2015-09-30-世界卫生组织-2015_Global_Survey_on_HealthTechnology_Assessment_by_National_Authorities_40页_1mb

WHO 2015 Global Survey on Health Technology Assessment: Key Findings

The survey, conducted by the World Health Organization (WHO), assessed the use of Health Technology Assessment (HTA) by national authorities in 125 countries. Below is a summary of the main findings:

Key Findings Overview

• Utilization in Decision Making: Most countries reported a formal process for HTA to inform policy decisions, primarily for planning and budgeting. However, legislative requirements for incorporating HTA findings were limited. HTA was used more frequently in high- and upper-middle-income countries.
• Scope and Aspects Considered: HTA typically focused on safety and clinical effectiveness, with less emphasis on equity, ethics, and feasibility. Guidelines for HTA preparation were available in about 60% of countries, varying by region.
• Institutional Capacity: Two-thirds of countries had a national HTA organization with an average of over six staff members. High-income countries had better resources, but low-income countries faced shortages. HTAs were most requested by ministries of health or public insurance bodies.
• Governance and Linkage: HTA findings played an advisory role in policy decisions, with civil society participation in half of the countries. Transparency in communicating HTA outcomes was moderate.
• Impediments to Strengthening Capacity: Lack of qualified human resources was a primary barrier. Awareness and institutionalization of HTA were challenges, but fewer countries cited political support issues. Fewer than half of countries had academic or training programs for HTA capacity building.
• Conclusion: HTA is commonly used in many countries, but capacity remains weak. Strengthening HTA through funding, training, and awareness is essential for evidence-based decision-making in universal health coverage.

For detailed methods and data, refer to the full survey report.