STUDY AND ANALYSIS OF THE AWARENESS OF THE HEALTH TECHNOLOGY ASSESSMENT PROCESS IN BULGARIA
Journal Title: Българско списание за обществено здраве (Bulgarian Journal of Public Health) - Year 2019, Vol 0, Issue 2
Abstract
Health technology assessment is a well-established scientific methodology. It serves healthcare managers and policymakers to make informed decisions about new medicines and medical devices reimbursement. HTA is a relatively new process for Bulgaria, which is constantly evolving and changing. Objective: Study of the of awareness level of the HTA process, as well as to collect and analyze data from the experts‘ opinions, representatives of pharmaceutical companies, media, patients and the society about the organization of HTA process by 31.03.2019, incl. evaluation of the regulatory changes, introduced after this date. Materials and methods: A survey was conducted among 150 respondents: academic lecturer, physicians, experts in the field of HTA, representatives of the pharmaceutical industry and the media, patients. An online-based anonymous questionnaire, containing 19 closed and open-ended questions was used. Results: The relative share of respondents who said they were familiar with the HTA process was 88% and 12% have answered negatively. 13% of respondents said that they did not know the place and the role of HTA in the health care system, medicines policy and accordingly making decisions about access to new technologies. A large part (67%) of the respondents believe that the HTA process has started successfully in our country, which gives a predominantly positive assessment of the activity carried out so far. Approximately one quarter (22%) of the respondents said „I don‘t know“ and only 11% said that the HTA process had not started successfully. The proportion of respondents, who believe that the HTA works in the public interest is high - 89%. Conclusions: The HTA process, after the three years gaining experience, is already sufficiently well known in Bulgaria, with respondents predominantly taking into account the positive aspects of the HTA introduction and evaluating the organization of the HTA process positively.
Authors and Affiliations
Anelia Nikolova, Evgeni Grigorov, Ilko Getov, Petko Salchev
Keywords
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