Evidence map›Paper›PMID 42144933›Full record

ArticleInternational journal of technology assessment in health care2026

Rethinking the role of health technology assessment: from gatekeeper to health system shaper.

Wija Oortwijn, Saudamini Vishwanath Dabak, Máirín Ryan, Christoph Glaetzer, Andres Pichon-Riviere

Abstract read
In one paragraph

Article in International journal of technology assessment in health care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Wija OortwijnIQ Health Science Department, https://ror.org/05wg1m734Radboud University Medical Center, Netherlands.ORCID https://orcid.org/0000-0003-4499-8602
Saudamini Vishwanath DabakHITAP International Unit, https://ror.org/02qk1yb72Health Intervention and Technology Assessment Program, Thailand.ORCID https://orcid.org/0000-0001-6161-6165
Máirín RyanHealth Technology Assessment, https://ror.org/01xt79e13Health Information and Quality Authority, Ireland.
Christoph Glaetzerhttps://ror.org/03qd7mz70Janssen Pharmaceutical Companies of Johnson and Johnson, USA.
Andres Pichon-Rivierehttps://ror.org/02nvt4474Institute for Clinical Effectiveness and Health Policy, Argentina.ORCID https://orcid.org/0000-0001-6052-025X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe role of health technology assessment (HTA) is evolving. Once seen primarily as a gatekeeper, HTA is increasingly viewed as a potential shaper of health system transformation. The first plenary session of the HTA International 2025 Annual Meeting explored the potential for HTA to adopt this broader role.

methodsDrawing on perspectives from across the globe, it was discussed how HTA can help shape more equitable, responsive, and sustainable health systems by informing benefit package design, supporting universal health coverage, and addressing systemic inequities from a societal perspective.

resultsAudience polling and live commentary underscored a shared sense of urgency, as well as recognition of the methodological, political, and practical constraints to this evolution. Rather than a binary choice, a continuum of roles was suggested depending on the context in which HTA is applied.

conclusionsUltimately, HTA can shape health systems - not through ambition alone, but through evidence-informed, inclusive, and context-aware decision-making.

Indexed as

Delivery of Health CareTechnology Assessment, BiomedicalDecision MakingHumansUniversal Health Insuranceaffordabilityethical issueshealth care systemshealth technology assessmentsustainability

Identifiers

PMID42144933
PMCPMC13247786

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.