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Outcomes and Impacts of 10-Year HTA Implementation in Taiwan

  • Kai-Ling Kao (a1), Li-Ying Huang (a1), Yen-Hui Wu (a1) and Churn-Shiouh Gau (a2)

Abstract

Objectives

In 2007, Taiwan began conducting health technology assessments (HTA) to support the National Health Insurance Administration (NHIA) in its reimbursement decisions for drugs, medical devices, and medical services.

Methods

In this study, the development, missions, and procedures of the implementation of HTA in Taiwan are briefly introduced. Moreover, the value of HTA is examined by reviewing the outcomes and impacts of recent HTA-related research projects, which are classified into five categories: (i) pharmaceutical products, (ii) medical procedures, (iii) medical devices, (iv) health policy, and (v) social care.

Results

Overall, the 10-year implementation of HTA has not only supported the government's decision making but also enhanced patient care. Furthermore, patient evidence has been highlighted, and patient care pathways have been transformed through patient involvement in HTA.

Conclusions

In conclusion, HTA's value has been determined by both government and social aspects in Taiwan.

Copyright

Corresponding author

Author for correspondence: Li-Ying Huang, E-mail: lyhuang277@cde.org.tw; Churn-Shiouh Gau, E-mail: csgau206@cde.org.tw

References

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1.Chiu, W-T, Pwu, R-F, Gau, C-S (2015) Affordable health technology assessment in Taiwan: A model for middle-income countries. J Formos Med Assoc Taiwan Yi Zhi 114, 481483.
2.Center for Drug Evaluation, Taiwan (2008) Assessment services of HTA [Internet]. [cited March 28, 2018]. http://www.cde.org.tw/eng/HTA/business.
3.Ministry of Health and Welfare (2017) National Health Insurance Act [Internet]. [cited November 7, 2018]. https://law.moj.gov.tw/Eng/LawClass/LawAll.aspx?PCode=L0060001.
4.Hsu, JC, Lu, CY (2015) The evolution of Taiwan's National Health Insurance drug reimbursement scheme. DARU 23, 15.
5.NHIA (2016) PBRS meeting [Internet]. National Health Insurance Administration Ministy of Health and Welfare. [cited November 7, 2018]. https://www.nhi.gov.tw/Content_List.aspx? n=9D41B8F668340682&topn=D39E2B72B0BDFA15&Create=1.
6.NIHTA, Taiwan (2013) HTA working guidelines [Internet]. [cited March 28, 2018]. http://nihta.cde.org.tw/Service/Rule?id=3.
7.NHIA, Taiwan (2016) PBRS meeting minutes for drugs [Internet]. [cited March 15, 2018]. https://www.nhi.gov.tw/Content_List.aspx?n=7248506703B0E5E2&topn=3FC7D09599D25979&Create=1.
8.NHIA, Taiwan (2016) PBRS meeting minutes for medical service (2004–2018) [Internet]. [cited March 15, 2018]. https://www.nhi.gov.tw/Content_List.aspx?n=6F823AB71BCC1C04&topn=D39E2B72B0BDFA15&Create=1.
9.NHIA, Taiwan (2018) NHI reimbursement scheme for medical service [Internet]. [cited March 22, 2018]. https://www.nhi.gov.tw/Content_List.aspx?n=58ED9C8D8417D00B&topn=D39E2B72B0BDFA15&Create=1.
10.NHIA, Taiwan (2017) PBRS meeting minutes for medical devices [Internet]. [cited March 12, 2018]. https://www.nhi.gov.tw/Content_List.aspx?n=BC23751A6FC2EDF6&topn=3FC7D09599D25979&Create=1.
11.CDC, Taiwan (2013) CDC regulations (2013.12.31) [Internet]. [cited March 26, 2018]. http://www.cdc.gov.tw/professional/info.aspx?treeid=CF7F90DCBCD5718D&nowtreeid=0441F6EEB625A9C1&tid=C44864BD7F6DD4EF.

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