Evaluating the depth of health technology assessments (HTA) in India uncovers the intricate challenges and opportunities within the field. This exploration focuses on the technical quality of HTA studies conducted over five years. As the nation grapples with translating research into impactful policy, assessing both the process and output of these assessments becomes critical. Reflecting on past efforts, this study charts a course toward improved methodologies and enhanced engagement with policymakers and stakeholders, underlining a transformative journey for India’s healthcare sector.
Methodological Approach
The evaluation harnessed a mixed-methods framework, scrutinizing HTA studies completed between 2018 and 2023 by ten regional centers. The quantitative analysis encompassed 26 reports assessed using the Indian HTA Quality Appraisal Checklist. On the qualitative front, semi-structured interviews were conducted with professionals from six centers and the central HTA Secretariat. Themes such as topic selection, study execution, stakeholder engagement, and policy translation were explored. The quantitative results were categorized by quality, while thematic analysis guided the qualitative insights.
Key Findings
Fourteen percent of the studies showcased excellent quality, while half were considered good, one-third were average, and a minority (4%) poor. The qualitative analysis revealed inconsistencies in following guidelines, challenges in topic framing, and insufficient expertise in advanced analytics. Factors such as high staff turnover, suboptimal stakeholder engagement, and inadequate evidence communication strategies further complicated the assessment process.
- Most HTA studies adhere to good-but-not-excellent quality benchmarks.
- Guideline adherence and staff retention emerged as critical areas needing attention.
- Effective communication between researchers and policymakers remains underdeveloped.
Strengthening the impact of HTA in India demands concerted efforts in several domains. Adhering to established guidelines more rigorously and boosting technical expertise are foundational steps. Establishing clear, transparent criteria for topic selection can streamline processes. Systematic communication between researchers and policymakers is essential, ensuring that HTA findings align effectively with policy objectives. Additionally, investments in training and guidance on advanced methodologies are indispensable, enabling a robust structural framework for future assessments. By focusing on these strategic improvements, India can significantly enhance the effectiveness of its health technology assessments, driving more informed and impactful healthcare policy decisions.
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