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  • Identification of publicly available data sources to inform the conduct of Health Technology Assessment in India

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    Chalkidou196488Published.pdf (495.5Kb)
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    Author(s)
    Downey, Laura
    Rao, Neethi
    Guinness, Lorna
    Asaria, Miqdad
    Prinja, Shankar
    Sinha, Anju
    Kant, Rajni
    Pandey, Arvind
    Cluzeau, Francoise
    Chalkidou, Kalipso
    Griffith University Author(s)
    Chalkidou, Kalipso
    Year published
    2018
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    Abstract
    Background: Health technology assessment (HTA) provides a globally-accepted and structured approach to synthesising evidence for cost and clinical effectiveness alongside ethical and equity considerations to inform evidence-based priorities. India is one of the most recent countries to formally commit to institutionalising HTA as an integral component of the heath resource allocation decision-making process. The effective conduct of HTA depends on the availability of reliable data. Methods: We draw from our experience of collecting, synthesizing, and analysing health-related datasets in India and internationally, to highlight ...
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    Background: Health technology assessment (HTA) provides a globally-accepted and structured approach to synthesising evidence for cost and clinical effectiveness alongside ethical and equity considerations to inform evidence-based priorities. India is one of the most recent countries to formally commit to institutionalising HTA as an integral component of the heath resource allocation decision-making process. The effective conduct of HTA depends on the availability of reliable data. Methods: We draw from our experience of collecting, synthesizing, and analysing health-related datasets in India and internationally, to highlight the complex requirements for undertaking HTA, and explore the availability of such data in India. We first outlined each of the core data components required for the conduct of HTA, and their availability in India, drawing attention to where data can be accessed, and different ways in which researchers can overcome the challenges of missing or low quality data. Results: We grouped data into the following categories: clinical efficacy; cost; epidemiology; quality of life; service use/consumption; and equity. We identified numerous large local data sources containing epidemiological information. There was a marked absence of other locally-collected data necessary for informing HTA, particularly data relating to cost, service use, and quality of life. Conclusions: The introduction of HTA into the health policy space in India provides an opportunity to comprehensively assess the availability and quality of health data capture across the country. While epidemiological information is routinely collected across India, other data inputs necessary for HTA are not readily available. This poses a significant bottleneck to the efficient generation and deployment of HTA into the health decision space. Overcoming these data gaps by strengthening the routine collection of comprehensive and verifiable health data will have important implications not only for embedding economic analyses into the priority setting process, but for strengthening the health system as a whole.
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    Journal Title
    F1000Research
    Volume
    7
    DOI
    https://doi.org/10.12688/f1000research.14041.2
    Copyright Statement
    © 2018 Downey L et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Subject
    Biochemistry and cell biology
    Clinical sciences
    Oncology and carcinogenesis
    Health services and systems
    Public health
    Health Economics
    Health Technology Assessment
    India
    data
    Health Economics
    Publication URI
    http://hdl.handle.net/10072/391115
    Collection
    • Journal articles

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