Skip to main content
×
×
Home

From idealistic rookies to a regional leader: The history of health technology assessment in Poland

  • Rafał Niżankowski (a1) and Norbert Wilk (a2)
Abstract

In 1989, Poland started to slowly release itself not only from the burden of a half-century of communist indoctrination and soviet exploitation, but also from the consequences of the Semashko model of healthcare organization: low doctors' salaries, primary care based on multispecialty groups, overdeveloped hospital infrastructure, and limited access to sophisticated interventions overcome by patients' unofficial payments.

A few years after the 1998 workshop on health technology assessment (HTA) in Budapest, the first HTA reports were elaborated in the National Center for Quality Assessment in Health Care, which could mark the beginning of HTA in Poland. Several individuals and organizations have been involved in developing HTA, both from noncommercial and commercial standpoints.

A goal to establish a national HTA agency appeared among the priorities of the Polish Ministry of Health in 2004 and was realized a year later. The Agency for HTA in Poland published guidelines on HTA and established a sound and transparent two-step (assessment-appraisal) process for preparing recommendations on public financing of both drugs and nondrug technologies. The recommendations of the Agency's Consultative Council were warmly welcomed by the public payer. However, the recent major restructuring of the Agency and new drug reimbursement decisions aroused doubts as to keeping transparency of the decision-making processes.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      From idealistic rookies to a regional leader: The history of health technology assessment in Poland
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      From idealistic rookies to a regional leader: The history of health technology assessment in Poland
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      From idealistic rookies to a regional leader: The history of health technology assessment in Poland
      Available formats
      ×
Copyright
References
Hide All
1.AHTAPol. Guidelines for health technology assessment. http://www.aotm.gov.pl/assets/files/wytyczne_hta/Wytyczne_HTA_w_AOTM.pdf (accessed November 24, 2008).
2.AHTAPol. Homepage. www.aotm.gov.pl.
3.Ajencja Oceny Technolojii Medycznych. Pacjenci mogą odzyskać zdrowie niezależnie od leków lub za ich pomocą. [Communication]. http://www.aotm.gov.pl/index.php?id=43 (accessed November 24, 2008).
4.Arcana Institute. Homepage. www.inar.pl.
5.Haute Autorite de Sante. Homepage. www.has-sante.fr.
6.HTA Consulting. Homepage. www.hta.pl.
7.Krajewski, R. Letter to the Minister of Health. http://www.aotm.gov.pl/assets/files/rada/rada_konsultacyjna.pdf (accessed November 24, 2008).
8.MP Online. Ostrzeżenie przed obniżeniem nakładów na refundację leków. http://www.mp.pl/kurier/index.php?aid=41472&l=918&u=16578079&_tc=686D40CBCD7F-48E59A9D7CA70C657A33 (accessed November 24, 2008).
9.NCQA. Homepage. www.cmj.org.pl.
10.Orlewska, E, Mierzejewski, P. Polish guidelines for conducting pharmacoeconomic evaluation. Farmakoekonomika. 2000;(suppl 1):120.
11.Orlewska, E. Podstawy Farmakoekonomiki [Basic pharmacoeconomics]. Warszawa: Oficyna Wydawnicza Unimed; 1999.
12.PI-EBM. Homepage. www.ebm.org.pl.
13.Wilk, N. Doświadczenia pilotażu programów przejrzystości. http://archiwum.aotm.gov.pl/pliki/pub/pl/prezentacja_Norbert_Wilk.pdf (accessed November 24, 2008).
14.Zarządzenie Ministra Zdrowia zmieniające zarządzenie w sprawie Agencji Oceny Technologii Medycznych [Decree of the Minister of Health on the Agency for Health Technology Assessment in Poland]. http://www.aotm.gov.pl/pliki/onas/zarzadzenie_10_09_2008.pdf (accessed November 24, 2008).
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

International Journal of Technology Assessment in Health Care
  • ISSN: 0266-4623
  • EISSN: 1471-6348
  • URL: /core/journals/international-journal-of-technology-assessment-in-health-care
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed