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