Skip to main content Accesibility Help
×
×
Home

OVERCOMING THE BARRIERS TO ACHIEVING UNIVERSAL HEALTH CARE IN THE ASIAN REGION

  • Linda Mundy (a1), Rebecca Trowman (a2) and Brendon Kearney (a3)
Abstract
Objectives:

The Health Technology Assessment International (HTAi) Asia Policy Forum (HAPF) met to discuss the challenges of achieving universal health care (UHC) in Asia.

Methods:

Group discussions and presentations at the 2017 HAPF, informed by a background paper, including a literature review and the results of pre-meeting surveys of health technology assessment (HTA) agencies and industry, formed the basis of this article.

Results:

Affordability was identified as the greatest barrier to establishing UHC; however, other impediments include the lack of political will to implement UHC, and the cultural issue of deference to expert opinion instead of evidence-based assessments. Although HTA was identified as an important prioritization tool when adding new technologies to benefit packages, it is used inconsistently in the region, resulting in a less transparent decision-making process for stakeholders. Although regional challenges exist around real-world data (RWD), including a lack of capacity to enable information and data sharing, most policy or funding decision makers in the region have access to data. However, there appears to be a disconnect with the experience of industry, whose representatives identify the lack of RWD as their primary issue. To overcome these issues, both HTA agencies and industry agree that collaboration and transparency should be fostered to support the development of robust evidence generation in the region.

Conclusions:

There is a willingness for HTA agencies and industry to collaborate to develop HTA methodology for the prioritization of technologies in the Asia region that support healthcare systems to achieve the ultimate outcome of UHC.

Copyright
Footnotes
Hide All

The authors thank the members of the HTAi Asia Policy Forum and, in particular, the members of the Policy Forum Organizing Committee and invited speakers who attended the 2017 meeting. This article is based on discussions at the HTAi 2017 Asia Policy Forum held November 2 to 3 in Beijing, China.

Footnotes
References
Hide All
1.OECD, WHO (2016). Health at a Glance: Asia/Pacific 2016: Measuring Progress towards Universal Health Coverage. Organisation for Economic Co-operation and Development, Paris. http://www.oecd-ilibrary.org/social-issues-migration-health/health-at-a-glance-asia-pacific_23054964 (accessed June 7, 2018).
2.Chootipongchaivat, S, Tritasavit, N, Luz, A, et al. (2015). Conducive factors to the development of health technology assessment in Asia: Impacts and policy options. World Health Organization, Geneva, Switzerland. http://www.idsihealth.org/wp-content/uploads/2016/02/CONDUCIVE-FACTORS-TO-THE-DEVELOPMENT_resize.pdf (accessed June 7, 2018).
3.Hashim, J, Chongsuvivatwong, V, Hong, Phua K, et al. Health and Healthcare Systems in Southeast Asia. https://unu.edu/publications/articles/health-and-healthcare-systems-in-southeast-asia.html (accessed September 18, 2017).
4.WHO. Health financing for universal coverage. http://www.who.int/health_financing/universal_coverage_definition/en/ (accessed September 1, 2017).
5.Ottersen, T, Norheim, OF. Making fair choices on the path to universal health coverage. Bull World Health Organ. 2014;92:389.
6.Savedoff, WD, de Ferranti, D, Smith, AL, et al. Political and economic aspects of the transition to universal health coverage. Lancet. 2012;380:924-932.
7.Voorhoeve, A, Edejer, TTT, Kapiriri, L, et al. Three case studies in making fair choices on the path to universal health coverage. Health Hum Rights. 2016;18:11-22.
8.Chatham House. Chatham House Rule. https://www.chathamhouse.org/about/chatham-house-rule (accessed November 24, 2017).
9.Yu, H. Universal health insurance coverage for 1.3 billion people: What accounts for China's success? Health Policy. 2015;119:1145-1152.
10.Latko, B, Temporao, JG, Frenk, J, et al. The growing movement for universal health coverage. Lancet. 2011;377:2161-2163.
11.Abiiro, GA, De Allegri, M. Universal health coverage from multiple perspectives: A synthesis of conceptual literature and global debates. BMC Int Health Hum Rights. 2015;15:17.
12.Sen, A. Universal health care: The affordable dream. Harvard Public Health Review [serial on the Internet]. 2015. (Global Health). http://harvardpublichealthreview.org/wp-content/uploads/2015/04/HPHRv4-Sen-Lamont-UCH-Affordable-Dream.pdf (accessed June 7, 2018).
13.Bredenkamp, C, Evans, T, Lagrada, L, et al. Emerging challenges in implementing universal health coverage in Asia. Soc Sci Med. 2015;145:243-248.
14.Mues, KE, Liede, A, Liu, J, et al. Use of the Medicare database in epidemiologic and health services research: A valuable source of real-world evidence on the older and disabled populations in the US. Clin Epidemiol. 2017;9:267-277.
15.Jarow, JP, LaVange, L, Woodcock, J. Multidimensional evidence generation and FDA regulatory decision making: Defining and using “real-world” data. JAMA. 2017;318:703-704.
16.Lee, JT, Majeed, A, Millett, C. User fees in universal health systems. Lancet. 2012;380:1643-1644.
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