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Evaluating health technology assessment (HTA) systems is crucial for ensuring they provide value for money. This study proposes considerations for measuring HTA processes to maximize health system improvements and social value.

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Area of Science:

  • Health Policy
  • Health Economics
  • Health Services Research

Background:

  • Health technology assessment (HTA) is integral to global healthcare decision-making.
  • Evidence on the system-level value for money of HTA processes remains limited.
  • Assessing whether HTA investments yield benefits exceeding costs is essential for governments and health ministries.

Purpose of the Study:

  • To outline approaches for evaluating HTA systems.
  • To propose considerations for measuring and valuing HTA processes at the system level.
  • To address the gap in understanding the economic value of HTA.

Main Methods:

  • Review of recent evaluations of HTA systems.
  • Development of a framework for measuring and valuing HTA processes.
  • Analysis of system-level impacts including efficiency, health equity, and innovation.

Main Results:

  • Identified system-level impacts of HTA: productive efficiency, population health, health equity, innovation, and care pathways.
  • Described methodological challenges and potential approaches for evaluating HTA.
  • Highlighted the potential for poorly designed HTA to yield suboptimal social value.

Conclusions:

  • System-level evaluation of HTA processes is necessary to ensure value for money.
  • Considerations for measuring HTA impact can guide better process design.
  • Effective HTA evaluation can optimize social value and health system improvements.