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Mapping of Health Technology Assessment in China: Situation Analysis and International Comparison

Published online by Cambridge University Press:  28 October 2019

Yingyao Chen Open the ORCID record for Yingyao Chen [Opens in a new window] ,
Xunyouzhi Chi ,
Yao He ,
Yan Wei ,
Wija Oortwijn  and
Lizheng Shi
Yingyao Chen*
Affiliation:
Key Lab of Health Technology Assessment, National Health Commission, School of Public Health, Fudan University, Shanghai 20032, China
Xunyouzhi Chi
Affiliation:
Key Lab of Health Technology Assessment, National Health Commission, School of Public Health, Fudan University, Shanghai 20032, China
Yao He
Affiliation:
Key Lab of Health Technology Assessment, National Health Commission, School of Public Health, Fudan University, Shanghai 20032, China
Yan Wei
Affiliation:
Key Lab of Health Technology Assessment, National Health Commission, School of Public Health, Fudan University, Shanghai 20032, China
Wija Oortwijn
Affiliation:
Department for Health Evidence, Radboud University Medical Centre, PO Box 9101, 6500 HB Nijmegen, The Netherlands
Lizheng Shi
Affiliation:
Department of Global Health Management and Policy, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA
*
Author for correspondence: Yingyao Chen, E-mail: yychen@shmu.edu.cn
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Abstract

Objectives

To analyze the current development of HTA in China and to identify areas for improvement, we mapped the level of HTA development in China and compared it with the level of HTA development in ten other countries using a survey instrument.

Methods

We launched a nationwide survey targeting different stakeholders. For this purpose, we used a validated instrument that enables mapping HTA development in a country using eight domains. The views of the respondents regarding the overall level of HTA development and for each domain were compared with the results of a mapping study that included ten countries.

Results

In total, we received 222 responses, 33 from policy-makers, 158 from researchers, and 31 from industry, as well as health provider representatives including 8 from hospitals, centers for disease control and prevention. We calculated the mean score for the level of HTA development. The overall HTA development for China was scored at 76.4 (out of a maximum of 146). Although the total score for China was comparable to the mean score of 75.6 among the ten countries, China scored significantly lower than the mean score of 117.0 among the three developed countries. In addition, China scored significantly lower in the domain of institutionalization compared to the other ten countries.

Conclusions

China needs to tackle the issue of low HTA institutionalization to strengthen the foundation of HTA development. Future government initiatives that institutionalize HTA, for example, establishing a national HTA system or consortium, will improve the development of HTA in China.

Keywords

Health technology assessmentMappingInstitutionalizationHealth policyChina
Type
Policy
Information
International Journal of Technology Assessment in Health Care , Volume 35 , Issue 5 , 2019 , pp. 401 - 407
Copyright
Copyright © Cambridge University Press 2019 

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References

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