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Tytuł:
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HEALTH TECHNOLOGY ASSESSMENT IN CENTRAL, EASTERN, AND SOUTH EUROPEAN COUNTRIES: CROATIA.
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Autorzy:
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Huic M; Agency for Quality and Accreditation in Health Care and Social Welfare,Department for Development,Research and Health Technology .
Tandara Hacek R; Agency for Quality and Accreditation in Health Care and Social Welfare,Department for Development,Research and Health Technology Assessment.
Svajger I; Agency for Quality and Accreditation in Health Care and Social Welfare,Department for Development,Research and Health Technology Assessment.
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Źródło:
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International journal of technology assessment in health care [Int J Technol Assess Health Care] 2017 Jan; Vol. 33 (3), pp. 376-383. Date of Electronic Publication: 2017 Aug 14.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: Cambridge, England ; New York, NY : Cambridge University Press, c1985-
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MeSH Terms:
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Delivery of Health Care/*organization & administration
State Medicine/*organization & administration
Technology Assessment, Biomedical/*standards
Croatia ; Decision Making ; Delivery of Health Care/economics ; Health Care Rationing ; Health Care Reform/organization & administration ; Humans ; International Cooperation ; Retrospective Studies ; State Medicine/economics ; Technology Assessment, Biomedical/economics ; Technology Assessment, Biomedical/legislation & jurisprudence
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Contributed Indexing:
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Keywords: Agency for Quality and Accreditation in Health Care and Social Welfare; Collaboration; Croatia; Health technology assessment
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Entry Date(s):
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Date Created: 20170815 Date Completed: 20180626 Latest Revision: 20220316
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Update Code:
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20240105
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DOI:
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10.1017/S026646231700054X
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PMID:
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28803589
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Objectives: The aim of this study was to provide a brief, 7-year history of health technology assessment (HTA) implementation in Croatia through national and international activities.
Methods: We used retrospective descriptive analysis of key documents related to the legal framework, process of decision making, and HTA. Analysis of the Agency's plan for and experience with the implementation of a transparent HTA process in Croatia was performed by addressing seven key components of the HTA implementation scorecard framework. The main challenges and facilitating factors were also assessed.
Results: HTA is not yet fully implemented in Croatia. The main challenges are the insufficient legal framework, limited human and financial resources, and limited stakeholder involvement. Facilitating factors are active international collaboration and education through EUnetHTA and the International Society for Pharmacoeconomics and Outcomes Research and production of national and international HTA reports.
Conclusions: The HTA process is not yet sustainable in Croatia and HTA reports are still not mandatory for reimbursement/investment or disinvestment decision processes. There are still barriers to overcome.
