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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: aamariscaruso@msh.org
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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

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