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A roadmap toward implementing health technology assessment in Egypt.
Ahmad Nader Fasseeh1,2, Baher Elezbawy1, Mary Gamal3
1Syreon Middle East, Alexandria, Egypt.
Frontiers in Public Health
|December 30, 2022
Summary
Egypt
Area of Science:
- Health Policy and Economics
- Health Technology Assessment
- Healthcare Management
Background:
- Egypt's health technology assessment (HTA) implementation is in its nascent stages.
- The national healthcare system's status is a key consideration for HTA roadmap development.
Purpose of the Study:
- To propose an implementation roadmap for health technology assessment (HTA) in Egypt.
- To align HTA strategy with the current Egyptian healthcare system.
Main Methods:
- A survey assessed current and preferred HTA implementation status among Egyptian healthcare decision-makers.
- Expert interviews interpreted survey findings and recommended specific actions for HTA implementation.
Main Results:
- Recommendations include enhanced capacity-building in HTA and health economics.
- Proposed HTA unit structures range from separate authorities to a centralized unit.
- Suggested scope expansion from pharmaceuticals to all health technologies, utilizing tools like MCDA and managed entry agreements.
Conclusions:
- Successful HTA implementation requires coordinated bodies, explicit MCDA frameworks, and strengthened local evidence generation.
- Investment in technical capacity-building is crucial.
- Multiple, soft cost-effectiveness thresholds and published guidelines are recommended.
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