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Health Policy. 2013 Dec;113(3):305-12. doi: 10.1016/j.healthpol.2013.09.007. Epub 2013 Sep 25.

Development of archetypes for non-ranking classification and comparison of European National Health Technology Assessment systems.

Author information

1
Centre for Socioeconomic Research, School of Pharmacy and Pharmaceutical Sciences, Cardiff University, Redwood Building, King Edward VII Avenue, Cardiff CF10 3NB, UK; Centre for Innovation in Regulatory Science (formerly CMR International Institute for Regulatory Science), Hatton Garden, London EC1N 8JS, UK. Electronic address: allenna1@cardiff.ac.uk.

Abstract

INTRODUCTION:

European countries are increasingly utilising health technology assessment (HTA) to inform reimbursement decision-making. However, the current European HTA environment is very diverse, and projects are already underway to initiate a more efficient and aligned HTA practice within Europe. This study aims to identify a non-ranking method for classifying the diversity of European HTA agencies process and the organisational architecture of the national regulatory review to reimbursement systems.

METHOD/RESULTS:

Using a previously developed mapping methodology, this research created process maps to describe national processes for regulatory review to reimbursement for 33 European jurisdictions. These process maps enabled the creation of 2 HTA taxonomic sets. The confluence of the two taxonomic sets was subsequently cross-referenced to identify 10 HTA archetype groups.

DISCUSSION:

HTA is a young, rapidly evolving field and it can be argued that optimal practices for performing HTA are yet to emerge. Therefore, a non-ranking classification approach could objectively characterise and compare the diversity observed in the current European HTA environment.

KEYWORDS:

Comparative analysis; Decision-making; Health care systems; Health technology assessment; Process mapping

PMID:
24176288
DOI:
10.1016/j.healthpol.2013.09.007
[Indexed for MEDLINE]

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