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- W1976744178 abstract "Although HTA is well established in healthcare systems like the England & Wales National Health Service (NHS), it is increasingly used more formally in developing countries such as Poland and Mexico. The objectives of this research were to understand the drivers of decision-making and future trends in these HTA systems in relation to market access for pharmaceuticals. Secondary research and structured telephone interviews with 12 key stakeholders in Poland and Mexico was carried out. The research evaluated trends in the following aspects of the systems: impact of HTA in final reimbursement decisions, positioning of HTA in the healthcare system and future trends. A comparison of the impact of HTA in Mexico and Poland was then made on a rating scale devised to account for these influencing factors. HTA in Mexico is positioned within a highly decentralised healthcare system, although its Federal Cuadro Básico is important in determining price and access for pharmaceuticals. HTA appraisals although mostly conducted by IMSS (60% of reimbursement) are also used by the other reimbursing institutions. The Polish HTA body, AHTAPol, works closely with the reimbursement process at the central level, but its ultimate influence on price and reimbursement is moderate; the majority of respondents (n=8) regarded HTA as more of a negotiating tool, as decision-making balances multiple diverse interests. HTA is seen to impact the Polish system, despite being centralised to a lesser extent than Mexico, which has a decentralised health system and a significant private sector. In addition to HTA, historical development of the health care system, external influences and financial resources are equally important drivers of access decisions." @default.
- W1976744178 created "2016-06-24" @default.
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- W1976744178 date "2011-11-01" @default.
- W1976744178 modified "2023-09-27" @default.
- W1976744178 title "PHP36 Historical and Future Drivers for HTA in Reimbursement Systems in Mexico and Poland" @default.
- W1976744178 doi "https://doi.org/10.1016/j.jval.2011.08.1633" @default.
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