School of Public Health, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide Health and Medical Sciences Building Corner of North Terrace and George Street, Adelaide South Australia, Australia.
Telethon Kids Institute, Perth Children's Hospital, Hospital Avenue, Nedlands, Western Australia, Australia.
Int J Technol Assess Health Care. 2020 Jun;36(3):262-269. doi: 10.1017/S0266462320000252. Epub 2020 May 11.
The 2019 Health Technology Assessment International (HTAi) Asia Policy Forum (HAPF) discussed the role of horizon scanning (HS) and health technology reassessment (HTR) in supporting sustainable healthcare in Asia.
Discussions and presentations at the 2019 HAPF, informed by a literature review, results of a premeeting survey, and case studies of HTA agencies from the region form the basis of this paper.
Five of the fourteen HTA agencies surveyed have established or are developing HS systems (HSSs), and six reported some experience with HTR. Although there were many differences in the respective HSSs, all were proactive and identified technologies within a 1-3-year time horizon. Commonalities included the criteria used to prioritize the technologies including burden and rarity of the disease, and cost to the health system and patients. Experience in HTR was not as extensive with most HTR activity being conducted on an ad hoc basis. Challenges for both HS and HTR include a lack of HTA capacity and good quality data, as well as a need for transparency and collaboration with industry.
With developing universal health care and HTA capacity in many countries in Asia, HS and HTR are in their infancy. Whilst several countries in the region are experienced in all facets of HTA, other countries are developing their HTA skill base. As such, there was a clear appetite for setting up a collaborative network in the Asia region to facilitate information sharing around HTA activities, and more specifically, HS and HTR methodologies, experiences, and assessments.
2019 年健康技术评估国际（HTAi）亚洲政策论坛（HAPF）讨论了地平线扫描（HS）和健康技术再评估（HTR）在支持亚洲可持续医疗保健方面的作用。
本次会议的讨论和演讲内容，以文献综述、会前调查结果以及该地区 HTA 机构的案例研究为基础。
在接受调查的 14 家 HTA 机构中，有 5 家已经建立或正在开发 HS 系统（HSS），有 6 家报告了一些 HTR 经验。尽管各自的 HSS 存在许多差异，但所有 HSS 都具有前瞻性，并确定了 1-3 年内的技术。共同之处包括用于优先考虑技术的标准，包括疾病的负担和罕见性，以及对卫生系统和患者的成本。HTR 经验并不广泛，大多数 HTR 活动都是临时进行的。HS 和 HTR 面临的挑战包括缺乏 HTA 能力和高质量数据，以及与行业透明度和合作的需求。
随着亚洲许多国家发展全民医疗保健和 HTA 能力，HS 和 HTR 仍处于起步阶段。虽然该地区的一些国家在 HTA 的各个方面都有经验，但其他国家正在发展自己的 HTA 技能基础。因此，亚洲地区建立一个合作网络的需求非常明确，以促进 HTA 活动的信息共享，特别是 HS 和 HTR 方法、经验和评估。
