Health Technology Assessment of the Medical Devices: A Case Study from the Czech Republic

IF 1.1 Q3 PUBLIC ADMINISTRATION NISPAcee Journal of Public Administration and Policy Pub Date : 2021-12-01 DOI:10.2478/nispa-2021-0022
Jana Rozmarinová, B. Říhová
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Abstract

Abstract Health technology assessment (HTA) has become the systematic evaluation of health technology’s properties and effects that inform decision-makers. The implementation and expansion of HTA can contribute to slowing down burgeoning healthcare costs. In the Czech Republic, elements of HTA are quite standardly used in pharmacoeconomics, but questions arise on the use of HTA of medical devices. The theoretical framework developed is followed by a case study of the Czech Republic to assess whether the use of HTA of medical devices in the Czech Republic is implemented. This study uses publicly available resources, mainly public health acts and public notices related to HTA. We examined the institutionalisation of HTA for medical devices (HTA applied only at a selected area of medical devices) in the Czech Republic and compared Czech’s HTA principles of medical devices to the HTA Core Model. It was found that the HTA process used for medical devices is very limited in the Czech Republic. Our data show that HTA was officially established, but in reality, the medical devices have not been assessed following HTA principles.
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医疗器械卫生技术评价:以捷克共和国为例
摘要卫生技术评价(HTA)已成为对卫生技术性质和效果的系统评价,为决策者提供信息。HTA的实施和扩展有助于减缓迅速增长的医疗保健成本。在捷克共和国,HTA元素在药物经济学中被相当标准地使用,但在医疗器械的HTA使用上出现了问题。在制定了理论框架之后,对捷克共和国进行了案例研究,以评估捷克共和国是否实施了医疗器械的HTA使用。本研究使用公共资源,主要是与HTA相关的公共卫生法案和公告。我们研究了捷克共和国医疗器械HTA的制度化(HTA仅在选定的医疗器械领域应用),并将捷克医疗器械HTA原则与HTA核心模型进行了比较。据发现,用于医疗器械的HTA流程在捷克共和国非常有限。我们的数据显示,HTA已经正式成立,但在现实中,医疗器械并没有按照HTA的原则进行评估。
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来源期刊
CiteScore
2.70
自引率
18.20%
发文量
10
审稿时长
6 weeks
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