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Health technology assessment in South Africa: future promise

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      The world health report 1998. Life in the 21 st century. A vision for all

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        The world health report 1998 - Life in the 21st century: a vision for all

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          Addressing issues in health technology assessment promotion: Motives, enablers, and barriers.

          The aim of this study was to analyze the motives, enablers, and barriers to promote or initiate health technology assessment (HTA) in different contexts. An observational study design was used to address the above question that included a survey questionnaire and a two-phase study. The respondents for the questionnaire and first round of the study were from HTA agencies of high income countries and those low and middle income countries that have managed to establish HTA agencies (n = 50), that are members of International Network of Agencies for Health Technology Assessment (INAHTA), EuroScan, or European network for Health Technology Assessment (EUnetHTA). The second round of the study was exclusively with respondents from low and middle income countries that were manly affiliated to Health Technology Assessment International (HTAi) interest subgroup for low and middle income countries and aimed to initiate HTA activities (n = 34). Forty-one of fifty HTA agencies answered the survey questionnaire. Thirty-three of fifty individuals belonging to HTA agencies from high income countries and sixteen of thirty-four individuals from low and middle income countries answered in the first and second phases of the study, respectively. In the promotion and/or initiation of HTA, the top three motives were the same for both high income and low and middle income countries. The top three enablers were also similar but the prioritization varies. The top three barriers were more context specific. HTA promotion or initiation is influenced by the following: (i) key players that affect the time taken to establish HTA agencies; (ii) three models for HTA promotion and initiation: top-down (political interest), bottom-up (academic/research interest), and converging (political and academic/research interests); and (iii) motives, enablers, and barriers at the local context.
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            Author and article information

            Affiliations
            [1 ] University Carlo Cattaneo (LIUC)
            [2 ] University of Witwatersrand South Africa
            [3 ] Charlotte Maxeke Johannesburg Academic Hospital and
            Contributors
            Role: ND
            Role: ND
            Role: ND
            Journal
            samj
            SAMJ: South African Medical Journal
            SAMJ, S. Afr. med. j.
            Health and Medical Publishing Group (Cape Town )
            2078-5135
            May 2011
            : 101
            : 5
            : 285-286
            S0256-95742011000500005

            http://creativecommons.org/licenses/by/4.0/

            Product
            Product Information: SciELO South Africa
            Categories
            Health Care Sciences & Services
            Health Policy & Services
            Medical Ethics
            Medicine, General & Internal
            Medicine, Legal
            Medicine, Research & Experimental

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