Addressing the challenges of implementing a Health Technology Assessment Policy Framework in South Africa

dc.contributor.authorMueller, Debjani
dc.date.accessioned2023-05-08T09:40:59Z
dc.date.available2023-05-08T09:40:59Z
dc.date.issued2020-08-13
dc.description.abstractObjective: South Africa's commitment to progressively achieve universal health coverage can lead to the effective and appropriate use of Health Technology Assessment (HTA) to strengthen the healthcare system. The study aimed to analyze the challenges faced in the formal implementation and utilization of HTA in the public health sector. Methods: Review and analysis of health technology policies and legislation introduced in South Africa since 1965 serves as the backbone of this study. Walt and Gilson's health policy triangle framework and Kingdon's model were used for data analysis. In addition, a semi-structured survey was conducted among key stakeholders, including those attending HTA workshops that were held in 2016 and 2017. Results: The document review identified appropriate legislative and policy framework for informing healthcare decisions. Survey participants (n = 55) reported limited political support, local capacity, and awareness of HTA as barriers to implementing HTA. They noted that adequate financial resources and availability and sharing of quality data are primary drivers for HTA development. Effective governance, collaboration, and cooperation between key stakeholders of the healthcare system were suggested as possible ways forward for the institutionalization of HTA. Conclusion: The South African government's goal to introduce the national health insurance program provides an excellent opportunity to formally introduce the use of HTA in decision making. Individual capacity development supported by institutional and organizational environments is urgently needed to achieve its full potential.en
dc.identifier.eissn1471-6348
dc.identifier.issn0266-4623
dc.identifier.urihttps://depositonce.tu-berlin.de/handle/11303/18977
dc.identifier.urihttps://doi.org/10.14279/depositonce-17777
dc.language.isoen
dc.relation.ispartof10.14279/depositonce-16627
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.ddc600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.subject.ddc600 Technik, Medizin, angewandte Wissenschaften::620 Ingenieurwissenschaften::620 Ingenieurwissenschaften und zugeordnete Tätigkeiten
dc.subject.otherE-healthen
dc.subject.otherdecision analysisen
dc.subject.otherhealth services/systems researchen
dc.titleAddressing the challenges of implementing a Health Technology Assessment Policy Framework in South Africa
dc.typeArticle
dc.type.versionacceptedVersion
dcterms.bibliographicCitation.doi10.1017/s0266462320000562
dcterms.bibliographicCitation.issue4
dcterms.bibliographicCitation.journaltitleInternational Journal of Technology Assessment in Health Care
dcterms.bibliographicCitation.originalpublishernameCambridge University Press
dcterms.bibliographicCitation.originalpublisherplaceCambridge
dcterms.bibliographicCitation.volume36
dcterms.rightsHolder.referenceVerlagspolicy
dcterms.rightsHolder.urlhttps://web.archive.org/web/20230315031116/https://www.cambridge.org/core/services/open-access-policies/open-access-journals/green-open-access-policy-for-journals
tub.accessrights.dnbfree
tub.affiliationFak. 7 Wirtschaft und Management::Inst. Technologie und Management (ITM)::FG Management im Gesundheitswesen
tub.publisher.universityorinstitutionTechnische Universität Berlin

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