Health technology assessment in Poland, the Czech Republic, Hungary, Romania and Bulgaria

L. Gulácsi, Alexandru M. Rotar, Maciej Niewada, Olga Löblová, Fanni Rencz, Guenka Petrova, I. Boncz, Niek S. Klazinga

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

This paper describes and discusses the development and use of health technology assessment (HTA) in five Central and Eastern European countries (CEE): Poland, the Czech Republic, Hungary, Romania and Bulgaria. It provides a general snapshot of HTA policies in the selected CEE countries to date by focusing on country case-studies based on document analysis and expert opinion. It offers an overview of similarities and differences between the individual CEE countries and discusses in detail the role of HTA by assessing its formalization and institutionalization, standardization of methodology, the use of HTA in practice and the degree of professionalization of HTA in the region. It finds that HTA has been to some extent implemented in all five countries studied, with methodologies in accordance with international standards, but that challenges remain when it comes to the role of HTA in health care decision-making as well as to human resource capacities of the countries. This paper suggests that coming years will show whether CEE countries develop adequate national analytical capacity to assess and appraise technologies in the context of local need and affordability, instead of using HTA as a mere administrative procedure to fulfill (inter)national requirements. Finally, suggestions are provided to strengthen HTA in CEE countries through cooperation, mutual learning, a common accreditation of HTA bodies and increased network building among CEE HTA experts.

Original languageEnglish
JournalEuropean Journal of Health Economics
Volume15
Issue numberSUPPL. 1
DOIs
Publication statusPublished - 2014

Fingerprint

Bulgaria
Romania
Biomedical Technology Assessment
Hungary
Czech Republic
Poland
Health technology assessment
Institutionalization
Accreditation
Expert Testimony
Individuality
Central and Eastern European countries
Decision Making
Learning

Keywords

  • Bulgaria
  • Czech Republic
  • Health technology assessment
  • Hungary
  • Poland
  • Romania

ASJC Scopus subject areas

  • Health Policy
  • Economics, Econometrics and Finance (miscellaneous)
  • Medicine(all)

Cite this

Health technology assessment in Poland, the Czech Republic, Hungary, Romania and Bulgaria. / Gulácsi, L.; Rotar, Alexandru M.; Niewada, Maciej; Löblová, Olga; Rencz, Fanni; Petrova, Guenka; Boncz, I.; Klazinga, Niek S.

In: European Journal of Health Economics, Vol. 15, No. SUPPL. 1, 2014.

Research output: Contribution to journalArticle

Gulácsi, L. ; Rotar, Alexandru M. ; Niewada, Maciej ; Löblová, Olga ; Rencz, Fanni ; Petrova, Guenka ; Boncz, I. ; Klazinga, Niek S. / Health technology assessment in Poland, the Czech Republic, Hungary, Romania and Bulgaria. In: European Journal of Health Economics. 2014 ; Vol. 15, No. SUPPL. 1.
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