers beyond sound reimbursement decisions, such as strengthening the dialogue between relevant stakeholders and focusing the public debate on patient-level outcomes (Gerhardus et al., 2008).” 4

In Thailand, HTA uses less than 0.01% of the health budget and results in more than $100 million/year savings from price negotiations alone.5While Egypt already is not among the top countries when it comes to government expenditure on health, rationalizing expenses is a key element for a sustainable health care system. Using HTA in reimbursement decision decreases health expenditure and minimized the budget impact.6

1 Angelis, A., Lange, A., & Kanavos, P. (2018). Using health technology assessment to assess the value of new medicines: results of a systematic review and expert consultation across eight European countries. The European Journal of Health Economics, 19(1), 123-152.

2 Hailey, D., Werkö, S., Rosén, M., Macpherson, K., Myles, S., Rivero, V. G., … & Chen, Y. C. (2016). Influence of health technology assessment and its measurement. International journal of technology assessment in health care, 32(6), 376-384.

3 Banta, D., & Jonsson, E. (2009). History of HTA: introduction. International journal of technology assessment in health care, 25(S1), 1-6.

4 Kaló, Z., Gheorghe, A., Huic, M., Csanádi, M., & Kristensen, F. B. (2016). HTA implementation roadmap in Central and Eastern European countries. Health economics, 25(S1), 179-192.

5 WHO. (2015, October). HTA A Tool for Evidence-Informed Decision Making in health. presented at 62nd Session of the WHO Regional Committee for the Eastern Mediterranean

6 Vostalová , L., Mazelova, J., Samek, J.,& Vocelka, M. (2017). Health Technology Assessment in Evaluation of Pharmaceuticals in the Czech Republic. Int J Technol Assess Health Care, 33(3), 339-344.

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