Priority areas for the development of the health technology assessment system in Ukraine: survey results

M. Babenko
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Abstract

The purpose of the study is to analyze the expert opinion on the priority areas of development of the HTA in Ukraine, taking into account the existing condition, problems and possible prospects for effective development. Materials and methods. The expert survey (online questionnaire) included the preparation of a special questionnaire, targeted selection of experts based on their competence in the field of HTA. Three groups of respondents took part in the survey, including 13 HTA developers, 32 users, and 31 informed persons to ensure the representativeness of the survey results. The following methods were used to process and interpret the results: scientific generalization, mathematical and statistical, analytical, and graphical. Results of the study. Based on the results of the expert survey, the role and place of the HTA in the health care system was determined. Experts see the main purpose of the HTA as preparing the necessary information of the relevant level of evidence for decision-making on the selection of optimal MTs (in particular, for budget procurement, inclusion in regulatory lists for price regulation and reimbursement). The respondents' opinions on the participation of different socio-professional groups in the implementation of the HTA and the use of its results were studied. Thus, according to the results of the survey, HTA experts and scientists can carry out the assessment, and in some cases (mini-HTA, hospital HTA for the formation of local formularies and protocols) – specialists of medical institutions. According to the respondents, it is advisable to expand the use of HTA results for decision-making at the national, regional and local levels. According to the survey, the priority areas for the development of HTA are the creation of a professional environment, adequate logistical and informational support, improvement of legislation, creation of an optimal institutional structure, harmonization of HTA methodology and development of international cooperation. Conclusions. The expert survey allowed us to determine the most likely scenario for the further development of HTA in Ukraine. According to the majority of respondents, the main efforts are currently focused on capacity building, formation of a professional environment, active use of evidence, and infrastructure development.    
乌克兰卫生技术评估系统发展的优先领域:调查结果
研究的目的是分析专家对乌克兰 HTA 优先发展领域的意见,同时考虑到现有条件、问题和有效发展的可能前景。专家调查(在线问卷)包括编制专门问卷,根据专家在 HTA 领域的能力有针对性地选择专家。三组受访者参与了调查,包括 13 名 HTA 开发人员、32 名用户和 31 名知情人士,以确保调查结果的代表性。对调查结果的处理和解释采用了以下方法:科学概括法、数理统计法、分析法和图表法。根据专家调查结果,确定了 HTA 在医疗系统中的作用和地位。专家们认为 HTA 的主要目的是为选择最佳 MT(特别是用于预算采购、纳入价格监管和报销的监管清单)的决策准备相关证据水平的必要信息。研究了受访者对不同社会专业团体参与实施 HTA 及其结果使用的意见。因此,根据调查结果,HTA 专家和科学家可以进行评估,而在某些情况下(小型 HTA、为制定地方处方集和方案而进行的医院 HTA),则由医疗机构的专家进行评估。根据调查,发展 HTA 的优先领域是创造专业环境、提供充足的后勤和信息支持、完善立法、建立最佳体制结构、统一 HTA 方法和发展国际合作。通过专家调查,我们确定了乌克兰进一步发展 HTA 的最可能方案。大多数受访者认为,目前的主要工作集中在能力建设、专业环境的形成、证据的积极利用以及基础设施的发展上。
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