Evidence map›Paper›PMID 39464776›Full record

ArticleF1000Research2024

The development of a roadmap for Health Technology Assessment implementation in Moldova.

Gavin Surgey, Ghenadie Curocichin, Maria Garabajiu, Tanja Novakovic, Adrian Pana, Wija Oortwijn

Abstract read
In one paragraph

Article in F1000Research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Gavin SurgeyHealth Economics and HIV and AIDS Research Division, University of KwaZulu-Natal, Durban, South Africa.
Ghenadie CurocichinNicolae Testemițanu State University of Medicine and Pharmacy, Chișinău, 2004, Moldova.ORCID https://orcid.org/0000-0003-0613-4360
Maria GarabajiuNicolae Testemițanu State University of Medicine and Pharmacy, Chișinău, 2004, Moldova.ORCID https://orcid.org/0000-0002-6096-2100
Tanja NovakovicZEM Solutions Ltd, Belgrade, Serbia.
Adrian PanaIndependent, Bucharest, Romania.
Wija OortwijnGlobal Health Priorities, RadboudUMC, Nijmegen, 6525 GA, The Netherlands.ORCID https://orcid.org/0000-0003-4499-8602

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Moldova strives for universal health coverage (UHC) and considers health technology assessment (HTA) an important policy instrument to inform the choice of services that should be covered to progressively realize UHC. It plays a key role in determining which technologies are coved, considering various dimensions often including cost-effectiveness, budget impact, and feasibility. This paper reports on work undertaken to develop a roadmap for HTA implementation, using evidence-informed deliberative processes (EDPs) as the guiding framework. Methods: Between 2020 and 2022, we undertook several activities that informed the roadmap. We conducted a needs assessment and an assessment of European HTA best practices using a combination of desk research, interviews and surveys. We then conducted a document review of six selected HTA systems, complimented by expert interviews from three neighbouring countries. Results: The roadmap provided a suggested HTA process, which included instructions on how to execute the different steps of the EDP framework to enhance the legitimacy of HTA-informed decision-making. The roadmap encompasses several aspects such as how to organize stakeholder involvement, how to identify and operationalize decision criteria, and how to make the decision process transparent. Guidance was given to the country on establishing a legal framework for HTA; a communication strategy; strengthening capacity and leveraging HTA expertise. The country was also given tailored advice on the positioning of the HTA-agency, first as an entity within the Ministry of Health or the National Agency of Public Health but with the long-term vision for it to be independent of any state institution. Conclusions: Despite several challenges, including a partial disruption because of the Covid-19 pandemic, the development of the roadmap for HTA implementation was completed and agreed upon by the Ministry of Health in Moldova. This work has helped motivate and support the country in HTA institutionalization.

Indexed as

Technology Assessment, BiomedicalCOVID-19Decision MakingHealth PolicyHumansMoldovaUniversal Health InsuranceHealth Technology AssessmentHTAPriority-setting; Roadmap; Moldova; EDPs; Evidence-informed deliberative processesUHC

Identifiers

PMID39464776
PMCPMC11502998

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.