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A PROCESS OF PRIORITIZING TOPICS FOR HEALTH TECHNOLOGY ASSESSMENT IN KAZAKHSTAN

Part of: Special Collection - Methods

Published online by Cambridge University Press:  09 August 2016

Lyazzat Kosherbayeva ,
David Hailey ,
Kural Kurakbaev ,
Adlet Tabarov ,
Ainur Kumar ,
Gulnara Gutzskaya  and
Elena Stepkina
Lyazzat Kosherbayeva
Affiliation:
Kazakh National Medical [email protected]
David Hailey
Affiliation:
University of Wollongong
Kural Kurakbaev
Affiliation:
Kazakh National Medical University, International Healthcare Department
Adlet Tabarov
Affiliation:
The Medical Centre Hospital of the Presidents Affairs Administration of the Republic of Kazakhstan
Ainur Kumar
Affiliation:
Kazakh National Medical University, International Healthcare Department
Gulnara Gutzskaya
Affiliation:
Astana Medical University
Elena Stepkina
Affiliation:
National Center for Expertise of Medicines, Medical Devices and Medical Equipment
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Abstract

Objectives: The aim of this study was to develop criteria for the prioritization of topics for health technology assessment (HTA) in the healthcare system of Kazakhstan.

Methods: Initial proposals for criteria were suggested through consultation with Ministry of Health (MoH) policy areas. These were refined through a workshop attended by HTA department staff, persons from medical universities and research institutes, and MoH policy makers. The workshop included discussion on methods used in international HTA practice. Opinions of participants on selection of criteria from those specified in a review of prioritization processes were used to define a list for inclusion in an instrument for routine use. A scoring system was established in later discussion.

Results: Selected criteria for HTA prioritization were burden of disease, availability of alternative technology, clinical effectiveness, economic efficiency, budget impact, and ethical, legal, and/or psychosocial aspects. For each criterion, a health technology under consideration is given a score from 3 (High) to 1 (Low). The total score determines whether the technology is of high to medium priority or of low priority. Determination of priorities for assessment, using the instrument, should be carried out by an expert group appointed by the MoH. The process was applied in 2014 to a selection of topics, and three health technologies were chosen for full assessments.

Conclusions: Criteria for prioritization have evolved with development of the HTA program in Kazakhstan. A method for HTA prioritization has been developed that is easy to apply, requires comparatively few resources, and is compatible with processes required by the MoH.

Keywords

health technology assessmentPrioritization of topicsKazakhstan
Type
Methods
Information
International Journal of Technology Assessment in Health Care , Volume 32 , Issue 3 , 2016 , pp. 147 - 151
Copyright
Copyright © Cambridge University Press 2016 

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References

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