Journal article
Navigating change: a comparative analysis of health technology assessment reforms across agencies - processes, drivers, and interdependencies
International journal of technology assessment in health care, v 41(1), 21
14 Mar 2025
PMID: 40083319
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives Health technology assessment (HTA) is a critical part of healthcare decision making in many countries. Changes in Methods and Processes (M&P) of HTA agencies can affect the time and degree of patient access to treatments. Published literature focuses on the different M&P adopted by HTA agencies, rather than on how these have come about over time. Our study investigates key HTA reforms and explores their drivers and interdependencies in a set of HTA agencies in Europe, Asia-Pacific, and North America.Methods We conducted a targeted literature review on M&P guidelines and subsequent changes to those, for 14 HTA agencies. We supplemented and validated initial findings with 29 semi-structured interviews with country-specific experts. We used analytical tools to create process maps, proactivity and influence networks, and clusters of HTA agencies.Results We found that processes leading to M&P reforms follow similar steps across HTA agencies. The three most important drivers to reforms were HTA practice and guidelines in other countries; the healthcare policy, legal, and political context within the agency's country; and experience of challenges in the assessment by the HTA body itself. International collaborations have the potential to accelerate the evolution of HTA systems and the implementation of reforms.Conclusion We identified PBAC (Australia), CDA-AMC (Canada), NICE (England), IQWiG (Germany), and ZIN (the Netherlands) as HTA agencies that are catalysts of HTA reforms as well as internationally influential. International collaborations may represent a useful route to accelerate changes as long as they ensure wide stakeholder engagement at an early stage.
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Details
- Title
- Navigating change: a comparative analysis of health technology assessment reforms across agencies - processes, drivers, and interdependencies
- Creators
- Gayathri Kumar - Office Of Health EconomicsPriscila Radu - Office Of Health EconomicsPatricia Cubi-Molla - Office Of Health EconomicsMartina Garau - Office Of Health EconomicsEleanor Bell - UKHSA, London, EnglandJia Pan - Adelphi Values, London, EnglandRamiro Gilardino - MSD, Zurich, SwitzerlandJulie Van Bavel - MSD, Zurich, SwitzerlandAgnes Brandtmuller - MSD, Budapest, HungaryKatherine Nelson - Drexel UniversityMelinda Goodall - The Jane Goodall Institute
- Publication Details
- International journal of technology assessment in health care, v 41(1), 21
- Publisher
- Cambridge University Press
- Number of pages
- 10
- Grant note
- Merck Sharp Dohme Corp.; Merck & Company
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Dana and David Dornsife School of Public Health
- Web of Science ID
- WOS:001457078100001
- Scopus ID
- 2-s2.0-105000709882
- Other Identifier
- 991022197412704721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Medical Informatics
- Public, Environmental & Occupational Health