Възникване и развитие на структурите за оценка на здравни технологии в Северна Америка. Примери от САЩ и Канада
Origin and development of HTA organizations in North America: the case of USA and Canada

Summary/Abstract: The multidisciplinary approach of health technology assessment (HTA) is growing exponentially worldwide for more than four decades. Objective: To trace and analyze the development and evolvement of HTA in USA and Canada. Materials and Methods: We used electronic databases of scientific publications, reports, books and dissertations. To limit the literature results a keyword search was performed. Results: The term “technology assessment” was heralded for the first time in 1965 during a debate in the US House of Representatives. In 1972 the Office of Technology Assessment (OTA) was established. The concept of HTA achieved significant progress since its introduction more than 40 years not only in the US, but also in Canada. The impact of HTA in Canada has been most recognizable by means of organizations’ contribution into the policy process at provincial government levels, but more often is identifiable in developing hospital-based HTA competence and capacity. Conclusions: The ultimate goal of HTA is still vivid and is gaining momentum in the North America by the institutionalization of good practices.

• Details
• Contents