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Hospital-based Health Technology Assessment in Kazakhstan: 3 years’ experience of one unit

Published online by Cambridge University Press:  04 March 2019

Andrey Avdeyev ,
Adlet Tabarov ,
Amir Akhetov ,
Nasrulla Shanazarov ,
David Hailey ,
Aygul Kaptagayeva ,
Liazzat Zhanabekova ,
Aliya Gizatullina  and
Larissa Makalkina
Andrey Avdeyev*
Affiliation:
Medical Center Hospital of the President’s Affairs Administration of the Republic of Kazakhstan Astana Medical University, Kazakhstan
Adlet Tabarov
Affiliation:
Medical Center Hospital of the President’s Affairs Administration of the Republic of Kazakhstan Republican Center for Health Development of the Republic of Kazakhstan
Amir Akhetov
Affiliation:
Medical Center Hospital of the President’s Affairs Administration of the Republic of Kazakhstan
Nasrulla Shanazarov
Affiliation:
Medical Center Hospital of the President’s Affairs Administration of the Republic of Kazakhstan
David Hailey
Affiliation:
University of Wollongong, Australia
Aygul Kaptagayeva
Affiliation:
Ministry of Healthcare of the Republic of Kazakhstan
Liazzat Zhanabekova
Affiliation:
Medical Center Hospital of the President’s Affairs Administration of the Republic of Kazakhstan
Aliya Gizatullina
Affiliation:
Medical Center Hospital of the President’s Affairs Administration of the Republic of Kazakhstan
Larissa Makalkina
Affiliation:
Astana Medical University, Kazakhstan
*
Author for correspondence: Andrey Avdeyev, E-mail: avdeyev.andrey@yahoo.com
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Abstract

Objectives

The aim of this study was to describe the development and activities of the Hospital-Based Health Technology Assessment (HB-HTA) Unit in the Hospital of the President's Affairs Administration, one of the first examples of the implementation of HB-HTA into the practice of Kazakhstani hospitals.

Methods

Details of the development of the Unit were obtained from the hospital's administrative records. The Unit's own records were used to describe the reports prepared and the clinical areas that were covered. Responses to recommendations in the Unit's reports were obtained from hospital administration and individual departments. Estimates of savings and payback periods were based on data from the hospital information system, and data submitted by manufacturers and distributors of medical equipment.

Results

Fifty-one rapid- and mini-HTA reports were prepared by the Unit from 2015 to 2017. Seventeen health technologies (33 percent) were not recommended for implementation in hospital practice. Refusal to implement sixteen of these technologies saved approximately 1,053,500 USD. Of the thirty-four recommended health technologies, twenty-four were implemented to treat or diagnose 1,376 patients, and eight others were included in plans for 2018–20. Of the twenty-four implemented health technologies, twelve did not require additional investments. The payback period of investments for the other twelve implemented technologies is not more than 3 years for six, less than 5 years for four, and more than 10 years for two technologies.

Conclusions

Establishment of the HB-HTA Unit in the hospital created the basis for making informed managerial decisions; identifying key directions for strategic development; and improving hospital management.

Keywords

Hospital-based HTADecision makingMini-HTA reportsNew health technologies
Type
Theme Submission
Information
International Journal of Technology Assessment in Health Care , Volume 35 , Issue 6 , 2019 , pp. 436 - 440
Copyright
Copyright © Cambridge University Press 2019

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