Achieving the goals of universal health coverage (UHC) in low- and middle-income countries requires a structured, collaborative effort that ensures health systems use resources effectively and efficiently.
Achieving the goals of universal health coverage in low- and middle-income countries requires a structured, collaborative effort that ensures health systems use resources effectively and efficiently.
Evaluation systems should be holistic and consider all impacts of medical technologies, including medicines, assessing both the benefits as well as costs; consider national health systems and circumstances and tailor the use of medical technologies to local circumstances; have transparent processes that involve all stakeholders; have as an objective to increase access to new medical technologies; inform and promote patient choice; and encourage innovation and experimentation.
According to the WHO 2015 Global Survey on Health Technology Assessment by National Authorities, high-income countries are much more likely than low-income countries to use HTA for determining reimbursement or to decide what to include in a benefits package. Middle-income countries tend to use HTA to inform clinical practice guidelines and protocols more often than high- and low-income countries . Less than 60% of countries in any income category used HTA for pricing of health products.
“Macro-level” HTA can inform payers’ decisions on what products and services to cover in benefits packages as countries progress towards UHC and expand beyond basic benefits packages toward comprehensive coverage.
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