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Developing Health Technology Assessment to address health care system needs


  • Velasco Garrido, Marcial
  • Gerhardus, Ansgar
  • Røttingen, John-Arne
  • Busse, Reinhard


This article discusses the development of Heath Technology Assessment methods and HTA institutions, in regards to meeting the information needs of all levels and fields of health policy-making. On the one hand, HTA needs to expand and develop its methods. Although health products and health care services have been its preponderant focus to date, HTA should develop to increase its focus on the "technologies applied to health care" (i.e. the regulatory and policy measures for managing and organizing health care systems) and on policies in non-health care sectors. Such a knowledge synthesis for health policy should not necessarily be called HTA or conducted by narrowly defined HTA agencies. However, the trends observed in several European HTA agencies indicate the recognition of these development needs. Countries embarking on HTA should not consider establishing separate agencies for HTA, quality development, performance measurement, and health services development, but should rather combine these functions and goals into a common knowledge strategy for evidence-informed decision-making on health care and the health system.

Suggested Citation

  • Velasco Garrido, Marcial & Gerhardus, Ansgar & Røttingen, John-Arne & Busse, Reinhard, 2010. "Developing Health Technology Assessment to address health care system needs," Health Policy, Elsevier, vol. 94(3), pages 196-202, March.
  • Handle: RePEc:eee:hepoli:v:94:y:2010:i:3:p:196-202

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    References listed on IDEAS

    1. Niessen, Louis W. & Grijseels, Els W. M. & Rutten, Frans F. H., 2000. "The evidence-based approach in health policy and health care delivery," Social Science & Medicine, Elsevier, vol. 51(6), pages 859-869, September.
    2. Banta, David, 2003. "The development of health technology assessment," Health Policy, Elsevier, vol. 63(2), pages 121-132, February.
    3. Fulop, Naomi & Allen, Pauline & Clarke, Aileen & Black, Nick, 2003. "From health technology assessment to research on the organisation and delivery of health services: addressing the balance," Health Policy, Elsevier, vol. 63(2), pages 155-165, February.
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    Cited by:

    1. Ciani, Oriana & Tarricone, Rosanna & Torbica, Aleksandra, 2012. "Diffusion and use of health technology assessment in policy making: What lessons for decentralised healthcare systems?," Health Policy, Elsevier, vol. 108(2), pages 194-202.
    2. Hampson, G. & Towse, A. & Henshall, C., 2017. "How can HTA meet the needs of health system and government decision makers?," Briefings 001836, Office of Health Economics.
    3. repec:bla:glopol:v:8:y:2017:i::p:97-102 is not listed on IDEAS
    4. Fischer, Katharina E. & Rogowski, Wolf H. & Leidl, Reiner & Stollenwerk, Björn, 2013. "Transparency vs. closed-door policy: Do process characteristics have an impact on the outcomes of coverage decisions? A statistical analysis," Health Policy, Elsevier, vol. 112(3), pages 187-196.
    5. Towse, A. & Devlin, N. & Hawe, E. & Garrison, L., 2011. "The Evolution of HTA in Emerging Markets Health Care Systems: Analysis to Support a Policy Response," Consulting Reports 000192, Office of Health Economics.
    6. Towse, A. & Henshall, C., 2017. "HTA and Decision Making in Asia: How can the available resources be used most effectively to deliver high quality HTA that can be used by health system decision makers?," Briefings 001838, Office of Health Economics.
    7. Ben-Assuli, Ofir, 2015. "Electronic health records, adoption, quality of care, legal and privacy issues and their implementation in emergency departments," Health Policy, Elsevier, vol. 119(3), pages 287-297.


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