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" Assessing the feasibility of conducting and using health technology assessment in Colombia : "
Castro, H. E.
Miners, A.
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Latin Dissertation
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| Record Number
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1100618
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TLets639457
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| Main Entry
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Castro, H. E.
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| Title & Author
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Assessing the feasibility of conducting and using health technology assessment in Colombia :\ Castro, H. E.Miners, A.
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| College
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London School of Hygiene and Tropical Medicine (University of London)
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| Date
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2014
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2014
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D.P.H.
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| Abstract
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Health Technology Assessment (HTA) examines the consequences of the application of health technologies. HTA is aimed at better informing decision-makers. In November 2012 Colombia established its own HTA agency (IETS). Up until the establishment of IETS, HTA had had a limited role in providing information to set priorities. Severe haemophilia A (SHA), an infrequent disorder of blood coagulation, serves as a good example of how the adoption of new technologies can change the course of a disease while challenging the financial sustainability of health systems. The aim of this study was to assess the feasibility of conducting and using HTA to inform decision-making in Colombia. To fulfil these aims a mixed methods approach was used. Because decision-making is a task embedded in a complex and highly customised context, the case study method was considered as appropriate. Through a qualitative approach using semi- structured interviews ten “drivers” emerged with the ability to help or hinder HTA: availability and quality of data, implementation strategy, cultural aspects, local capacity, financial support, policy/political support, globalisation, stakeholder pressure, health system context and usefulness perception. A CUA from the Colombian health system perspective was developed to assess the cost-effectiveness of primary prophylaxis (PP) versus on-demand (OD) provision of FVIII for SHA. The ICER of PP with FVIII compared to OD was COL
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Miners, A.
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London School of Hygiene and Tropical Medicine (University of London)
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