Tamas D, Kovi R, Boncz I, Gulacsi L; International Society of Technology Assessment in Health Care. Meeting (19th : 2003 : Canmore, Alta.).
Annu Meet Int Soc Technol Assess Health Care Int Soc Technol Assess Health Care Meet. 2003; 19: abstract no. 49.
National Health Insurance Fund Administration, 1085 Budapest Rokk Szilard 17. Fszt. 2/a., Budapest, Hungary Tel: +36 20 9251781, E-mail: david.t@oep.hu
OBJECTIVES: The objective of the paper is to analyse the transferability of HTA evidence into the Hungarian health care system. The adaptation of international HTA reports could be a relatively fast and effective way to make purchasers able to cover cost-effective health care services while handling constrained budget. METHODS: A check-list for HTA adaptation has been prepared in order to assist the adaptation of HTA evidence into local condition in a consistent and systematic way. An HTA report published by NICE on palivizumab (anti-RSV infection) was selected for testing the appropriateness of the check-list. Hungarian data on health care utilisation and epidemiology were used. RESULTS: Epidemiology and the consequences of RSV infection seems to be different in various countries due to the difference of process of diagnosing clinical conditions, costs and financing mechanisms, health care utilisation, data definition and collection. For instance, on the basis of the NICE's report thousands of RSV infected patients we estimated in PIC and other settings annually, but according to Hungarian database only 2 patients were identified. DISCUSSION: Copying of HTA reports cannot be applied. Only a careful adaptation process seems to be effective assisted, by well-designed checklists and other useful tools. It can be also emphasised that data collecting systems and the types of data to be collected in various countries should be similar in order to substitute relevant information into international assessment efforts. We believe that our experiences are generalizable and will inform future policy relating to the transferability of HTA evidence into practice.
Publication Types:
Keywords:
- Costs and Cost Analysis
- Delivery of Health Care
- Humans
- Hungary
- Income
- Information Systems
- economics
- hsrmtgs
Other ID:
UI: 102275967
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