de Labry Lima Antonio Olry, Mochon Leticia García, Martínez Araceli Caro, Ruiz Eva Martín, Balbino Jaime Espin
Jaime Espin, Escuela Andaluza de Salud Publica - Andalusian School of Public Health, Campus Universitario de Cartuja, Cuesta del Observatorio, 4, 18011 Granada. Spain,
Croat Med J. 2016 Feb;57(1):66-70. doi: 10.3325/cmj.2016.57.66.
To provide insights into the capacity to conduct health technology assessment (HTA) in Central, Eastern, and South-Eastern Europe (CESEE), taking account of technical, financial, networking, and human resources.
An e-mail survey of 257 CESEE key informants involved in HTA was undertaken between March and April 2014. Contact e-mail addresses were identified from the internet. The survey questionnaire consisted of 3 sections: i) characteristics of the organization performing HTA, (ii) networking in HTA, and (iii) resources allocated for HTA.
The survey was completed by 41 respondents representing a wide range of institutions from CESEE countries (response rate of 19.8%). Less than a quarter of respondents reported that their institutions had HTA-specific budgets, whereas the majority indicated that their institutions participated in HTA networks either at domestic or international levels. Although almost half of respondents indicated that their institutions offered HTA training, a shortage in skills training was suggested as the main barrier to HTA.
This is the first survey to thoroughly assess the state of HTA capacity in the CESEE region. To strengthen HTA capacity, CESEE countries should increase financial, technical, and training resources. To strengthen collaboration, the European Union and other international bodies should assist existing HTA networks in fulfilling their regional activities through leadership, advocacy to local policymakers, funding, and technical assistance.
考虑技术、资金、网络和人力资源等因素，深入了解中东欧及东南欧（CESEE）开展卫生技术评估（HTA）的能力。
2014年3月至4月间，对257名参与HTA的CESEE关键信息提供者进行了电子邮件调查。联系电子邮件地址通过互联网确定。调查问卷包括三个部分：（i）开展HTA的组织的特征，（ii）HTA中的网络，以及（iii）为HTA分配的资源。
41名受访者完成了调查，他们代表了CESEE国家的广泛机构（回复率为19.8%）。不到四分之一的受访者表示其所在机构有HTA专项预算，而大多数受访者表示其所在机构参与了国内或国际层面的HTA网络。虽然近一半的受访者表示其所在机构提供HTA培训，但技能培训短缺被认为是HTA的主要障碍。
这是首次全面评估CESEE地区HTA能力状况的调查。为加强HTA能力，CESEE国家应增加资金、技术和培训资源。为加强合作，欧盟和其他国际机构应通过领导、向地方政策制定者宣传、提供资金和技术援助等方式，协助现有的HTA网络开展其区域活动。
