Favaretti Carlo, Cicchetti Americo, Guarrera Giovanni, Marchetti Marco, Ricciardi Walter
Azienda Ospedaliero-Universitaria di Udine, Udine, Italy 33100.
Int J Technol Assess Health Care. 2009 Jul;25 Suppl 1:127-33. doi: 10.1017/S0266462309090539. Epub 2009 Jun 9.
The aim of this study was to review the history of health technology assessment (HTA) in Italy.
Founded in 1978, the Italian National Health Service (NHS) has been strongly regionalized mainly after a constitutional reform, which started a devolution process. HTA started in the 1980s at the National Institute of Health and in a few University Hospitals, with a focus on big ticket technology: that process was driven by clinical engineers.
In recent years, HTA is becoming an important tool for decision-making processes at central, regional, and local levels. In particular, the National Agency for Regional Health Services (AGENAS) and five regions (of twenty-one) are strongly committed to develop HTA initiatives connected with the planning process.
At the local level, the hospital-based HTA activity is probably the most important peculiarity of the country and the real driver of the HTA movement.
本研究旨在回顾意大利卫生技术评估（HTA）的历史。
意大利国家医疗服务体系（NHS）成立于1978年，主要在一次宪法改革后进行了大规模的区域化，该改革启动了权力下放进程。HTA始于20世纪80年代的国家卫生研究院和一些大学医院，重点关注高价技术：这一进程由临床工程师推动。
近年来，HTA正成为中央、地区和地方各级决策过程的重要工具。特别是，国家区域卫生服务局（AGENAS）和五个地区（共二十一个地区）大力致力于开展与规划过程相关的HTA举措。
在地方层面，基于医院的HTA活动可能是该国最重要的特点，也是HTA运动的真正驱动力。
