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The development of a roadmap for Health Technology Assessment implementation in Moldova.
Gavin Surgey1,2, Ghenadie Curocichin3, Maria Garabajiu3
1Health Economics and HIV and AIDS Research Division, University of KwaZulu-Natal, Durban, South Africa.
Moldova developed a roadmap for health technology assessment (HTA) to support universal health coverage (UHC). This evidence-informed plan guides HTA implementation, enhancing decision-making for essential health services.
Area of Science:
- Health Policy and Systems Research
- Health Economics
- Public Health
Background:
- Moldova aims for universal health coverage (UHC), recognizing health technology assessment (HTA) as crucial for selecting covered services.
- HTA informs decisions on technology coverage based on cost-effectiveness, budget impact, and feasibility.
Purpose of the Study:
- To develop a roadmap for implementing health technology assessment (HTA) in Moldova.
- To guide the progressive realization of universal health coverage (UHC) through evidence-informed policy.
Main Methods:
- Conducted needs assessment and reviewed European HTA best practices (2020-2022).
- Utilized desk research, interviews, surveys, document analysis of HTA systems, and expert consultations.
- Employed evidence-informed deliberative processes (EDPs) as the guiding framework for roadmap development.
Main Results:
- Developed a roadmap detailing an HTA process and EDP framework execution.
- Provided guidance on stakeholder involvement, decision criteria, transparency, legal frameworks, communication, and capacity building.
- Recommended positioning for the HTA agency, evolving towards independence.
Conclusions:
- A roadmap for HTA implementation was successfully developed and approved by Moldova's Ministry of Health.
- This initiative supports and motivates the institutionalization of HTA in Moldova, despite challenges like the COVID-19 pandemic.
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