HTA in the Czech Republic: Still Behind
Rogalewicz, V.; Kubátová, I.; Donin, G.; Doležal, T.; Lamblová, K.; Bartáková, J.; Kneppo, P.
In: World Congress on Medical Physics and Biomedical Engineering 2018 (Vol. 2). Springer Nature Singapore Pte Ltd., 2019. pp. 101-105. IFMBE Proceedings. vol. 68/2. ISSN 1680-0737. ISBN 978-981-10-9037-0.
Summary: The paper analyses the current state of HTA implementation and organisational initiatives in the Czech Republic. Although there have been some substantial ele-ments of HTA applied in the decision process of pharmaceutical reimbursement since 2008, HTA methods are rather disregarded in other technologies. Since there is practically no demand for HTA studies from payers and state representa-tives, HTA has been cultivated above all by interested individuals and small aca-demic research groups around them. These groups have succeeded in keeping pace with the global development both in theoretical and practical issues (among others in HTA methods for medical devices), however, the practical production of country specific HTA studies is rather rare. The main problem is non-existence of a national commonly accepted methodology and a legal framework. At least two attempts to establish a regular HTA process initiated by the Ministry of Health were destined to fail due to frequent personal changes in the Ministry. We discuss topical issues to be solved on the way to a national HTA system, and present our vision of a possible solution.