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Overview of HTA organizaiton system in BRICS

Overview of HTA organizaiton system in BRICS. MD PhDc MHSc Kun Zhao Chair of HTAnet Aisa of ISPOR China National Health Development Research Center, NHFPC HTA division 2 nd Nov. 2015. Content. What is HTA Why has HTA How HTA can help How HTA system like in BRICS. BRICS.

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Overview of HTA organizaiton system in BRICS

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  1. Overview of HTA organizaiton system in BRICS MD PhDc MHSc Kun Zhao Chair of HTAnet Aisa of ISPOR China National Health Development Research Center, NHFPC HTA division 2nd Nov. 2015

  2. Content • What is HTA • Why has HTA • How HTA can help • How HTA system like in BRICS

  3. BRICS • Some of the world’s emerging economics • 40% of the world’s population • China—1.3Bi • India—1.2Bi • Russia—146mio • Brazil—204mio • South Africa—51.6mio • Health system reforms—universal health coverage • Accessibility • Afforadability

  4. BRICS and Health Care Delivery • Beijing declaration 2011-BRICS’ ministers of health discussed their role in providing wider access to quality and affordable drugs • New Delhi 2013—Scope of cooperation expansion and a strong call for strengthened cooperation in applying affordable, equitable and sustainable solutions for ensuring access to the health services and combating emerging health threats Source: http://www.who.int/bulletin/volumes/92/6/14-141051/en/

  5. Health Technology Assessment Definition • Health technology assessment(HTA) is a multidisciplinary process that summarises information about the medical, social, economic and ethical issues related to the use of a health technology in a systematic, transparent, unbiased, robust manner. Its aim is to inform the formulation of safe, effective, health policies that are patient focused and seek to achieve best value. Despite its policy goals, HTA must always be firmly rooted in research and the scientific method. ---European network for Health Technology Assessment 2013

  6. Health Technology Definition Health technology is considered to include the drug, devices, medical and surgical Procedures used in he4lath care delivery, the knowledge associated with this, as well as the organisational and support systems within which usch care is provided. drug procedure public health program Medical equipment Medical device Supporting system

  7. Challenge for UHC in BRICS • Technological innovation has yielded truly remarkable advances in health care during the last five decades • Few patients or clinicians are willing to access to state-of-the-art health care technology • The diffusion of health technology and its expanding uses have contributed to increasing health care costs • aging populations and increasing prevalence of chronic diseases, • Financial incentives of technology companies, clinicians, hospitals, and others • Public demand driven by direct-to-consumer advertising, mass media reports, social media, and consumer awareness and advocacy • Unnecessary tests, unexpected results, or patient or physician anxiety • Provider competition to offer state-of-the-art technology • Strong or growing economies • Increasing cost pressures, but the resource scarcity, ------------- HTA 101 Needed to make a decision about health technology application

  8. HTA progress

  9. to support decisions about whether or how to develop technology, to allow it on the market, to acquire it, to use it, to pay for its use, to ensure its appropriate use, and more How HTA can help product makers clinicians Gov. leaders Well-founded information patients regulators Hosp. managers payers others HTA

  10. How HTA organization system in BRICS BRAZIL: • 2011: A new framework for HTA was established (Law 12401) • In the same year, a new national HTA body replaced a previous HTA agency: the National Committee for Incorporation of Technologies (CONITEC, Law 12401) • The creation of CONITEC allowed the beginning of institutionalizing HTA and making HTA part of the decision-making process; it also represented the centralization of HTA in a decentralized governance of the health system • Overall, Brazil has a relatively strong HTA system

  11. RUSSIA: • Newly built a National HTA agency • Pharmaco-economic assessments are published by several HTA organizations • Several training opportunities on pharmaco-economics and outcomes research exist

  12. INDIA • Low institutionalization of HTA: no official HTA agency • Recognizing the need for HTA, the government and the Clinical Epidemiology Resource and Training Centre have decided to develop, disseminate, and implement best practice guidelines for several diseases • Several training opportunities on pharmaco-economics and outcomes research and HTA exist (cooperation with NICE)

  13. SOUTH AFRICA: • 2003: A regulatory framework of HTA has been formed under the National Health Act (Act No. 61) • 2011: A new National health Insurance (NHI) program has been established to provide insurance coverage to all citizens, and the need for a formal HTA body has been recognized. • No official HTA agency; however, development of a comprehensive, institutionalized HTA system is currently being developed with other countries’ HTA agencies (such as NICE). • Private industry provides assessments on health interventions and technologies.

  14. CHNIA No formal arrangement of HTA Policy makers demanding-orientated projects

  15. China Total Expenditure on Health (TEH) and its Share of GDP

  16. Composition of TEH by WHO NHA Classification

  17. HTA workforce in China

  18. HTA capacity building

  19. Thank you ! zhaokun@nhei.cn

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