Systems to support health technology assessment (HTA) in member states of the European union with limited institutionalization of HTA.
OBJECTIVE
The aim of this study was to support health technology assessment (HTA) capacity building in Member States of the European Union with limited experience or without institutionalized HTA. The main output is a Handbook on HTA Capacity Building.


METHODS
The methods used were worldwide surveys of (i) HTA organizations, (ii) information management units, and (iii) HTA educational programs. The results of two surveys (i & ii) were combined with expert opinion to produce the Handbook on HTA Capacity Building.


RESULTS
Survey of HTA organizations (n = 41, response rate 35 percent). Most of the organizations were established by the government (61 percent), and all were not-for-profit. Working on HTA (80.5 percent) and doing research (63.4 percent) were the main lines of activity. Survey on information management units (n = 23, response rate 23 percent). Most (74.2 percent) of the responding HTA agencies reported having personnel dedicated to HTA information services. Survey on HTA educational programs (n = 48, response rate 60 percent). In total, nine Master of Science (MSc) programs were identified (three MSc in HTA and six MSc in HTA-related areas). Handbook on HTA Capacity Building. A group of twenty experts from thirteen countries developed the handbook. It consists of nine chapters focusing on HTA institutional development (structural setup, work processes, and visibility).


CONCLUSIONS
Setting up organizational structures and establishing effective HTA programs that guide key policy decisions is a challenging task. There are no standard models or pathways. "One size fits all" is not a useful principle because of the wide systemic and cultural differences between countries. The Handbook on HTA Capacity Building includes approaches for overall institutional development, especially in formulating objectives, setting up structures, and defining work processes.
Moharra
Montse
M
Catalan Agency for Health Technology Assessment and Research, Barcelona, Spain. mmoharra@aatrm.catsalut.net
Espallargues
Mireia
M
Kubesch
Nadine
N
Estrada
Maria-Dolors
MD
Parada
Antoni
A
Vondeling
Hindrik
H
Lo Scalzo
Alessandra
A
Cristofides
Stelios
S
Turk
Eva
E
Raab
Martin
M
D057191:Capacity Building; D003430:Cross-Sectional Studies; D005062:European Union; D008370:Manuals as Topic; D013673:Technology Assessment, Biomedical / Q000458:organization & administration*