HOSPITAL-BASED HEALTH TECHNOLOGY ASSESSMENT IN KAZAKHSTAN: 4 YEARS’ EXPERIENCE OF ONE UNIT
Introduction. Over the past two decades, the implementation and using of the Hospital-based Health Technology Assessment (HTA) system in the practice of healthcare organizations has become widespread in the world, especially in Europe and the United States, being an effective tool for hospital management in managerial decision-making. Despite the fact that the implementation of the Health Technology Assessment system in the Republic of Kazakhstan began in 2009, the Hospital-based HTA is currently at an early stage of development, where the Medical Center Hospital of the President’s Affairs Administration of the Republic of Kazakhstan is one of the first examples of the implementation and using of this system by including in its structure the Hospital-based HTA Unit in 2015.
Aim of this study was to provide the main stages of the Unit’s development and the analysis of the effectiveness of using the results of HB-HTA reports in promoting informed managerial decisions on the viability of implementing and using new health technologies (innovations) in the Hospital’s practice.
Materials and methods. Information about the activities and stages of development of the Unit was obtained from the internal documentation of the Hospital. The data provided by the HB-HTA Unit and Hospital Administration were analyzed to confirm the comparability of the managerial decisions made on the implementation of new health technologies in the Hospital’s practice and recommendations of the conducted HTA.
The data necessary for estimating cost savings due to the refusal to implement ineffective health technologies were obtained from the Hospital Information System, and data provided by manufacturers and distributors of medical equipment in Kazakhstan.
Results. For the 4-year period from 2015 to 2018, the Unit prepared 55 mini-reports on Hospital-based HTA. Seventeen health technologies (31%) were not recommended for implementation in the Hospital’s practice. Refusal to implement sixteen of these technologies saved approximately 287,290,000 KZT.
Of the 38 recommended health technologies, 29 technologies (76%) were implemented into the Hospital’s practice to treat or diagnose 2,119 patients. Seven technologies were included in the Plan for the implementation of new technologies for 2019-2020. Twelve of the 29 implemented health technologies did not require additional investments. The payback period of investments for the other 17 implemented technologies is not more than 3 years for eight, less than 5 years for seven, and more than 10 years for two technologies.
Conclusions. Establishment of the Hospital-based HTA Unit at the Medical Center Hospital of the President’s Affairs Administration of the Republic of Kazakhstan created the basis for making informed managerial decisions about the viability of the implementation and using in practice various health technologies; identifying key directions for strategic and innovative development; and improving hospital management.
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Авдеев А.В., Табаров А.Б., Бенберин В.В., Шаназаров Н.А., Каптагаева А.К., Жанабекова Л.Ж., Гизатуллина А.М., Жумагали Е.Е., Макалкина Л.Г., Сейдалин Н.К. Госпитальная оценка медицинских технологий в Казахстане: 4-х летний опыт одной организации // Наука и Здравоохранение. 2019. 2 (Т.21).С. 98-107. Avdeyev A.V., Tabarov A.B., Benberin V.V., Shanazarov N.A., Kaptagayeva A.K., Zhanabekova L.Zh., Gizatullina A.M., Zhumagali Ye.Ye., Makalkina L.G., Seidalin N.K. Hospital-based health technology assessment in Kazakhstan: 4 years’ experience of one unit // Nauka i Zdravookhranenie [Science & Healthcare]. 2019, (Vol.21) 2, pp. 98-107. Авдеев А.В., Табаров А.Б., Бенберин В.В., Шаназаров Н.А., Каптагаева А.К., Жанабекова Л.Ж., Гизатуллина А.М., Жумагали Е.Е., Макалкина Л.Г., Сейдалин Н.К. Қазақстандағы медициналық технологияларды госпитальдық бағалау: бір ұйымның 4 жылдық тәжірибесі // Ғылым және Денсаулық сақтау. 2019. 2 (Т.21). Б. 98-107.Related publications:
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