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PERSPECTIVE: SOME CONCLUSIONS FROM MY LIFE IN HEALTH TECHNOLOGY ASSESSMENT.

H David Banta1

  • 1hd.banta@orange.fr.

International Journal of Technology Assessment in Health Care
|April 4, 2018
PubMed
Summary

Health Technology Assessment (HTA) has evolved globally since 1975, focusing on intervention efficacy. Concerns include narrow cost-effectiveness and industry influence, necessitating broader, independent evaluation for better healthcare.

Keywords:
HTAHistory of HTA

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Area of Science:

  • Health Services Research
  • Health Policy
  • Technology Assessment

Background:

  • The author has over 40 years of experience in Health Technology Assessment (HTA), starting at the US Congress Office of Technology Assessment.
  • HTA has expanded globally from its origins, influencing healthcare systems worldwide.
  • The author's experience spans numerous countries, including the Netherlands, Brazil, China, and Malaysia.

Purpose of the Study:

  • To provide a perspective on the evolution and current state of Health Technology Assessment (HTA).
  • To highlight growing concerns regarding the practice and environment of HTA.
  • To advocate for a more comprehensive and independent approach to HTA.

Main Methods:

  • The article is a perspective piece, drawing on extensive personal experience and observations in HTA.
  • It reflects on the development of HTA from its inception to its current global status.
  • The author outlines specific areas of concern based on decades of involvement.

Main Results:

  • Health Technology Assessment (HTA) has grown significantly, becoming a global force in improving healthcare.
  • A key concern is the overemphasis on cost-effectiveness analysis, often neglecting crucial cultural, societal, ethical, organizational, and legal factors.
  • The independence of HTA from healthcare industry influence is a significant and growing concern.

Conclusions:

  • HTA has the potential to drive better healthcare globally.
  • There is a critical need to broaden the scope of HTA beyond narrow economic considerations.
  • Protecting the independence of HTA is paramount to ensuring unbiased and effective healthcare decision-making.