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National health technology assessment in Turkiye after a decade: are key principles followed?

Avşar, Tuba Saygın; Yıldırım, Hasan Hüseyin; (2023) National health technology assessment in Turkiye after a decade: are key principles followed? International Journal of Technology Assessment in Health Care , 39 (1) , Article e52. 10.1017/S0266462323000466. Green open access

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Abstract

Background: Health technology assessment (HTA) is growing in low- and middle-income countries (LMICs) to ensure optimal use of limited resources. However, the impact of HTAs on decision making in LMICs has been limited. The study aimed to provide an overview of Turkiye’s progress since establishing the first HTA agency in 2012. / Methods: The web sites of three national HTA agencies in Turkiye were searched for HTA guidelines and national HTA reports. The HTA guidelines were assessed by two researchers independently against the key principles of HTA developed by Drummond et al., and the HTA reports against the national guidelines. / Results: The study included one HTA guideline and eight national HTA reports. The guideline included very limited technical guidance. Compliance with the principles was poor to moderate, and significant methodological limitations were identified. The reports were inconsistent regarding the scope and the HTA assessment criteria. The link between HTA findings, HTA decision making, and health policies were not clear. / Discussion: The inconsistencies between the reports and the methodological limitations demonstrate the need for national HTA guidelines. Improving the characteristics of the HTA might impact implementation. Among the key issues is transparency regarding priority setting, the HTA process, and decision making. / Conclusion: Establishing and adopting national HTA guidelines at international standards is needed. Involving external scientific committees and health economists in the HTA processes might help ensure that the key principles of HTA are followed. The study findings might be helpful for countries that are developing their HTA systems.

Type: Article
Title: National health technology assessment in Turkiye after a decade: are key principles followed?
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1017/S0266462323000466
Publisher version: https://doi.org/10.1017/s0266462323000466
Language: English
Additional information: Copyright © The Author(s), 2023. Published by Cambridge University Press. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Keywords: economic evaluation, health policy, health technology assessment, health economics, HTA, low- and middle-income countries (LMIC), priority setting, Turkiye HTA
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
URI: https://discovery.ucl.ac.uk/id/eprint/10201372
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