Revisiting Roles of Health Technology Assessment on Drug Policy in Universal Health Coverage in Thailand: Where Are We? And What Is Next?

被引：10
|
作者：
Tanvejsilp, Pimwara [1 ]
Taychakhoonavudh, Suthira [2 ]
Chaikledkaew, Usa [3 ,4 ]
Chaiyakunapruk, Nathorn [5 ,6 ,7 ,8 ]
Ngorsuraches, Surachat [9 ]
机构：
[1] Prince Songkla Univ, Fac Pharmaceut Sci, Dept Pharm Adm, Hat Yai, Songkhla, Thailand
[2] Chulalongkorn Univ, Fac Pharmaceut Sci, Bangkok, Thailand
[3] Mahidol Univ, Fac Pharm, Dept Pharm, Social Adm Pharm Excellence Res Unit, Bangkok, Thailand
[4] Mahidol Univ, Hlth Technol Assessment Postgrad Program, Bangkok, Thailand
[5] Monash Univ Malaysia, Sch Pharm, Subang Jaya, Selangor, Malaysia
[6] Naresuan Univ, Fac Pharmaceut Sci, Ctr Pharmaceut Outcomes Res, Dept Pharm Practice, Phitsanulok, Thailand
[7] Univ Wisconsin, Sch Pharm, Madison, WI 53706 USA
[8] Monash Univ Malaysia, Asian Ctr Evidence Synth Populat Implementat & Cl, Hlth & Well Being Cluster, Global Asia 21st Century Platform, Subang Jaya, Selangor, Malaysia
[9] Auburn Univ, Dept Hlth Outcomes Res & Policy, Harrison Sch Pharm, 037 James E Foy Hall, Auburn, AL 36849 USA
来源：
VALUE IN HEALTH REGIONAL ISSUES | 2019年 / 18卷
关键词：
drug policy; health technology assessment; Thailand; universal health coverage;
D O I：
10.1016/j.vhri.2018.11.004
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Objectives: To describe the process, challenges, and future direction of health technology assessment (HTA), focusing on the drug selection of the National List of Essential Medicines (NLEM) in Thailand. Methods: Literature and government documents were reviewed and analyzed by authors with experiences in HTA and drug policy in the country. Results: The structure of HTA and its process in the drug selection of the NLEM were described, followed by the outcomes of the use of HTA. Examples of lowering drug prices, as a result of price negotiation using HTA, were presented. A few examples were also provided to demonstrate how decisions were made from considering factors beyond cost-effectiveness findings. Finally, challenges on various issues including improvement of HTA structure and process were discussed for the future direction of HTA in Thailand. Conclusions: HTA has been adopted as a tool for the drug selection of the NLEM to help Thailand achieve universal health coverage. Nevertheless, various challenge sexist and need to be addressed.
引用
收藏
页码：78 / 82
页数：5
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