Allen Nicola, Pichler Franz, Wang Tina, Patel Sundip, Salek Sam
Centre for Socioeconomic Research, School of Pharmacy and Pharmaceutical Sciences, Cardiff University, Redwood Building, King Edward VII Avenue, Cardiff CF10 3NB, UK; Centre for Innovation in Regulatory Science (formerly CMR International Institute for Regulatory Science), Hatton Garden, London EC1N 8JS, UK.
Health Policy. 2013 Dec;113(3):305-12. doi: 10.1016/j.healthpol.2013.09.007. Epub 2013 Sep 25.
European countries are increasingly utilising health technology assessment (HTA) to inform reimbursement decision-making. However, the current European HTA environment is very diverse, and projects are already underway to initiate a more efficient and aligned HTA practice within Europe. This study aims to identify a non-ranking method for classifying the diversity of European HTA agencies process and the organisational architecture of the national regulatory review to reimbursement systems.
METHOD/RESULTS: Using a previously developed mapping methodology, this research created process maps to describe national processes for regulatory review to reimbursement for 33 European jurisdictions. These process maps enabled the creation of 2 HTA taxonomic sets. The confluence of the two taxonomic sets was subsequently cross-referenced to identify 10 HTA archetype groups.
HTA is a young, rapidly evolving field and it can be argued that optimal practices for performing HTA are yet to emerge. Therefore, a non-ranking classification approach could objectively characterise and compare the diversity observed in the current European HTA environment.
欧洲国家越来越多地利用卫生技术评估（HTA）来为报销决策提供依据。然而，当前欧洲的HTA环境非常多样化，目前已经在开展一些项目，以在欧洲建立更高效、更统一的HTA实践。本研究旨在确定一种非排名方法，用于对欧洲HTA机构流程的多样性以及国家监管审查至报销系统的组织结构进行分类。
方法/结果：本研究采用先前开发的映射方法，创建了流程地图，以描述33个欧洲司法管辖区从监管审查到报销的国家流程。这些流程地图促成了两个HTA分类集的创建。随后，对这两个分类集的交集进行交叉引用，以识别出10个HTA原型组。
HTA是一个年轻且快速发展的领域，可以说执行HTA的最佳实践尚未出现。因此，一种非排名的分类方法可以客观地描述和比较当前欧洲HTA环境中观察到的多样性。
