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How Least Developed to Lower-Middle Income Countries Use Health Technology Assessment: A Scoping Review

Health Technology Assessment (HTA) is a multidisciplinary tool to inform healthcare decision-making. HTA has been implemented in high-income countries (HIC) for several decades but has only recently seen a growing investment in low- and middle-income countries. A scoping review was undertaken to def...

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Autores principales: Falkowski, Anna, Ciminata, Giorgio, Manca, Francesco, Bouttell, Janet, Jaiswal, Nishant, Farhana Binti Kamaruzaman, Hanin, Hollingworth, Samantha, Al-Adwan, Mariana, Heggie, Robert, Putri, Septiara, Rana, Dikshyanta, Mukelabai Simangolwa, Warren, Grieve, Eleanor
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9970250/
https://www.ncbi.nlm.nih.gov/pubmed/35950264
http://dx.doi.org/10.1080/20477724.2022.2106108
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author Falkowski, Anna
Ciminata, Giorgio
Manca, Francesco
Bouttell, Janet
Jaiswal, Nishant
Farhana Binti Kamaruzaman, Hanin
Hollingworth, Samantha
Al-Adwan, Mariana
Heggie, Robert
Putri, Septiara
Rana, Dikshyanta
Mukelabai Simangolwa, Warren
Grieve, Eleanor
author_facet Falkowski, Anna
Ciminata, Giorgio
Manca, Francesco
Bouttell, Janet
Jaiswal, Nishant
Farhana Binti Kamaruzaman, Hanin
Hollingworth, Samantha
Al-Adwan, Mariana
Heggie, Robert
Putri, Septiara
Rana, Dikshyanta
Mukelabai Simangolwa, Warren
Grieve, Eleanor
author_sort Falkowski, Anna
collection PubMed
description Health Technology Assessment (HTA) is a multidisciplinary tool to inform healthcare decision-making. HTA has been implemented in high-income countries (HIC) for several decades but has only recently seen a growing investment in low- and middle-income countries. A scoping review was undertaken to define and compare the role of HTA in least developed and lower middle-income countries (LLMIC). MEDLINE and EMBASE databases were searched from January 2015 to August 2021. A matrix comprising categories on HTA objectives, methods, geographies, and partnerships was used for data extraction and synthesis to present our findings. The review identified 50 relevant articles. The matrix was populated and sub-divided into further categories as appropriate. We highlight topical aspects of HTA, including initiatives to overcome well-documented challenges around data and capacity development, and identify gaps in the research for consideration. Those areas we found to be under-studied or under-utilized included disinvestment, early HTA/implementation, system-level interventions, and cross-sectoral partnerships. We consider broad practical implications for decision-makers and researchers aiming to achieve greater interconnectedness between HTA and health systems and generate recommendations that LLMIC can use for HTA implementation. Whilst HIC may have led the way, LLMIC are increasingly beginning to develop HTA processes to assist in their healthcare decision-making. This review provides a forward-looking model that LLMIC can point to as a reference for their own implementation. We hope this can be seen as timely and useful contributions to optimize the impact of HTA in an era of investment and expansion and to encourage debate and implementation.
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spelling pubmed-99702502023-02-28 How Least Developed to Lower-Middle Income Countries Use Health Technology Assessment: A Scoping Review Falkowski, Anna Ciminata, Giorgio Manca, Francesco Bouttell, Janet Jaiswal, Nishant Farhana Binti Kamaruzaman, Hanin Hollingworth, Samantha Al-Adwan, Mariana Heggie, Robert Putri, Septiara Rana, Dikshyanta Mukelabai Simangolwa, Warren Grieve, Eleanor Pathog Glob Health Reviews Health Technology Assessment (HTA) is a multidisciplinary tool to inform healthcare decision-making. HTA has been implemented in high-income countries (HIC) for several decades but has only recently seen a growing investment in low- and middle-income countries. A scoping review was undertaken to define and compare the role of HTA in least developed and lower middle-income countries (LLMIC). MEDLINE and EMBASE databases were searched from January 2015 to August 2021. A matrix comprising categories on HTA objectives, methods, geographies, and partnerships was used for data extraction and synthesis to present our findings. The review identified 50 relevant articles. The matrix was populated and sub-divided into further categories as appropriate. We highlight topical aspects of HTA, including initiatives to overcome well-documented challenges around data and capacity development, and identify gaps in the research for consideration. Those areas we found to be under-studied or under-utilized included disinvestment, early HTA/implementation, system-level interventions, and cross-sectoral partnerships. We consider broad practical implications for decision-makers and researchers aiming to achieve greater interconnectedness between HTA and health systems and generate recommendations that LLMIC can use for HTA implementation. Whilst HIC may have led the way, LLMIC are increasingly beginning to develop HTA processes to assist in their healthcare decision-making. This review provides a forward-looking model that LLMIC can point to as a reference for their own implementation. We hope this can be seen as timely and useful contributions to optimize the impact of HTA in an era of investment and expansion and to encourage debate and implementation. Taylor & Francis 2022-08-10 /pmc/articles/PMC9970250/ /pubmed/35950264 http://dx.doi.org/10.1080/20477724.2022.2106108 Text en © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
spellingShingle Reviews
Falkowski, Anna
Ciminata, Giorgio
Manca, Francesco
Bouttell, Janet
Jaiswal, Nishant
Farhana Binti Kamaruzaman, Hanin
Hollingworth, Samantha
Al-Adwan, Mariana
Heggie, Robert
Putri, Septiara
Rana, Dikshyanta
Mukelabai Simangolwa, Warren
Grieve, Eleanor
How Least Developed to Lower-Middle Income Countries Use Health Technology Assessment: A Scoping Review
title How Least Developed to Lower-Middle Income Countries Use Health Technology Assessment: A Scoping Review
title_full How Least Developed to Lower-Middle Income Countries Use Health Technology Assessment: A Scoping Review
title_fullStr How Least Developed to Lower-Middle Income Countries Use Health Technology Assessment: A Scoping Review
title_full_unstemmed How Least Developed to Lower-Middle Income Countries Use Health Technology Assessment: A Scoping Review
title_short How Least Developed to Lower-Middle Income Countries Use Health Technology Assessment: A Scoping Review
title_sort how least developed to lower-middle income countries use health technology assessment: a scoping review
topic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9970250/
https://www.ncbi.nlm.nih.gov/pubmed/35950264
http://dx.doi.org/10.1080/20477724.2022.2106108
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