A Roadmap Towards Implementing HTA in Oman

OBJECTIVES: The rapid emergence of novel health technologies has provided opportunities for improving health outcomes and addressing unmet medical needs. However, it also poses significant challenges to the financial sustainability of healthcare systems. Health Technology Assessment (HTA) intends to optimize resource allocation and facilitate evidence-informed decision-making. Our research endeavors to establish a tailored HTA implementation roadmap for Oman by outlining the discrepancies between the present state of HTA and the long-term objectives of its implementation.

METHODS: We conducted a survey to assess the current situation of HTA implementation in Oman and its long-term goals. The survey was disseminated electronically to experts in the healthcare system in Oman. The results were then combined to produce a list of draft recommendations. The recommendations were evaluated for their feasibility in a round table discussion with high-level decision-makers to create a chronological action plan for full HTA implementation.

RESULTS: Based on the survey results and round table discussions, experts underscored the significance of evidence-informed decision-making in healthcare. They also indicated the need for HTA training for both decision-makers and HTA-doers. With respect to funding, it was suggested that critical appraisals be primarily financed by the Ministry of Health (MoH), with contributions from the private sector through submission fees, while the evaluation of health technologies be conducted by the manufacturer. Additionally, experts advocated for the establishment of a singular national HTA unit under the auspices of the MoH. Moreover, they recommended the application of multiple cost-effectiveness thresholds and increased utilization of multi-criteria decision analysis.

CONCLUSIONS: Although HTA implementation in Oman is still in its initial stages, robust initiatives have been launched, demonstrating a political commitment to HTA implementation. This research will facilitate HTA operationalization by outlining a clear timeline of actions to bridge the gap between the current and the aspired status.