Evidence map›Paper›PMID 30486827›Full record

ArticleHealth research policy and systems2018

Budgeting for a billion: applying health technology assessment (HTA) for universal health coverage in India.

Saudamini Vishwanath Dabak, Songyot Pilasant, Abha Mehndiratta, Laura Emily Downey, Francoise Cluzeau, Kalipso Chalkidou, Alia Cynthia Gonzales Luz, Sitaporn Youngkong, Yot Teerawattananon

Abstract read
In one paragraph

Article in Health research policy and systems, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

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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

9 authors.

Saudamini Vishwanath DabakHealth Intervention and Technology Assessment Program (HITAP), Nonthaburi, Thailand. saudamini.d@hitap.net.ORCID http://orcid.org/0000-0001-6161-6165
Songyot PilasantHealth Intervention and Technology Assessment Program (HITAP), Nonthaburi, Thailand.
Abha MehndirattaGlobal Health and Development Group, Imperial College London, London, United Kingdom.
Laura Emily DowneyGlobal Health and Development Group, Imperial College London, London, United Kingdom.
Francoise CluzeauGlobal Health and Development Group, Imperial College London, London, United Kingdom.
Kalipso ChalkidouGlobal Health and Development Group, Imperial College London, London, United Kingdom.
Alia Cynthia Gonzales LuzHealth Intervention and Technology Assessment Program (HITAP), Nonthaburi, Thailand.
Sitaporn YoungkongDepartment of Pharmacy, Faculty of Pharmacy, Mahidol University, Bangkok, Thailand.
Yot TeerawattananonHealth Intervention and Technology Assessment Program (HITAP), Nonthaburi, Thailand.

Funding

Gates Foundation OPP1134345Medical Research Council MR/R015600/1
6 · The paper itself

Abstract

backgroundIndia recently launched the largest universal health coverage scheme in the world to address the gaps in providing healthcare to its population. Health technology assessment (HTA) has been recognised as a tool for setting priorities as the government seeks to increase public health expenditure. This study aims to understand the current situation for healthcare decision-making in India and deliberate on the opportunities for introducing HTA in the country.

methodsA paper-based questionnaire, adapted from a survey developed by the International Decision Support Initiative (iDSI), was administered on the second day of the Topic Selection Workshop that was conducted as part of the HTA Awareness Raising Workshop held in New Delhi on 25-27 July, 2016. Participants were invited to respond to questions covering the need, demand and supply for HTA in their context as well as the role of their organisation vis-à-vis HTA. The response rate for the survey was about 68% with 41 participants having completed the survey.

resultsThree quarters of the respondents (71%) stated that the government allocated healthcare resources on the basis of expert opinion. Most respondents indicated reimbursement of individual health technologies and designing a basic health benefit package (93% each) were important health policy areas while medical devices and screening programmes were cited as important technologies (98% and 92%, respectively). More than half of the respondents noted that relevant local data was either not available or was limited. Finally, technical capacity was seen as a strength and a constraint facing organisations.

conclusionThe findings from this study shed light on the current situation, the opportunities, including potential topics, and challenges in conducting HTA in India. There are limitations to the study and further studies may need to be conducted to inform the role that HTA will play in the design or implementation of universal health coverage in India.

Indexed as

Cost-Benefit AnalysisHealth PolicyHealth PrioritiesHealth Services AccessibilityPolicy MakingTechnology Assessment, BiomedicalUniversal Health InsuranceBiomedical TechnologyDecision MakingGovernment AgenciesHumansIndiaPublic HealthResource AllocationStakeholder ParticipationSurveys and QuestionnairesHealth technology assessment in India

Identifiers

PMID30486827
PMCPMC6262968

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.