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Health technology assessment development in China.
Yingyao Chen1, David Banta, Zhiliu Tang
1Key Lab of Health Technology Assessment, The WHO Collaborating Center for Health Technology Assessment and Management, Fudan University, 138, Yi Xue Yuan Road, Shanghai, 200032, China. yychen@shmu.edu.cn
Summary
Health technology assessment (HTA) in China has evolved significantly since the 1990s, driven by economic development and policy integration. HTA is crucial for China
Area of Science:
- Health policy research
- Health economics
- Technology assessment
Background:
- China's health system has achieved significant progress over the past three decades.
- Weaknesses have emerged alongside rapid economic development.
- Health technology assessment (HTA) emerged in China in the early 1990s.
Observation:
- Effective HTA development in China involved knowledge transfer and establishing dedicated HTA units.
- By the late 1990s, the Ministry of Health (MoH) aimed to integrate HTA into policy-making for improved healthcare quality and efficiency.
- Key government bodies involved in health technology include the State Food and Drug Administration, Ministry of Labor and Social Security, and MoH, with varied HTA roles.
Findings:
- A licensure mechanism based on HTA, covering technology use, institutions, and workforce, is being implemented by the MoH.
- HTA influences market entry, insurance coverage, formularies, clinical pathways, and reimbursement decisions.
Implications:
- HTA presents a significant opportunity to enhance China's health reforms.
- HTA can support health policy-makers in making critical decisions regarding healthcare technologies and resource allocation.
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