Challenges of Health Technology Assessment in Pluralistic Healthcare Systems: An ISPOR Council Report

Autores
Drummond, Michael F.; Augustovski, Federico Ariel; Bhattacharyya, Devarshi; Campbell, Jonathan; Chaiyakanapruk, Nathorn; Chen, Yingyao; Galindo Suarez, Rosa Maria; Guerino, John; Mejía, Aurelio; Mujoomdar, Michelle; Ollendorf, Daniel; Ronquest, Naoko; Torbica, Aleksandra; Tsiao, Emily; Watkins, John; Yeung, Kai
Año de publicación
2022
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Health technology assessment (HTA) has been growing in use over the past 40 years, especially in its impact on decisions regarding the reimbursement, adoption, and use of new drugs, devices, and procedures. In countries or jurisdictions with “pluralistic” healthcare systems, there are multiple payers or sectors, each of which could potentially benefit from HTA. Nevertheless, a single HTA, conducted centrally, may not meet the needs of these different actors, who may have different budgets, current standards of care, populations to serve, or decision-making processes. This article reports on the research conducted by an ISPOR Health Technology Assessment Council Working Group established to examine the specific challenges of conducting and using HTA in countries with pluralistic healthcare systems. The Group used its own knowledge and expertise, supplemented by a narrative literature review and survey of US payers, to identify existing challenges and any initiatives taken to address them. We recommend that countries with pluralistic healthcare systems establish a national focus for HTA, develop a uniform set of HTA methods guidelines, ensure that HTAs are produced in a timely fashion, facilitate the use of HTA in the local setting, and develop a framework to encourage transparency in HTA. These efforts can be enhanced by the development of good practice guidance from ISPOR or similar groups and increased training to facilitate local use of HTA.
Fil: Drummond, Michael F.. University of York; Reino Unido
Fil: Augustovski, Federico Ariel. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Bhattacharyya, Devarshi. Kalam Institute Of Health Technology; India
Fil: Campbell, Jonathan. Institute For Clinical And Economic Review; Estados Unidos
Fil: Chaiyakanapruk, Nathorn. Veterans Affairs Salt Lake City Healthcare System; Estados Unidos. University of Utah; Estados Unidos. Monash University; Malasia
Fil: Chen, Yingyao. Fudan University; China
Fil: Galindo Suarez, Rosa Maria. Ministry Of Health; México
Fil: Guerino, John. Coeus Consulting Group; Estados Unidos
Fil: Mejía, Aurelio. Ministry Of Trade; Colombia
Fil: Mujoomdar, Michelle. Canadian Agency For Drugs And Technologies In Health; Canadá
Fil: Ollendorf, Daniel. Tufts Medical Center; Estados Unidos
Fil: Ronquest, Naoko. Rti Health Solutions; Estados Unidos
Fil: Torbica, Aleksandra. Università Bocconi; Italia
Fil: Tsiao, Emily. Premera Blue Cross; Estados Unidos
Fil: Watkins, John. Premera Blue Cross; Estados Unidos
Fil: Yeung, Kai. Kaiser Permanente Washington Health Research Centre; Estados Unidos
Materia
HEALTH INSURANCE
HEALTH TECHNOLOGY ASSESSMENT
HEALTHCARE SYSTEMS
PLURALISM
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/218252

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spelling Challenges of Health Technology Assessment in Pluralistic Healthcare Systems: An ISPOR Council ReportDrummond, Michael F.Augustovski, Federico ArielBhattacharyya, DevarshiCampbell, JonathanChaiyakanapruk, NathornChen, YingyaoGalindo Suarez, Rosa MariaGuerino, JohnMejía, AurelioMujoomdar, MichelleOllendorf, DanielRonquest, NaokoTorbica, AleksandraTsiao, EmilyWatkins, JohnYeung, KaiHEALTH INSURANCEHEALTH TECHNOLOGY ASSESSMENTHEALTHCARE SYSTEMSPLURALISMhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Health technology assessment (HTA) has been growing in use over the past 40 years, especially in its impact on decisions regarding the reimbursement, adoption, and use of new drugs, devices, and procedures. In countries or jurisdictions with “pluralistic” healthcare systems, there are multiple payers or sectors, each of which could potentially benefit from HTA. Nevertheless, a single HTA, conducted centrally, may not meet the needs of these different actors, who may have different