Work

Towards the development and implementation of hospital-based health technology assessment (HB-HTA) in Poland: Achievements of an exploratory HB-HTA project from 2019–2022

Year: 2024

Type: article

Abstract: • Many European countries have adopted hospital-based health technology assessment (HB-HTA). • Polish HB-HTA model involves regional, national institutions and clinical hospitals. • The model changed with a new role for the Ministry of Health. • Barriers to HB-HTA implementation include staff shortages and lack of commitment. • Poland's experience in implementing HBHTA can provide valuable lessons for other countries. A comprehensive project exploring the implementation of hospital-based health technology assessment (HB-HTA) was conducted in Poland from 2019 to 2022. This initiative aimed to identify entities that could initiate and manage HB-HTA in the Polish context, including hospitals, the Province Office where was the creation of a new organizational unit the Regional Investment Evaluation Center – was recommended, the national HTA agency, the National Health Fund (the public payer), and the Ministry of Health. Despite the well-structured delineation of roles and stakeholders in the proposed HB-HTA model, its operationalization within the aforementioned institutions has not been realized. Challenges to the implementation of the model include a lack of suitably qualified personnel and a lack of commitment from key stakeholders. However, the late involvement of the national HTA agency and the Ministry of Health, as well as ongoing training and research initiatives in HB-HTA, indicate a growing interest in exploring its benefits. Finally, a central government body (Ministry of Health) will be responsible for coordinating HB-HTA in Poland. This could improve the overall HTA capacity and increase the likelihood of future implementation of HB-HTA in Poland.

Source: Health Policy

DOI: 10.1016/j.healthpol.2024.105145

Authors: Małgorzata Gałązka-Sobotka, Maciej Furman, Anna Sagan, Iwona Kowalska-Bobko

Institutions: Uczelnia Łazarskiego, Jagiellonian University, London School of Hygiene & Tropical Medicine, London School of Economics and Political Science

Language: English

Topic: Health Systems, Economic Evaluations, Quality of Life

Subfield: Economics and Econometrics

Field: Economics, Econometrics and Finance

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,720