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Health technology assessment in Türkiye: Current status and perspectives on future implementation

Health Policy and Technology · Mart 2023

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YÖKSİS Kayıtları
Health technology assessment in Türkiye: Current status and perspectives on future implementation
Health Policy and Technology · 2023 SSCI
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Makale Bilgileri

DergiHealth Policy and Technology
Yayın TarihiMart 2023
Cilt / Sayfa12
Erişim🔓 Açık Erişim
Özet Objective:: Türkiye's health care system reforms have led not only to increased access to health care but also to rising pharmaceutical expenditures. Therefore, health technology assessment (HTA) has become an important tool for evaluating priorities in reimbursement and budget allocation. Our study aimed to describe the current HTA environment in Türkiye and explore long-term perspectives from a broad spectrum of Turkish stakeholders on the development of HTA in the next ten years. Methods:: In 2019, we used a convenience sampling method to conduct an online survey with stakeholders from different areas in the health system. Additional face-to-face discussions were conducted to clarify answers when needed. We assessed the current evaluation process for pharmaceuticals and examined the need for HTA in Türkiye. Online survey data were extracted into Microsoft Excel for analysis. Quantitative data were summarised descriptively. Results:: A total of 27 Turkish stakeholders completed the survey; 21 were employed in the public sector, and 6, in the private sector. The majority of participants (18/27) suggested introducing HTA for all new health technologies considered for public reimbursement and instituting an additional review process for currently reimbursed technologies. Most respondents (25/27) agreed that a threshold for cost-effectiveness should be applied in the next ten years. Conclusion:: The stakeholders concurred that Türkiye must implement an HTA process soon. However, further discussion and interaction between stakeholders are essential to ensure a broad commitment to the implementation of a structured HTA process in Türkiye.

Yazarlar (8)

1
E. Kağan Atikeler
ORCID: 0000-0002-8655-4877
2
Ahmad Nader Fasseeh
ORCID: 0000-0001-9878-7734
3
Aukje K. Mantel-Teeuwisse
ORCID: 0000-0002-8782-0698
4
Zafer Çalışkan
ORCID: 0000-0001-9221-6578
5
Z. Gülşen Öner
6
Harun Kızılay
ORCID: 0000-0003-3660-0721
7
Zoltan Kalo
ORCID: 0000-0001-7762-2607
8
Wim Goettsch

Anahtar Kelimeler

Economic evaluation Evidence-based health policy Health technology assessment (HTA) HTA implementation Turkish healthcare decision-making Türkiye(Turkey)

Kurumlar

Eötvös Loránd Tudományegyetem
Budapest Hungary
Hacettepe Üniversitesi
Ankara Turkey
National Health Care Institute
Diemen Netherlands
Selçuk Üniversitesi
Selçuklu Turkey
Semmelweis Egyetem
Budapest Hungary
Social Security Institution
Ankara Turkey
Syreon Middle East
Cairo Egypt
Syreon Research Institute
Budapest Hungary
Utrechts Instituut voor Farmaceutische Wetenschappen
Utrecht Netherlands

Metrikler

2
Atıf
8
Yazar
6
Anahtar Kelime