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Defining the Value of Health Technologies in Latin America: Developments in Value Frameworks to Inform the Allocation of Healthcare Resources

  • Andres Pichon-Riviere (a1), Sebastian Garcia-Marti (a1), Wija Oortwijn (a2), Federico Augustovski (a1) and Laura Sampietro-Colom (a3)...



The recent development of value frameworks to inform healthcare resource allocation responds to a demand to make the decision-making process more inclusive and explicit. The objectives of the 2018 Latin American (LAtam) Health Technology Assessment International (HTAi) Policy Forum were to explore the current international experiences and to discuss the potential application of value frameworks in Latin America.


A background paper, presentations, and group discussions of Policy Forum members (43 participants, 12 LAtam countries represented) at the 2018 HTAi Policy Forum meeting informed this paper.


Participants agreed that HTA and decision making based on more comprehensive and inclusive value frameworks could improve health system effectiveness, efficiency, sustainability, and equity; promote transparency in the decision process; sustain a more comprehensive assessment of technologies; and facilitate stakeholder participation as well as accountability of decisions. Criteria that were identified as essential to be included in a value framework for LAtam were burden of illness and severity of the disease, effectiveness and safety of the technology, quality of the evidence, cost-effectiveness, and budget impact. Potential challenges identified for the application of value frameworks in LAtam, included scarcity of human resources and delays in the assessment process.


Forum participants agreed that the next steps should be to identify appropriate processes and methodologies, adapted to the context of each country, regarding the application of value frameworks to improve the link between HTA and decision making.


Corresponding author

Author for correspondence: Andres Pichon-Riviere (IECS), E-mail:


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1.Dmytraczenko, T, Torres, FM, Aten, A (2015) Universal health coverage policies in Latin America and the Caribbean. Toward universal health coverage and equity in Latin America and the Caribbean: Evidence from selected countries. Washington, DC: International Bank for Reconstruction and Development/The World Bank, p. 5380.
2.Atun, R, de Andrade, LO, Almeida, G, et al. (2015) Health-system reform and universal health coverage in Latin America. Lancet 385, 12301247.
3.Cotlear, D, Gómez-Dantés, O, Knaul, F, et al. (2015) Overcoming social segregation in health care in Latin America. Lancet 385, 12481259.10.1016/S0140-6736(14)61647-0
4.Terwindt, F, Rajan, D, Soucat, A (2015) Priority-setting for national health policies, strategies and plans. In: Schmets, G, Rajan, D, Kadandale, S, eds. Strategizing national health in the 21st century: A handbook. Geneva: World Health Organization (WHO); p. 71.
5.World Health Organization (WHO) (2014) Making fair choices on the path to universal health coverage. Final report of the WHO Consultative Group on Equity and Universal Health Coverage.
6.INAHTA Glosary (2017): Accessed August 2nd, 2018.
7.Oortwijn, W, Sampietro-Colom, L, Habens, F (2017) Developments in value frameworks to inform the allocation of healthcare resources. Int J Technol Assess Health Care 33, 323329.
8.Sixty-Seventh World Health Assembly (2014) Health intervention and technology assessment in support of universal health coverage.
9.Martí S, Garcia, Riviere A, Pichon, Augustovski, F, on behalf of HTAi Policy Forum (2018) Defining the value of health technology in Latin America: developments in value frameworks to inform the allocation of health care resources. Background paper.
10.Neumann, PJ, Willke, RJ, Garrison, LP Jr (2018) A health economics approach to US value assessment frameworks—introduction: An ISPOR Special Task Force Report. Value Health 21, 119123.
11.HTAi - Health Technology Assessment International (2018) HTAi policy forum series.
12.Pichon-Riviere, A, Soto, N, Augustovski, F, Sampietro-Colom, L (2018) Stakeholder involvement in the health technology assessment process in Latin America. Int J Technol Assess Health Care 34, 248253.
13.Pichon-Riviere, A, Soto, NC, Augustovski, FA, García Martí, S, Sampietro-Colom, L (2018) [Health technology assessment for decision-making in Latin America: good practice principles]. Rev Panam Salud Publica 41, e138.
14.OortwijnW, on behalf of the HTAi Global Policy Forum W, on behalf of the HTAi Global Policy Forum (2017) From theory to action: Developments in value frameworks to inform the allocation of health care resources. Background paper.
15.Chatham House (2016) Chatham house rule. London, UK: The Royal Institute of International Affairs.
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International Journal of Technology Assessment in Health Care
  • ISSN: 0266-4623
  • EISSN: 1471-6348
  • URL: /core/journals/international-journal-of-technology-assessment-in-health-care
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