budgets, current standards of care, populations to serve, or decision-making processes. This article reports on the research conducted by an ISPOR Health Technology Assessment Council Working Group established to examine the specific challenges of conducting and using HTA in countries with pluralistic healthcare systems. The Group used its own knowledge and expertise, supplemented by a narrative literature review and survey of US payers, to identify existing challenges and any initiatives taken to address them. We recommend that countries with pluralistic healthcare systems establish a national focus for HTA, develop a uniform set of HTA methods guidelines, ensure that HTAs are produced in a timely fashion, facilitate the use of HTA in the local setting, and develop a framework to encourage transparency in HTA. These efforts can be enhanced by the development of good practice guidance from ISPOR or similar groups and increased training to facilitate local use of HTA.Fil: Drummond, Michael F.. University of York; Reino UnidoFil: Augustovski, Federico Ariel. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaFil: Bhattacharyya, Devarshi. Kalam Institute Of Health Technology; IndiaFil: Campbell, Jonathan. Institute For Clinical And Economic Review; Estados UnidosFil: Chaiyakanapruk, Nathorn. Veterans Affairs Salt Lake City Healthcare System; Estados Unidos. University of Utah; Estados Unidos. Monash University; MalasiaFil: Chen, Yingyao. Fudan University; ChinaFil: Galindo Suarez, Rosa Maria. Ministry Of Health; MéxicoFil: Guerino, John. Coeus Consulting Group; Estados UnidosFil: Mejía, Aurelio. Ministry Of Trade; ColombiaFil: Mujoomdar, Michelle. Canadian Agency For Drugs And Technologies In Health; CanadáFil: Ollendorf, Daniel. Tufts Medical Center; Estados UnidosFil: Ronquest, Naoko. Rti Health Solutions; Estados UnidosFil: Torbica, Aleksandra. Università Bocconi; ItaliaFil: Tsiao, Emily. Premera Blue Cross; Estados UnidosFil: Watkins, John. Premera Blue Cross; Estados UnidosFil: Yeung, Kai. Kaiser Permanente Washington Health Research Centre; Estados UnidosElsevier2022-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/218252Drummond, Michael F.; Augustovski, Federico Ariel; Bhattacharyya, Devarshi; Campbell, Jonathan; Chaiyakanapruk, Nathorn; et al.; Challenges of Health Technology Assessment in Pluralistic Healthcare Systems: An ISPOR Council Report; Elsevier; Value In Health; 25; 8; 8-2022; 1257-12671098-3015CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1016/j.jval.2022.02.006info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S1098301522001085info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-nd/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-10-15T14:37:30Zoai:ri.conicet.gov.ar:11336/218252instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-10-15 14:37:31.235CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Challenges of Health Technology Assessment in Pluralistic Healthcare Systems: An ISPOR Council Report
title Challenges of Health Technology Assessment in Pluralistic Healthcare Systems: An ISPOR Council Report
spellingShingle Challenges of Health Technology Assessment in Pluralistic Healthcare Systems: An ISPOR Council Report
Drummond, Michael F.
HEALTH INSURANCE
HEALTH TECHNOLOGY ASSESSMENT
HEALTHCARE SYSTEMS
PLURALISM
title_short Challenges of Health Technology Assessment in Pluralistic Healthcare Systems: An ISPOR Council Report
title_full Challenges of Health Technology Assessment in Pluralistic Healthcare Systems: An ISPOR Council Report
title_fullStr Challenges of Health Technology Assessment in Pluralistic Healthcare Systems: An ISPOR Council Report
title_full_unstemmed Challenges of Health Technology Assessment in Pluralistic Healthcare Systems: An ISPOR Council Report
title_sort Challenges of Health Technology Assessment in Pluralistic Healthcare Systems: An ISPOR Council Report
dc.creator.none.fl_str_mv Drummond, Michael F.
Augustovski, Federico Ariel
Bhattacharyya, Devarshi
Campbell, Jonathan
Chaiyakanapruk, Nathorn
Chen, Yingyao
Galindo Suarez, Rosa Maria
Guerino, John
Mejía, Aurelio
Mujoomdar, Michelle
Ollendorf, Daniel
Ronquest, Naoko
Torbica, Aleksandra
Tsiao, Emily
Watkins, John
Yeung, Kai
author Drummond, Michael F.
author_facet Drummond, Michael F.
