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Development of a Performance Measurement Framework for European Health Technology Assessment: Stakeholder-Centric Key
Elaine Julian1, Nicolas S H Xander2,3, Konstantina Boumaki4
1Secretariat of the European Access Academy (EAA), 4059 Basel, Switzerland.
Journal of Market Access & Health Policy
|January 23, 2026
Summary
A new framework of key performance indicators (KPIs) was developed to support the European Health Technology Assessment Regulation (EU HTAR) and improve the EU HTA system. This stakeholder-centric approach ensures comprehensive performance measurement for better health technology assessment.
Area of Science:
- Health Policy and Management
- Health Technology Assessment
- Regulatory Science
Background:
- The European Health Technology Assessment Regulation (EU HTAR) necessitates robust performance measurement systems.
- Optimizing the evolving EU HTA system requires a comprehensive approach to performance evaluation.
Purpose of the Study:
- To develop an inclusive, multi-stakeholder framework of key performance indicators (KPIs) for measuring the success of the EU HTAR.
- To support the effective implementation and performance optimization of the EU HTA system.
Main Methods:
- A modified Delphi procedure involving stakeholder input from the European Access Academy (EAA) conventions.
- Development and consolidation of prioritized KPIs from patient, clinician, Health Technology Developer (HTD), and Member State (MS) perspectives.
Main Results:
- Identification of 14 generic KPI domains, leading to prioritized KPIs across four stakeholder groups.
- Specific KPIs include patient input, PICO, equity, time to access, clinician involvement, joint scientific consultation (JSC), joint clinical assessment (JCA), and system learning.
- Some KPIs extend beyond EU HTA remit, acknowledging Member State-specific factors.
Conclusions:
- The developed KPI framework supports systematic, multi-stakeholder evidence generation for EU HTAR implementation.
- Identified KPIs align with World Health Organization's Health System Goals for performance measurement.
- KPI measurement will inform the 2028 revision of the EU HTAR.
Keywords:
EUHTAEuropean access academyPICOhealth policyhealth technology assessmentkey performance indicatorsMore Related Videos
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