The role of HTA in shaping regional health policy in Poland

Kliknij autora aby wyszukać wszystkie publikowane przez niego artykuły:
Ewa Bandurska, Sonia Studzinska, Ewa Przybyłowska, Marzena Zarzeczna-Baran

4 (49) 2016 s. 357–364
Click to return to issue contents
357_4_49_2016.pdf
Digital version of article (in PDF file)

DOI: https://doi.org/10.20883/ppnoz.2016.20

Fraza do cytowania: Bandurska E., Studzinska S., Przybyłowska E., Zarzeczna-Baran M. The role of HTA in shaping regional health policy in Poland. Polski Przegląd Nauk o Zdrowiu. 2016;4(49):357–364. DOI: https://doi.org/10.20883/ppnoz.2016.20

Introduction. Local government units are responsible for establishing regional health policy in Poland. One of the tools used are health programmes. HTA institution is responsible for evaluation of regional health programmes. Aim. The main aim was to determine the role of HTA in shaping health policy in Poland by analysis of the health programmes sent for evaluation by HTA institution. Material and methods. Study data consisted of publicly available opinions issued by AHTATS in 2013–2014. Local authorities with the highest number of programmes sent for evaluation were asked if the followed the opinions of AHTATS. Results. We analyzed 557 opinions of AHTATS (programmes dedicated for < 500 people, mostly children and school aged youth, with budget between 10 000 and 50 000 PLN). Costs (both overall and per person) were depending on the subject of intervention (p = 0.0261 and p = 0.000) and in case of overall costs additionally on level of hierarchy (p = 0.000). According to AHTATS, 49% of programmes could be realized. More expensive programmes got positive opinions more often than cheaper (p = 0.006). There are limited possibilities to verify if local government follows AHTATS opinions. No negatively evaluated programmes were realized in Pomerania, in Silesia 8 out of 28. No other data were achievable. Conclusion. HTA has limited impact on the shape of the regional health policy in Poland. Competences of local units to prepare good health programmes are insufficient. Existing legal acts leave a path for implementing programmes despite their negative opinion of HTA institution.

Key words: health technology assessment, health policy, public health policy, health promotion.



Copyright © 1989–2022 Polish Review of Health Sciences. All rights reserved.