Augustovski, Federico Ariel
Bhattacharyya, Devarshi
Campbell, Jonathan
Chaiyakanapruk, Nathorn
Chen, Yingyao
Galindo Suarez, Rosa Maria
Guerino, John
Mejía, Aurelio
Mujoomdar, Michelle
Ollendorf, Daniel
Ronquest, Naoko
Torbica, Aleksandra
Tsiao, Emily
Watkins, John
Yeung, Kai
author_role author
author2 Augustovski, Federico Ariel
Bhattacharyya, Devarshi
Campbell, Jonathan
Chaiyakanapruk, Nathorn
Chen, Yingyao
Galindo Suarez, Rosa Maria
Guerino, John
Mejía, Aurelio
Mujoomdar, Michelle
Ollendorf, Daniel
Ronquest, Naoko
Torbica, Aleksandra
Tsiao, Emily
Watkins, John
Yeung, Kai
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv HEALTH INSURANCE
HEALTH TECHNOLOGY ASSESSMENT
HEALTHCARE SYSTEMS
PLURALISM
topic HEALTH INSURANCE
HEALTH TECHNOLOGY ASSESSMENT
HEALTHCARE SYSTEMS
PLURALISM
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Health technology assessment (HTA) has been growing in use over the past 40 years, especially in its impact on decisions regarding the reimbursement, adoption, and use of new drugs, devices, and procedures. In countries or jurisdictions with “pluralistic” healthcare systems, there are multiple payers or sectors, each of which could potentially benefit from HTA. Nevertheless, a single HTA, conducted centrally, may not meet the needs of these different actors, who may have different budgets, current standards of care, populations to serve, or decision-making processes. This article reports on the research conducted by an ISPOR Health Technology Assessment Council Working Group established to examine the specific challenges of conducting and using HTA in countries with pluralistic healthcare systems. The Group used its own knowledge and expertise, supplemented by a narrative literature review and survey of US payers, to identify existing challenges and any initiatives taken to address them. We recommend that countries with pluralistic healthcare systems establish a national focus for HTA, develop a uniform set of HTA methods guidelines, ensure that HTAs are produced in a timely fashion, facilitate the use of HTA in the local setting, and develop a framework to encourage transparency in HTA. These efforts can be enhanced by the development of good practice guidance from ISPOR or similar groups and increased training to facilitate local use of HTA.
Fil: Drummond, Michael F.. University of York; Reino Unido
Fil: Augustovski, Federico Ariel. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Bhattacharyya, Devarshi. Kalam Institute Of Health Technology; India
Fil: Campbell, Jonathan. Institute For Clinical And Economic Review; Estados Unidos
Fil: Chaiyakanapruk, Nathorn. Veterans Affairs Salt Lake City Healthcare System; Estados Unidos. University of Utah; Estados Unidos. Monash University; Malasia
Fil: Chen, Yingyao. Fudan University; China
Fil: Galindo Suarez, Rosa Maria. Ministry Of Health; México
Fil: Guerino, John. Coeus Consulting Group; Estados Unidos
Fil: Mejía, Aurelio. Ministry Of Trade; Colombia
Fil: Mujoomdar, Michelle. Canadian Agency For Drugs And Technologies In Health; Canadá
Fil: Ollendorf, Daniel. Tufts Medical Center; Estados Unidos
Fil: Ronquest, Naoko. Rti Health Solutions; Estados Unidos
Fil: Torbica, Aleksandra. Università Bocconi; Italia
Fil: Tsiao, Emily. Premera Blue Cross; Estados Unidos
Fil: Watkins, John. Premera Blue Cross; Estados Unidos
Fil: Yeung, Kai. Kaiser Permanente Washington Health Research Centre; Estados Unidos
description Health technology assessment (HTA) has been growing in use over the past 40 years, especially in its impact on decisions regarding the reimbursement, adoption, and use of new drugs, devices, and procedures. In countries or jurisdictions with “pluralistic” healthcare systems, there are multiple payers or sectors, each of which could potentially benefit from HTA. Nevertheless, a single HTA, conducted centrally, may not meet the needs of these different actors, who may have different budgets, current standards of care, populations to serve, or decision-making processes. This article reports on the research conducted by an ISPOR Health Technology Assessment Council Working Group established to examine the specific challenges of conducting and using HTA in countries with pluralistic healthcare systems. The Group used its own knowledge and expertise, supplemented by a narrative literature review and survey of US payers, to identify existing challenges and any initiatives taken to address them. We recommend that countries with pluralistic healthcare systems establish a national focus for HTA, develop a uniform set of HTA methods guidelines, ensure that HTAs are produced in a timely fashion, facilitate the use of HTA in the local setting, and develop a framework to encourage transparency in HTA. These efforts can be enhanced by the development of good practice guidance from ISPOR or similar groups and increased training to facilitate local use of HTA.
publishDate 2022
dc.date.none.fl_str_mv 2022-08
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/218252
Drummond, Michael F.; Augustovski, Federico Ariel; Bhattacharyya, Devarshi; Campbell, Jonathan; Chaiyakanapruk, Nathorn; et al.; Challenges of Health Technology Assessment in Pluralistic Healthcare Systems: An ISPOR Council Report; Elsevier; Value In Health; 25; 8; 8-2022; 1257-1267
1098-3015
CONICET Digital
CONICET
url http://hdl.handle.net/11336/218252
identifier_str_mv Drummond, Michael F.; Augustovski, Federico Ariel; Bhattacharyya, Devarshi; Campbell, Jonathan; Chaiyakanapruk, Nathorn; et al.; Challenges of Health Technology Assessment in Pluralistic Healthcare Systems: An ISPOR Council Report; Elsevier; Value In Health; 25; 8; 8-2022; 1257-1267
1098-3015
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1016/j.jval.2022.02.006
info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S1098301522001085
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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