School of Public Health, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, Australia.
Chair, HTAi Asia Policy Forum, Discipline of Surgery, University of Adelaide, The Queen Elizabeth Hospital, Woodville South, Australia.
Int J Technol Assess Health Care. 2023 Aug 15;39(1):e56. doi: 10.1017/S0266462323000405.
The aim of the 2022 Health Technology Assessment International (HTAi) Asia Policy Forum (APF) was to discuss experiences and challenges around health technology assessment (HTA) capacity building for both HTA agencies and companies in the Asia region and to identify possible solutions as part of a capacity building roadmap.
Discussions during the 2022 APF, informed by a pre-meeting survey of HTA agencies and industry attendees from the region, form the basis of this paper.
HTA is an essential element of priority-setting in healthcare; however, the scarcity of skilled technical HTA practitioners is a rate-limiting step in the conduct of HTA. The lack of investment in HTA and the political will to mandate the use of HTA in decision-making may be due to a lack of understanding of the value of the HTA process, and how HTA is interpreted and used in the healthcare decision-making process.
Increased demand for HTA is created when the value of HTA is recognized. HTA capacity-building challenges may be mitigated by educating stakeholders, particularly policymakers, on the value of, and the need to invest in, HTA as a transparent process to ensure equitable access to health care for all. Investigating a means of funding and implementing an HTA intern program between agencies, in partnership with industry, to facilitate a supportive environment to foster HTA skills and knowledge, build capacity or strengthen existing capacity should be a priority.
2022 年健康技术评估国际(HTAi)亚洲政策论坛(APF)的目的是讨论亚洲地区的卫生技术评估(HTA)机构和公司在 HTA 能力建设方面的经验和挑战,并确定可能的解决方案,作为能力建设路线图的一部分。
本次会议的讨论内容基于该地区 HTA 机构和行业与会者的会前调查,为本文提供了依据。
HTA 是医疗保健优先事项设定的重要组成部分;然而,熟练的技术 HTA 从业者的稀缺是进行 HTA 的一个限制因素。对 HTA 的投资不足以及在决策中强制使用 HTA 的政治意愿可能是由于对 HTA 过程的价值以及 HTA 在医疗保健决策过程中的解释和使用方式缺乏了解。
当认识到 HTA 的价值时,就会产生对 HTA 的更多需求。通过教育利益相关者,特别是决策者,了解 HTA 的价值和投资 HTA 的必要性,作为一个透明的过程,以确保所有人都能公平地获得医疗保健,可以减轻 HTA 能力建设方面的挑战。调查一种在机构之间为 HTA 实习生项目提供资金和实施的方法,与行业合作,为培养 HTA 技能和知识、建立能力或加强现有能力创造一个支持性环境,应成为优先事项。