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KMID : 1040120160020010037
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Evidence and Values in Healthcare
2016 Volume.2 No. 1 p.37 ~ p.45
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Health technology assessment in United Kingdom, Sweden, Australia, and Canada
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양장미:Yang Jang-Mi
김수경:Kim Su-Kyeong/신상진:Shin Sang-Jin/김준호:Kim Jun-Ho
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Abstract
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Objectives: This study aimed to investigate traits of the health technology assessment (HTA) systems of United Kingdom
(UK), Sweden, Australia, and Canada.
Methods: In order to achieve the study objectives, we searched HTA agencies and relevant government organizations’
websites for HTA documents or articles and had experts opinion.
Results: In the UK, National Institute for Health and Care Excellence has published ‘guidances’ which assessed clinical
effectiveness and cost-effectiveness of health technologies and has made an effort for guidances dissemination to improve
cost-effectiveness of National Health Service. In Sweden, Tandvards-och Lakemedelsformansverket (TLV) and Statens
Beredning for Medicinsk Utvardering are main governmental HTA organizations. TLV makes decision on the price and
reimbursement of outpatient drugs, medical disposals and dental care with HTA results based on the value-based model.
In Australia, the committees, Pharmaceutical Benefits Advisory Committee and Medical Services Advisory Committee
(MSAC) make decisions on reimbursement based on the clinical effectiveness and cost effectiveness. In Canada, the Canadian Agency for Drugs and Technologies in Health, the federal HTA agency, conducts HTA on medicines and medical devices. For medicines, CADTH publishes ‘recommendations’ for local governments’ reimbursement lists. In Canada, several provincial governments have their own HTA agencies.
Conclusion: UK, Sweden, Australia and Canada have their own national or federal HTA agencies in order to assess costeffectiveness of health technologies and then they publish and disseminate HTA results. Stakeholders and public can participate in the process of HTA and access HTA results easily through the internet.
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KEYWORD
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Health technology assessment, Technology Assessment, Biomedical
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