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Addressing issues in health technology assessment promotion: Motives, enablers, and barriers

Published online by Cambridge University Press:  25 January 2011

Abinaya Rajan ,
Iñaki Gutierrez-Ibarluzea  and
Montse Moharra
Abinaya Rajan
Affiliation:
European Masters in Sustainable Regional Health SystemsUniversity of Deusto
Iñaki Gutierrez-Ibarluzea
Affiliation:
Osteba Basque Office for Health Technology Assessment and Nursing University School Vitoria-Gasteiz
Montse Moharra
Affiliation:
Catalan Agency for Health Information, Assessment and Quality (CAHIAQ)
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Abstract

Objectives: The aim of this study was to analyze the motives, enablers, and barriers to promote or initiate health technology assessment (HTA) in different contexts.

Methods: An observational study design was used to address the above question that included a survey questionnaire and a two-phase study. The respondents for the questionnaire and first round of the study were from HTA agencies of high income countries and those low and middle income countries that have managed to establish HTA agencies (n = 50), that are members of International Network of Agencies for Health Technology Assessment (INAHTA), EuroScan, or European network for Health Technology Assessment (EUnetHTA). The second round of the study was exclusively with respondents from low and middle income countries that were manly affiliated to Health Technology Assessment International (HTAi) interest subgroup for low and middle income countries and aimed to initiate HTA activities (n = 34).

Results: Forty-one of fifty HTA agencies answered the survey questionnaire. Thirty-three of fifty individuals belonging to HTA agencies from high income countries and sixteen of thirty-four individuals from low and middle income countries answered in the first and second phases of the study, respectively. In the promotion and/or initiation of HTA, the top three motives were the same for both high income and low and middle income countries. The top three enablers were also similar but the prioritization varies. The top three barriers were more context specific.

Conclusions: HTA promotion or initiation is influenced by the following: (i) key players that affect the time taken to establish HTA agencies; (ii) three models for HTA promotion and initiation: top-down (political interest), bottom-up (academic/research interest), and converging (political and academic/research interests); and (iii) motives, enablers, and barriers at the local context.

Keywords

Technology assessmentObservational studyMotivesEnablersBarriers
Type
ASSESSMENTS
Information
International Journal of Technology Assessment in Health Care , Volume 27 , Issue 1 , January 2011 , pp. 55 - 63
Copyright
Copyright © Cambridge University Press 2011

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