Akademik Veri Yönetim Sistemi
Hacettepe Journal of Health Administration, cilt.24, sa.4, ss.885-902, 2021 (Hakemli Dergi)
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.