The Evolution of HTA in Emerging Markets Health-Care ... - TREE

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OHE Consulting Report for PhRMA 5 January 2011 Annex: Note on the Experiment in Ningxia Province In Ningxia province there is a collaboration between the provincial government and the central government for a five year experiment 2009-‐2013 to structure the health care system in order to make the best use of the funds. The objective is to identify most prevalent health problems including: chronic (e.g. hypertension, and diabetes), infectious (e.g. TB, Hepatitis B, and dysentery) and common ailments (e.g. the common cold, UTI, and gastritis) Improvements in delivery to tackle these health problems include: Developing clinical protocol; Defining the role and function of the three-‐tiered delivery system: village clinics, THCs, county hospitals; Designing provider payment method to incentivise providers to follow the best-‐practice, including referral. This raises the question as to how to re-‐train and/or retain qualified village doctors? Designing benefit package to reduce financial barrier to access care and to motivate patients to use primary-‐based care Using technology (e.g. mobile phone) to improve patient compliance. Conducting patient education program on prevention, healthy lifestyle and best-‐practice care Creating a purchaser who acts in the best interest of the insured population. There are 2 intervention counties, 3 comparison counties, a total of 1.8 million people. The study design is within county: blocked randomization across townships and villages with phased in interventions. It covers five years: 2009-‐2013, and uses: Longitudinal household survey in baseline and followed up every year. Patient cohort study Provider survey Direct linkage to claims data for NCMS reimbursement Data base created by mobile phone technology Source: Yip (2009) 94
OHE Consulting Report for PhRMA 5 January 2011 Appendix 3: Overview of the Taiwanese Health Care System and the Use of Health Technology Assessment for the Evaluation of Pharmaceuticals Key Taiwanese Health System Acronyms BNHI BPA Bureau of National Health Insurance () Bureau of Pharmaceutical Affairs () CDE Center for Drug Evaluation () DBC Drug Benefit Committee () DHTA Division of Health Technology Assessment DOH NHI TFDA Department of Health () National Health Insurance () Taiwanese Food and Drug Administration () Taiwan Health Care System Timeline 95
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The Evolution of HTA in Emerging Markets Health-Care ... - TREE

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