Skip to main content Accessibility help
×
Home

Health technology assessment for resource allocation decisions: Are key principles relevant for Latin America?

  • Andres Pichon-Riviere (a1), Federico Augustovski (a2), Adolfo Rubinstein (a1), Sebastián García Martí (a3), Sean D. Sullivan (a4) and Michael F. Drummond (a5)...

Abstract

Objectives: A set of fifteen key principles (KP) has been recently proposed to guide decisions on the structure of HTA programs, the methods of HTA, the processes for conducting HTA and the use of HTA findings in decision-making. The objective of this research is to explore whether these KPs are relevant and useful in Latin America (LA), and to what extent they are being applied.

Methods: A Web-based survey was sent to 11,792 HTA researchers and users in LA to explore the perceived relevance of each KP, its current level of application and the gap between these two.

Results: We received 1,142 responses from nineteen LA countries (9.7 percent response rate). The subgroup of KP related to Methods and to the Use of HTA received the higher mean scores in the relevance scale (9.00 and 8.94). Level of current application scored low in all KP (3.2 to 4.9). Higher gaps were observed in principles related to the use of HTA in decision making and to the processes for conducting HTA. Countries with more developed HTA showed higher scores in the degree of current application (5.3 versus 3.4, p < .01) and lower gaps (3.84 versus 5.21, p < .01). Researchers, compared with research users, scored the relevance of the KPs higher.

Conclusions: KPs seem to be very relevant to most HTA researchers and users in LA. However, the current level of application was considered uniformly poor. Higher gaps were observed in KPs related to the link between HTA and decision making, highlighting one of the major challenges for the countries in the region.

Copyright

References

Hide All
1. Augustovski, F, Iglesias, C, Manca, A, Drummond, M, Rubinstein, A, Martí, SG. Barriers to generalizability of health economic evaluations in Latin America and the Caribbean region. Pharmacoeconomics. 2009;27:919929.
2. Augustovski, F, Bastardo, Y, Caso, A, et al. Pharmacoeconomics and outcomes research in Latin America: Argentina, Brazil, Chile, Colombia, and Mexico. ISPOR Connections; 2008. http://www.ispor.org/news/articles/Oct08/LatinAmericaPE.asp (accessed October, 20 2009).
3. Banta, D, Almeida, RT. The development of health technology assessment in Brazil. Int J Technol Assess Health Care. 2009;25 (Suppl 1):255259.
4. Banta, D. Commentary on the article “Key principles for the improved conduct of health technology assessments for resource allocation decisions”. Int J Technol Assess Health Care. 2008;24:362365.
5. Banta, D. Health technology assessment in Latin America and the Caribbean. Int J Technol Assess Health Care. 2009;25 (Suppl 1):253254.
6. Developing health technology assessment in Latin America and the Caribbean. Washington, DC: PAHO/WHO; 1998.
7. Drummond, M, Schwartz, J, Jonsson, B, et al. Response from the authors of “Key principles for the improved conduct of health technology assessments for resource allocation decisions”. Int J Technol Assess Health Care. 2008;24:367368.
8. Drummond, M, Schwartz, JS, Jonsson, B, et al. Key principles for the improved conduct of health technology assessments for resource allocation decisions. Int J Technol Assess Health Care. 2008;24:244258; discussion 362-368.
9. Gomez-Dantes, O, Frenk, J. Health technology assessment in Mexico. Int J Technol Assess Health Care. 2009;25 (Suppl 1):270275.
10. Hailey, D. Commentary on the article “Key principles for the improved conduct of health technology assessments for resource allocation decisions”. Int J Technol Assess Health Care. 2008;24:365366.
11. Iglesias, CP, Drummond, MF, Rovira, J. Health-care decision-making processes in Latin America: Problems and prospects for the use of economic evaluation. Int J Technol Assess Health Care. 2005;21:114.
12. INAHTA: International Network of Agencies for Health Technology Assessment (INAHTA). http://www.inahta.org (accessed October, 20 2009).
13. Liberati, A, Sheldon, TA, Banta, HD. EUR-ASSESS Project Subgroup report on methodology. Methodological guidance for the conduct of health technology assessment. Int J Technol Assess Health Care. 1997;13:186219.
14. Neuhauser, D. Commentary on the article “Key principles for the improved conduct of health technology assessments for resource allocation decisions”. Int J Technol Assess Health Care. 2008;24:366.
15. Pan American Health Organization. Health in the Americas 2007. Volume II: Countries. Scientific and Technical Publication No. 622. Washington: Pan American Health Organization; 2007.
16. Rubinstein, A, Belizan, M, Discacciati, V. Are economic evaluations and health technology assessments increasingly demanded in times of rationing health services? The case of the Argentine financial crisis. Int J Technol Assess Health Care. 2007;23:169176.
17. Rubinstein, A, Pichon-Riviere, A, Augustovski, F. Development and implementation of health technology assessment in Argentina: Two steps forward and one step back. Int J Technol Assess Health Care. 2009;25 (Suppl 1):260269.
18. Sorenson, C, Drummond, M, Kanavos, P. Ensuring value for money in health care: Then role of health technology assessment in the European Union. Copenhagen: PAHO, European Observatory on Health Systems and Policies; 2008.
19. Velasco-Garrido, M, Busse, R. Health technology assessment: An introduction on objectives, role of evidence, and structure in Europe. Brussels: WHO, European observatory on Health Systems and Policies; 2005.
20. Velasco-Garrido, M, Perleth, M, Drummond, M, et al. Best practice in undertaking and reporting health technology assessments. Working group 4 report. Int J Technol Assess Health Care. 2002;18:361422.

Keywords

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed