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CHANGING HEALTH TECHNOLOGY ASSESSMENT PARADIGMS?

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Health technology assessment (HTA) must evolve to support healthcare systems facing budget constraints. Key changes include earlier multi-stakeholder engagement and revised value assessments for innovations.

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Area of Science:

  • Health Technology Assessment (HTA)
  • Healthcare Innovation
  • Health Economics

Background:

  • Health systems face evolving environments and fiscal constraints.
  • Traditional Health Technology Assessment (HTA) paradigms require innovation.
  • Supporting access to valuable health innovations is crucial.

Purpose of the Study:

  • To identify and explore issues associated with changing HTA paradigms.
  • To foster dialogue among industry and HTA leaders on HTA innovation.
  • To inform the future direction of HTA in resource-constrained environments.

Main Methods:

  • Scoping review of issues in HTA paradigm shifts.
  • Deliberative meeting with industry and HTA leaders.
  • Thematic analysis of discussions on HTA evolution.

Main Results:

  • Identified five areas for change: engagement, scientific dialogue, research prioritization, adaptive approaches, and real-world data.
  • Focused on re-thinking scientific dialogue, multi-stakeholder engagement, value, affordability, and access.
  • Highlighted the importance and resource intensity of early, ongoing patient and stakeholder engagement.
  • Debated the role of HTA in assessing affordability and proposed enhanced horizon scanning.

Conclusions:

  • HTA requires early, ongoing multi-stakeholder engagement and revised approaches to valuing innovation.
  • The optimal role for HTA bodies in assessing affordability remains under discussion.
  • HTA paradigms are shifting from responsiveness to proactivity, encompassing whole-system value.