Please use this identifier to cite or link to this item: https://doi.org/10.1186/s12961-018-0378-x
Title: Budgeting for a billion: Applying health technology assessment (HTA) for universal health coverage in India
Authors: Dabak, S.V
Pilasant, S
Mehndiratta, A
Downey, L.E
Cluzeau, F
Chalkidou, K
Luz, A.C.G
Youngkong, S
Teerawattananon, Y 
Keywords: Article
biomedical technology assessment
budget
decision support system
health care policy
health insurance
human
India
medical decision making
medical expert
questionnaire
reimbursement
workshop
cost benefit analysis
decision making
government
health care delivery
health care planning
health care policy
management
medical technology
public health
resource allocation
stakeholder engagement
Biomedical Technology
Cost-Benefit Analysis
Decision Making
Government Agencies
Health Policy
Health Priorities
Health Services Accessibility
Humans
India
Policy Making
Public Health
Resource Allocation
Stakeholder Participation
Surveys and Questionnaires
Technology Assessment, Biomedical
Universal Health Insurance
Issue Date: 2018
Citation: Dabak, S.V, Pilasant, S, Mehndiratta, A, Downey, L.E, Cluzeau, F, Chalkidou, K, Luz, A.C.G, Youngkong, S, Teerawattananon, Y (2018). Budgeting for a billion: Applying health technology assessment (HTA) for universal health coverage in India. Health Research Policy and Systems 16 (1) : 115. ScholarBank@NUS Repository. https://doi.org/10.1186/s12961-018-0378-x
Abstract: Background: India recently launched the largest universal health coverage scheme in the world to address the gaps in providing healthcare to its population. Health technology assessment (HTA) has been recognised as a tool for setting priorities as the government seeks to increase public health expenditure. This study aims to understand the current situation for healthcare decision-making in India and deliberate on the opportunities for introducing HTA in the country. Methods: A paper-based questionnaire, adapted from a survey developed by the International Decision Support Initiative (iDSI), was administered on the second day of the Topic Selection Workshop that was conducted as part of the HTA Awareness Raising Workshop held in New Delhi on 25-27 July, 2016. Participants were invited to respond to questions covering the need, demand and supply for HTA in their context as well as the role of their organisation vis-à-vis HTA. The response rate for the survey was about 68% with 41 participants having completed the survey. Results: Three quarters of the respondents (71%) stated that the government allocated healthcare resources on the basis of expert opinion. Most respondents indicated reimbursement of individual health technologies and designing a basic health benefit package (93% each) were important health policy areas while medical devices and screening programmes were cited as important technologies (98% and 92%, respectively). More than half of the respondents noted that relevant local data was either not available or was limited. Finally, technical capacity was seen as a strength and a constraint facing organisations. Conclusion: The findings from this study shed light on the current situation, the opportunities, including potential topics, and challenges in conducting HTA in India. There are limitations to the study and further studies may need to be conducted to inform the role that HTA will play in the design or implementation of universal health coverage in India. © 2018 The Author(s).
Source Title: Health Research Policy and Systems
URI: https://scholarbank.nus.edu.sg/handle/10635/175353
ISSN: 1478-4505
DOI: 10.1186/s12961-018-0378-x
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