Health Technology Assessment in Support of National Health Insurance in South Africa Comment

被引：7

作者：

Wilkinson, Maryke ^{[1
,2
]}

Gray, Andrew Lofts ^{[3
]}

Wiseman, Roger ^{[4
]}

Kredo, Tamara ^{[1
,5
,6
]}

Cohen, Karen ^{[7
]}

Miot, Jacqui ^{[8
]}

Blecher, Mark ^{[9
]}

Ruff, Paul ^{[10
]}

Johnson, Yasmina ^{[11
]}

Poluta, Mladen ^{[12
]}

McGee, Shelley ^{[13
]}

Leong, Trudy D. ^{[14
]}

Brand, Mark ^{[15
]}

Suleman, Fatima ^{[16
]}

Maramba, Esnath ^{[17
]}

Blockman, Marc ^{[7
]}

Jugathpal, Janine ^{[14
]}

Cleary, Susan ^{[18
]}

Nematswerani, Noluthando ^{[19
]}

Moodliar, Sarvashni ^{[20
]}

Parrish, Andy ^{[21
,22
]}

Jamaloodien, Khadija K. ^{[23
]}

Stander, Tienie ^{[24
]}

MacQuilkan, Kim ^{[2
]}

Crisp, Nicholas ^{[25
]}

Wilkinson, Thomas ^{[18
,26
]}

机构：

[1] South African Med Res Council, Cochrane South Africa, Tygerberg, South Africa

[2] Mott MacDonald, Better Hlth Programme South Africa, Pretoria, South Africa

[3] Univ KwaZulu, Div Pharmacol Discipline Pharmaceut Sci, Sch Hlth Sci, Durban, South Africa

[4] Liberty Hlth Pty Ltd, Cape Town, South Africa

[5] Stellenbosch Univ, Dept Med, Tygerberg, South Africa

[6] Stellenbosch Univ, Dept Global Hlth, Tygerberg, South Africa

[7] Univ Cape Town, Fac Hlth Sci, Dept Med, Div Clin Pharmacol, Cape Town, South Africa

[8] Univ Witwatersrand, Fac Hlth Sci, Sch Clin Med, Hlth Econ & Epidemiol Res, Johannesburg, South Africa

[9] Natl Treasury, Pretoria, South Africa

[10] Univ Witwatersrand, Fac Hlth Sci, Dept Med, Div Med Oncol, Johannesburg, South Africa

[11] Western Cape Govt Hlth, Pharm Serv, Cape Town, South Africa

[12] Western Cape Govt Hlth, Hlth Technol Directorate, Cape Town, South Africa

[13] Ophthalmol Soc South Africa, Durban, South Africa

[14] Natl Dept Hlth, Essential Drugs Programme, Pretoria, South Africa

[15] BRANDTECH Hlth Technol Consulting, Johannesburg, South Africa

[16] Univ KwaZulu, Discipline Pharmaceut Sci, Sch Hlth Sci, Durban, South Africa

[17] Council Med Schemes, Clin Unit, Centurion, South Africa

[18] Univ Cape Town, Sch Publ Hlth & Family Med, Hlth Econ Unit, Cape Town, South Africa

[19] Discovery Hlth, Strateg Risk Management, Johannesburg, South Africa

[20] Natl Hlth Lab Serv, Qual Assurance Div, Johannesburg, South Africa

[21] Walter Sisulu Univ, Fac Hlth Sci, Mthatha, South Africa

[22] Frere & Cecilia Makiwane Hosp, Internal Med, East London, South Africa

[23] Affordable Med Directorate, Natl Dept Hlth, Pretoria, South Africa

[24] VI Res, Dubai, U Arab Emirates

[25] Nat Hlth Insurance, Natl Dept Hlth, Pretoria, South Africa

[26] World Bank, Hlth Nutr & Populat, Washington, DC USA

来源：

INTERNATIONAL JOURNAL OF TECHNOLOGY ASSESSMENT IN HEALTH CARE | 2022年 / 38卷 / 01期

关键词：

Health technology assessment; South Africa; National Health Insurance; Universal health coverage;

