Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-11-24T00:40:05.788Z Has data issue: false hasContentIssue false
  • English
  • Français

OVERVIEW ON THE CURRENT IMPLEMENTATION OF HEALTH TECHNOLOGY ASSESSMENT IN THE HEALTHCARE SYSTEM IN HUNGARY

Published online by Cambridge University Press:  24 April 2017

Bertalan Németh ,
Marcell Csanádi  and
Zoltán Kaló
Bertalan Németh
Affiliation:
Syreon Research [email protected]
Marcell Csanádi
Affiliation:
Syreon Research Institute, Department of Pharmaceutics and Central Clinical Pharmacy, University of Pécs
Zoltán Kaló
Affiliation:
Department of Health Policy and Health Economics, Eötvös Loránd University, Syreon Research Institute
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives: Our objectives were to assess the current implementation of health technology assessment (HTA) in Hungary and to identify country-specific patterns of challenges and potential improvements.

Methods: We applied a structure that can be used to create HTA implementation roadmaps to evaluate various issues regarding HTA implementation. A comprehensive description of the Hungarian HTA system is presented according to relevant literature and experiences of the authors.

Results: By investigating eight components of HTA implementation, we identified the most important strengths and weaknesses of the Hungarian system. More specifically, we were mainly focusing on the emergence of HTA capacity, the establishment and current role of Department of HTA, the complex process of decision making, the quality elements developed in the near past, and the activity of Hungarian experts at international collaborations.

Conclusions: We concluded that there is a sophisticated methodological and educational basis for HTA in Hungary. A permanent focus on capacity building and changes to the reimbursement procedure can further improve transparency and the scientific basis of decision making in the country.

Keywords

Health technology assessmentCentral and Eastern EuropeHungaryHTA implementation
Type
Theme Submissions
Information
International Journal of Technology Assessment in Health Care , Volume 33 , Issue 3: Theme: HTA in Central-Eastern-Southern Europe , 2017 , pp. 333 - 338
Copyright
Copyright © Cambridge University Press 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. European Health for All database (HFA-DB). World Health Organization Regional Office for Europe. https://data.euro.who.int/hfadb/ (accessed December 10, 2015).Google Scholar
2. Gaál, P, Sz, Szigeti, Csere, M, Gaskins, M, Panteli, D. Hungary health system review. Health Syst Transit. 2011;131-266.Google ScholarPubMed
3. 32/2004. (IV. 26.) Decree of the Ministry of Health and Social Affairs [Hungarian]. https://net.jogtar.hu/jr/gen/hjegy_doc.cgi?docid=A0400032.ESC (accessed December 10, 2015).Google Scholar
4. Babarczy, B, Gyenes, P, Imre, L. 25 years of the DRG-based health-financing system in Hungary. (Article in Hungarian). Orv Hetil. 2015;156:1155-1164.Google Scholar
5. Gulácsi, L, Brodszky, V, Péntek, M, Varga, S, Vas, G, Boncz, I. History of health technology assessment in Hungary. Int J Technol Assess Health Care. 2009;25 (Suppl 1):120-126.Google Scholar
6. Gulácsi, L, Boncz, I, Drummond, M. Issues for countries considering introducing the “fourth hurdle”: The case of Hungary. Int J Technol Assess Health Care. 2004;20:337-334.CrossRefGoogle ScholarPubMed
7. Kolasa, K, Kalo, Z, Zah, V, Dolezal, T. Role of health technology assessment in the process of implementation of the EU Transparency Directive: Relevant experience from Central Eastern European countries. Expert Rev Pharmacoecon Outcomes Res. 2012;12:283-287.CrossRefGoogle ScholarPubMed
8. Kaló, Z, Gheorghe, A, Huic, M, Csanádi, M, Kristensen, FB. HTA implementation roadmap in Central and Eastern European countries. Manuscript accepted for publication in Health Economics. (2015).Google Scholar
9. Description of “MSc in Health Policy Planning and Financing” course at Eötvös Loránd University. https://old.tatk.elte.hu/studies/master-programs-isomis/health-economics-msc (accessed December 10, 2015).Google Scholar
10. Kaló, Z, Bodrogi, J, Boncz, I, et al., on behalf of ISPOR Hungary Chapter. Capacity building for HTA implementation in middle-income countries: The case of Hungary. Value Health Reg Issues. 2013;2:264-266.Google Scholar
11. Gulácsi, L, Rotar, AM, Niewada, M, et al. Health technology assessment in Poland, the Czech Republic, Hungary, Romania and Bulgaria. Eur J Health Econ. 2014;15 (Suppl 1):S13-S25.CrossRefGoogle ScholarPubMed
12. Endrei, D, Molics, B, Ágoston, I. Multicriteria decision analysis in the reimbursement of new medical technologies: Real-world experiences from Hungary. Value Health. 2014;17:487-489.CrossRefGoogle ScholarPubMed
13. The Technical Guideline for the Making of Health-Economic Analyses by the Ministry of Human Resources Egészségügyi Közlöny 2013/3. 1314-1334. https://www.hbcs.hu/uploads/jogszabaly/1479/fajlok/EEMI_szakmai_iranyelve.pdf (accessed December 10, 2015).Google Scholar
14. Inotai, A, Pékli, M, Jóna, G, Nagy, O, Remák, E, Kaló, Z. Attempt to increase the transparency of fourth hurdle implementation in Central-Eastern European middle income countries: Publication of the critical appraisal methodology. BMC Health Serv Res. 2012;12:332.CrossRefGoogle ScholarPubMed
15. Kaló, Z, Landa, K, Doležal, T, Vokó, Z. Transferability of National Institute for Health and Clinical Excellence recommendations for pharmaceutical therapies in oncology to Central-Eastern European countries. Eur J Cancer Care (Engl). 2012;21:442-449.Google Scholar
16. Drummond, M, Augustovski, F, Kaló, Z, et al. Challenges faced in transferring economic evaluations to middle income countries. Int J Technol Assess Health Care. 2015;31:442-448.CrossRefGoogle ScholarPubMed
17. Szerencsés, V. Európai együttműködés és magyar részvétel az egészségügyi technológia-értékelés terén [Hungarian]. IME Egészség-Gazdaságtan Különszám 2014 Dec. 47-50.Google Scholar
18. 2006. XCVIII. Decree of the Hungarian Parliament [Hungarian]. https://net.jogtar.hu/jr/gen/hjegy_doc.cgi?docid=A0600098.TV. (accessed February 12, 2016).Google Scholar