wow-inequalities/02-data/intermediate/wos_sample/0fa2371c5452f58018eac37a6a2f3bab-tantivess-sripen-an/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Capacity is limited in the developing world to conduct
cost-effectiveness analysis (CEA) of health interventions. In Thailand,
there have been concerted efforts to promote evidence-based policy
making, including the introduction of economic, appraisals within health
technology assessment (HTA). This paper reviews the experience of this
lower middle-income country, with an emphasis on the creation of the
Health Intervention and Technology Assessment Program (HITAP), including
its mission, management structures and activities.
Over the past 3 decades, several HTA programmes were implemented in
Thailand but not sustained or developed further into a national
institute. As a response to increasing demands for HTA evidence
including CEA information, the HITAP was created in 2007 as an affiliate
unit of a semi-autonomous research arm of the Ministry Of Public Health.
An advantage of this HTA programme over previous initiatives was that it
was hosted by a research institute with long-term experience in
conducting health systems and policy research and capacity building of
its research staff, and excellent research and policy networks. To deal
with existing impediments to conducting health economics research, the
main strategies of the HITAP were carefully devised to include not only
capacity strengthening of its researchers and administrative staff, but
also the development of essential elements for the country''s health
economic evaluation methodology. These included, for example,
methodological guidelines, standard protocols and benchmarks for
resource allocation, many of which have been adopted by national
policy-making bodies including the three major public health insurance
plans. Networks and collaborations with domestic and foreign institutes
have been sought as a means of resource mobilization and exchange.
Although the HITAP is well financed by a number of government agencies
and international organizations, the programme is vulnerable to
shortages of qualified research staff, as most staff work on a part-time
or temporary basis.
To enhance the utilization of its research findings by policy makers,
practitioners and consumers, the HITAP has adopted the principles of
technical excellence, policy relevance, transparency, effective
communication and participation of key stakeholders. These principles
have been translated into good practice at every step of HTA management.
In 2007 and 2008, the HITAP carried out assessments of a wide range of
health products, medical procedures and public health initiatives.
Although CEA and other economic evaluation approaches were employed in
these studies, the tools and underlying efficiency goal were considered
inadequate to provide complete information for prioritization. As
suggested by official stakeholders, some of the projects investigated
broader issues of management, feasibility, performance and
socio-political implications of interventions. As yet, it is unclear
what role HITAP research and associated recommendations have played in
policy decisions.
It is hoped that the lessons drawn on the creation of the HITAP and its
experience during the first 2 years, as well as information on its main
strategies and management structures, may be helpful for other
resource-constrained countries when considering how best to strengthen
their capacity to conduct economic appraisals of health technologies and
interventions.'
affiliation: 'Tantivess, S (Corresponding Author), Minist Publ Hlth, Dept Hlth, Hlth
Intervent \& Technol Assessment Program, 6th Floor,Bldg 6, Nonthaburi 11000, Thailand.
Tantivess, Sripen, Minist Publ Hlth, Dept Hlth, Hlth Intervent \& Technol Assessment
Program, Nonthaburi 11000, Thailand.
Mills, Anne, London Sch Hyg \& Trop Med, London WC1, England.'
author: Tantivess, Sripen and Teerawattananon, Yot and Mills, Anne
author-email: sripen@ihpp.thaigov.net
author_list:
- family: Tantivess
given: Sripen
- family: Teerawattananon
given: Yot
- family: Mills
given: Anne
da: '2023-09-28'
doi: 10.2165/11314710-000000000-00000
files: []
issn: 1170-7690
journal: PHARMACOECONOMICS
keywords-plus: ECONOMIC-EVALUATION; POLICY; SYSTEMS
language: English
number: '11'
number-of-cited-references: '35'
orcid-numbers: 'Teerawattananon, Yot/0000-0003-2217-2930
Mills, Anne/0000-0001-9863-9950'
pages: 931-945
papis_id: 5a1045ceaebf78bb24ef2ee15012a3cd
ref: Tantivess2009strengtheningcosteff
tags:
- relevant
- review
times-cited: '36'
title: Strengthening Cost-Effectiveness Analysis in Thailand through the Establishment
of the Health Intervention and Technology Assessment Program
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000273272300005
usage-count-last-180-days: '0'
usage-count-since-2013: '14'
volume: '27'
web-of-science-categories: 'Economics; Health Care Sciences \& Services; Health Policy
\& Services;
Pharmacology \& Pharmacy'
year: '2009'