D O I：

10.1017/S0266462322000265

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：

South Africa has embarked on major health policy reform to deliver universal health coverage through the establishment of National Health Insurance (NHI). The aim is to improve access, remove financial barriers to care, and enhance care quality. Health technology assessment (HTA) is explicitly identified in the proposed NHI legislation and will have a prominent role in informing decisions about adoption and access to health interventions and technologies. The specific arrangements and approach to HTA in support of this legislation are yet to be determined. Although there is currently no formal national HTA institution in South Africa, there are several processes in both the public and private healthcare sectors that use elements of HTA to varying extents to inform access and resource allocation decisions. Institutions performing HTAs or related activities in South Africa include the National and Provincial Departments of Health, National Treasury, National Health Laboratory Service, Council for Medical Schemes, medical scheme administrators, managed care organizations, academic or research institutions, clinical societies and associations, pharmaceutical and devices companies, private consultancies, and private sector hospital groups. Existing fragmented HTA processes should coordinate and conform to a standardized, fit-for-purpose process and structure that can usefully inform priority setting under NHI and for other decision makers. This transformation will require comprehensive and inclusive planning with dedicated funding and regulation, and provision of strong oversight mechanisms and leadership.

引用

页数：8

共 50 条

[1] Institutionalizing Health Technology Assessment in South Africa-An Opportunity in National Health Insurance
Jugathpal, Janine
Parrish, Andrew
Jamaloodien, Khadija
Blecher, Mark
Daven, Jonatan
[J]. HEALTH SYSTEMS & REFORM, 2023, 9 (03)
[2] National Health Insurance in South Africa
McLeod, Heather
[J]. SA PHARMACEUTICAL JOURNAL, 2008, 75 (05) : 8 - 11
[3] Support for Social Health Insurance in South Africa
Smith, M. J.
Solanki, G. C.
Lalloo, R.
Myburgh, N. G.
Cornell, J. E.
[J]. JOURNAL OF HEALTH MANAGEMENT, 2008, 10 (01) : 1 - 8
[4] National health insurance on the horizon for South Africa
Ncayiyana, Daniel J.
[J]. SAMJ SOUTH AFRICAN MEDICAL JOURNAL, 2008, 98 (04): : 229 - 229
[5] Is the routine health information system ready to support the planned national health insurance scheme in South Africa?
Nicol, Edward
Hanmer, Lyn A.
Mukumbang, Ferdinand C.
Basera, Wisdom
Zitho, Andiswa
Bradshaw, Debbie
[J]. HEALTH POLICY AND PLANNING, 2021, 36 (05) : 639 - 650
[6] South Africa - The road to national health insurance - ANC
不详
[J]. INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE, 2011, 24 (01) : 188 - 197
[7] South Africa passes National Health Insurance Bill
Makoni, Munyaradzi
[J]. LANCET, 2023, 401 (10394): : 2101 - 2101
[8] National Health Insurance Reform in South Africa Estimating the Implications for Demand for Private Health Insurance
Okorafor, Okore Apia
[J]. APPLIED HEALTH ECONOMICS AND HEALTH POLICY, 2012, 10 (03) : 189 - 200
[9] UNDERSTANDING NATIONAL HEALTH INSURANCE IN SOUTH AFRICA: A LEGAL PERSPECTIVE
Ncube, S.
Labuschaigne, M.
Slabbert, M.
[J]. TYDSKRIF VIR DIE SUID-AFRIKAANSE REG, 2022, (02): : 418 - 419
[10] A Report on the Practicability of National Health Insurance in the Union of South Africa
不详
[J]. INTERNATIONAL LABOUR REVIEW, 1937, 36 (05) : 661 - 678

← 1 2 3 4 5 →