Avoiding health technology assessment: a global survey of reasons for not using health technology assessment in decision making View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2021-09-22

AUTHORS

Yot Teerawattananon, Chris Painter, Saudamini Dabak, Trygve Ottersen, Unni Gopinathan, Lumbwe Chola, Kalipso Chalkidou, Anthony J. Culyer

ABSTRACT

INTRODUCTION: Despite the documented benefits of using health technology assessments (HTA) to inform resource allocation in health care systems, HTA remains underused, especially in low- and middle-income countries. A survey of global health practitioners was conducted to reveal the top reasons ("excuses") that they had heard from colleagues, policymakers or other stakeholders for not using HTA in their settings. METHODS: There were 193 respondents to the survey. Most responses were from individuals in research organisations (37%), ministries of health (27%) and other government agencies (14%). Participants came from Southeast Asia (40%), the Western Pacific (30%), Africa (15%), Europe (7%), the Americas (7%) and the Eastern Mediterranean region (2%). RESULTS: The top five reasons encountered by respondents related to lack of data, lack of technical skills for HTA, the technocratic nature of the work, the lack of explicit decision rules and the perception that HTA puts a "price on life". CONCLUSIONS: This study aimed to understand and address the top reasons for not using HTA. They fall into three categories: (1) misconceptions about HTA; (2) feasibility issues; and (3) values, attitudes and politics. Previous literature has shown that these reasons can be addressed when identified, and even imperfect HTA analyses can provide useful information to a decision-maker. More... »

PAGES

62

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12962-021-00308-1

DOI

http://dx.doi.org/10.1186/s12962-021-00308-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1141296188

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/34551780


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202 grid-institutes:grid.4280.e schema:alternateName Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
203 schema:name Health Intervention and Technology Assessment Program (HITAP), Ministry of Public Health, Nonthaburi, Thailand
204 Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
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206 grid-institutes:grid.5685.e schema:alternateName University of York, York, UK
207 schema:name University of York, York, UK
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209 grid-institutes:grid.7445.2 schema:alternateName Imperial College London, London, UK
210 schema:name Imperial College London, London, UK
211 The Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland
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