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Defining the Value of Health Technologies in Latin America: Developments in Value Frameworks to Inform the Allocation of Healthcare Resources

Part of: Special Collection - Policy Forums

Published online by Cambridge University Press:  02 April 2019

Andres Pichon-Riviere ,
Sebastian Garcia-Marti ,
Wija Oortwijn ,
Federico Augustovski  and
Laura Sampietro-Colom
Andres Pichon-Riviere*
Affiliation:
Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina
Sebastian Garcia-Marti
Affiliation:
Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina
Wija Oortwijn
Affiliation:
Radboud University Medical Centre, the Netherlands
Federico Augustovski
Affiliation:
Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina
Laura Sampietro-Colom
Affiliation:
Hospital Clinic de Barcelona, Barcelona, Spain
*
Author for correspondence: Andres Pichon-Riviere (IECS), E-mail: apichon@iecs.org.ar
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Abstract

Objectives

The recent development of value frameworks to inform healthcare resource allocation responds to a demand to make the decision-making process more inclusive and explicit. The objectives of the 2018 Latin American (LAtam) Health Technology Assessment International (HTAi) Policy Forum were to explore the current international experiences and to discuss the potential application of value frameworks in Latin America.

Methods

A background paper, presentations, and group discussions of Policy Forum members (43 participants, 12 LAtam countries represented) at the 2018 HTAi Policy Forum meeting informed this paper.

Results

Participants agreed that HTA and decision making based on more comprehensive and inclusive value frameworks could improve health system effectiveness, efficiency, sustainability, and equity; promote transparency in the decision process; sustain a more comprehensive assessment of technologies; and facilitate stakeholder participation as well as accountability of decisions. Criteria that were identified as essential to be included in a value framework for LAtam were burden of illness and severity of the disease, effectiveness and safety of the technology, quality of the evidence, cost-effectiveness, and budget impact. Potential challenges identified for the application of value frameworks in LAtam, included scarcity of human resources and delays in the assessment process.

Conclusions

Forum participants agreed that the next steps should be to identify appropriate processes and methodologies, adapted to the context of each country, regarding the application of value frameworks to improve the link between HTA and decision making.

Keywords

Policy forumLatin AmericaValue frameworksPriority setting
Type
Policy
Information
International Journal of Technology Assessment in Health Care , Volume 35 , Issue 1 , 2019 , pp. 64 - 68
Copyright
Copyright © Cambridge University Press 2019 

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Footnotes

The Spanish translation of this article is available here: https://doi.org/10.1017/S0266462319000126

References

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