[EQ] Theory versus Practice: Discussing the Governance of Health Technology Assessment Systems

de: Ruggiero, Mrs. Ana Lucia (WDC) - ruglucia@paho.org
para: EQUIDAD@listserv.paho.org
fecha: 22 de junio de 2009 11:12
asunto: [EQ] Theory versus Practice: Discussing the Governance of Health Technology Assessment Systems


Theory versus Practice:
Discussing the Governance of Health Technology Assessment Systems



Paul Healy, policy analyst, Stockholm Network, and Dr Meir P. Pugatch, director of research, Stockholm Network
Stockholm 5 Network 2009

Available online as PDF [63p.] at:
http://www.stockholm-network.org/downloads/publications/Theory_versus_Practice.pdf



“….This paper examines the issue of governance of Health Technology Assessment (HTA) systems. It finds that, while there seems to be a convergence among different countries towards the HTA appraisal and review process, there are still considerable differences in the manner in which national HTA systems operate as a whole. Such differences, it is argued, ultimately lead to different outcomes and outputs of national HTA systems, not least in the context of patients’ ability to access new and innovative healthcare technologies.

Focusing on four key countries – Australia, Canada, Germany and the United Kingdom – this paper analyses some of the key elements embedded in HTA systems, which by and large affect the issue of governance of such systems.

Accordingly, the paper does the following:
- Describes and analyses the different HTA agencies in the above countries;
- Outlines and determines their relationship with healthcare decision makers;
- Assesses the competence of HTA bodies to provide recommendations and decisions about the endorsement or rejection of healthcare technologies;
- Considers the degree of openness and level of inclusion of inputs from different stakeholders;
- Gauges outputs and performance in terms of the number of reviews and decisions provided by the relevant HTA bodies; and,
- Discusses the overall public perception of these bodies…..”



Contents
Executive Summary
Introduction
HTA Process
HTA Systems
Australia
Canada
Germany
United Kingdom
Conclusions and policy considerations
Bibliography



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