title: IMPLEMENTATION OF HEALTH TECHNOLOGY ASSESSMENT WORK IN A HOSPITAL IN KAZAKHSTAN.
abstract: OBJECTIVE
  The aim of this study was to implement health technology assessment (HA) in the First General City Hospital in Astana, Kazakhstan.
  
  
  METHODS
  We organized trainings to familiarize hospital staff with the purpose and details of HTA. An HTA committee was established, with representation from hospital physicians and managers, and criteria for prioritization of health technologies determined. Clinical departments of the hospital were asked to prepare applications for new technologies for their services.
  
  
  RESULTS
  The HTA committee reviewed five applications and selected a technology from one of these, on single incision laparoscopic surgery (SILS), for assessment. A short HTA report on SILS was prepared, covering its safety, clinical effectiveness, and cost effectiveness. The report was used to support a request to the Department of Health for additional funding to implement this technology within the hospital. This funding was approved and SILS was established in several hospital departments.
  
  
  CONCLUSIONS
  This successful initial experience with HTA has paved the way for its routine use by the hospital for informing decisions on the procurement and use of new health technologies.
authors.affiliation: Kazakh National Medical University named after S. Asfendiyarovlyazzat.k@mail.ru.
authors.forename: Lyazzat
authors.initials: L
authors.lastname: Kosherbayeva
authors.affiliation: University of Wollongong.
authors.forename: David
authors.initials: D
authors.lastname: Hailey
authors.affiliation: Kazakh National Medical University named after S. Asfendiyarov.
authors.forename: Kural
authors.initials: K
authors.lastname: Kurakbaev
authors.affiliation: First City Hospital.
authors.forename: Aleksey
authors.initials: A
authors.lastname: Tsoy
authors.affiliation: National Medical Education Center.
authors.forename: Ormanbek
authors.initials: O
authors.lastname: Zhuzzhanov
authors.affiliation: First City Hospital.
authors.forename: Abilay
authors.initials: A
authors.lastname: Donbay
authors.affiliation: Kazakh National Medical University named after S. Asfendiyarov.
authors.forename: Ainur
authors.initials: A
authors.lastname: Kumar
authors.affiliation: High School of Public Health.
authors.forename: Kamalzhan
authors.initials: K
authors.lastname: Nadyrov
mesh_terms: D026683:Advisory Committees / Q000458:organization & administration; D003362:Cost-Benefit Analysis; D006739:Hospital Administration; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration; D007623:Kazakhstan; D010535:Laparoscopy / Q000191:economics / Q000379:methods; D013673:Technology Assessment, Biomedical / Q000458:organization & administration*
keywords: Health policy; Hospital-based health technology assessment; Kazakhstan