Need for balanced perspective in health technology assessment for low- and middle-income countries

Çinaroğlu S.

Hacettepe Journal of Health Administration, vol.24, no.4, pp.885-902, 2021 (Peer-Reviewed Journal)

  • Publication Type: Article / Review
  • Volume: 24 Issue: 4
  • Publication Date: 2021
  • Journal Name: Hacettepe Journal of Health Administration
  • Journal Indexes: TR DİZİN (ULAKBİM)
  • Page Numbers: pp.885-902
  • Hacettepe University Affiliated: Yes


Health technology assessment (HTA) is an important technique used for improvement of health care systems. For improving health care systems, international organizations, such as the European HTA agency, emphasizes the need for developing roadmaps for HTA, particularly for low- and middle-income countries (LMICs). HTA is a multidisciplinary research tool for health care policy analysts. Health care technologies face similar challenges worldwide. It is important to properly assess health technologies for improving health systems in LMICs. To conduct these assessments in a more coordinated manner, there is a need for a balanced perspective for these countries. To fill this void this study aimed to describe the need for roadmaps and balanced systems for assessing health care technologies in LMICs. With this regard, this study examines and synthesis the literature surrounding genel picture of health economics in LMICs, HTA as a fourth hurdle in LMICs, need for roadmap and balanced systems for HTA in LMICs and adaptation of balanced scorecard to HTA studies in LMICs. In the study, HTA policies in LMICs were examined in depth and the need for a balanced perspective was emphasized. As a result of this review, it was demonstrated that it is difficult to implement the same HTA approaches in all LMICs because of differences in health care systems and policies and differences in both human and financial resources between these countries. We highlighted the importance of using guidelines and recommend using balanced systems in HTAs for health policy makers to improve HTAs in LMICs.