Evidence map›Paper›PMID 32153393›Full record

ArticleFrontiers in pharmacology2020

Implementation of Health Technology Assessment in the Middle East and North Africa: Comparison Between the Current and Preferred Status.

Ahmad Fasseeh, Rita Karam, Mouna Jameleddine, Mohsen George, Finn Børlum Kristensen, Abeer A Al-Rabayah, Abdulaziz H Alsaggabi, Maha El Rabbat, Maryam S Alowayesh, Julia Chamova and 3 more

Abstract read
In one paragraph

Article in Frontiers in pharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 5 pooled it
–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

35 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Real-world data: a comprehensive literature review on the barriers, challenges, and opportunities associated with their inclusion in the health technology assessment process.Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques · 2024
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  13. Valuation of the EQ-5D-3L in Jordan.The European journal of health economics : HEPAC : health economics in prevention and care · 2025
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  19. Framework for developing cost-effectiveness analysis threshold: the case of Egypt.The Journal of the Egyptian Public Health Association · 2024
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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

13 authors.

Ahmad FasseehDoctoral School of Sociology, Faculty of Social Sciences, Eötvös Loránd University Budapest, Budapest, Hungary.
Rita KaramFaculty of Sciences and Medical Sciences, Lebanese University, Hadath, Lebanon.
Mouna JameleddineHealth Technology Assessment Department, National Authority for Assessment & Accreditation in Healthcare (INEAS), Tunis, Tunisia.
Mohsen GeorgeUniversal Health Insurance Authority, Cairo, Egypt.
Finn Børlum KristensenFaculty of Health Sciences, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Abeer A Al-RabayahDepartment of Pharmacy, Center for Drug Policy & Technology Assessment (CDPTA), King Hussein Cancer Center, Amman, Jordan.
Abdulaziz H AlsaggabiKing Saud Bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyad, Saudi Arabia.
Maha El RabbatFaculty of Medicine, Cairo University, Cairo, Egypt.
Maryam S AlowayeshDepartment of Pharmacy Practice, Faculty of Pharmacy, Kuwait University, Jabriyah, Kuwait.
Julia ChamovaGlobal Networks, ISPOR, Lawrenceville, NJ, USA.
Adham IsmailRegional Office for the Eastern Mediterranean, World Health Organization, Cairo, Egypt.
Sherif AbazaSyreon Middle East, Alexandria, Egypt.
Zoltán KalóCenter for Health Technology Assessment, Semmelweis University, Budapest, Hungary.

Funding

World Health Organization 001
6 · The paper itself

Abstract

introductionImplementation of health technology assessment (HTA) is still in an early stage with some heterogeneity in the Middle East and North Africa (MENA). Our objective was to assess the current and future status of HTA implementation in the MENA region by focusing on regional commonalities.

methodsPreparatory discussions for the first ISPOR conference in the MENA region indicated some potentially generalizable trends of HTA roadmaps. To widen the perspective, a policy survey was conducted among conference participants by applying an HTA implementation scorecard. Discussion group members helped to validate key conclusions during and after the conference.

resultsHealth policy experts in MENA countries would like to facilitate HTA implementation and expect significant changes with some generalizable directions in 10 years compared to the current status according. HTA capacity building has to be strengthened by more graduate and postgraduate programs. Increased public budget and enhanced institutionalization are necessary success factors of HTA implementation. The scope of HTA has to be extended from pharmaceuticals to non-pharmaceutical technologies and to revision of previous policy decisions. Although cost-effectiveness with explicit threshold remains the most preferred HTA criterion, several other criteria have to be considered, maybe even by applying an explicit MCDA framework. The role of local evidence and data has to be strengthened in MENA countries, which translates to the extended use of local patient registries and payers' databases. Duplication of efforts can be reduced if international collaboration is integrated into national HTA implementation. DISCUSSION: Our results should be viewed as an initial step in a multi-stakeholder dialogue on HTA implementation. Each MENA country should develop its context-specific HTA roadmap, as such roadmaps are not transferable without taking into account country size, economic status, public health priorities and adopted systems of health care financing.

Indexed as

economic evaluationevidence-based health policyhealth technology assessmentHTA implementationMiddle East and North Africa

Identifiers

PMID32153393
PMCPMC7046555

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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.