A Gap Analysis of HTA Methods in Europe: Results From SUSTAIN-HTA
Author(s)
Fatima Salih, MSc1, Shane Collins, MSc2, Zoe Garrett, MPhil2.
1National Institute for Health and Care Excellence, London, United Kingdom, 2National Institute for Health and Care Excellence, Manchester, United Kingdom.
1National Institute for Health and Care Excellence, London, United Kingdom, 2National Institute for Health and Care Excellence, Manchester, United Kingdom.
OBJECTIVES: The Horizon Europe SUSTAIN-HTA Coordinating Support Action aims to create a sustainable framework to align the needs of European HTA bodies for innovative HTA methods and tools with those developed by academic groups. A gap analysis was undertaken to identify areas where there is a need for new methods and tools to inform HTA.
METHODS: The gap analysis was informed by: - a review of published HTA methods guides (n=54) from 36 European HTA bodies and methodological documents published by the Member State Coordination Group on HTA (HTACG) (n=5)
- a review of HTA body needs identified by the SUSTAIN HTA network
- an inventory of HTA methods developed in completed EU-funded HTA projects in the past 5 years
RESULTS: The gap analysis categorised methods into 5 themes, including; (1) areas where no methods were identified, (2) areas where it’s difficult to develop appropriate methods due to inherent issues, (3) areas where there are some methods available, however there is a lack of clarity of best practice or methodological details, (4) areas where there are methods available from EU-funded projects or other initiatives, but these have not been adopted by HTA bodies, and (5) areas where there are some general frameworks but no established methodologies. Six areas that require methodological development were identified: (1) artificial intelligence in HTA, (2) environmental aspects in HTA, (3) real-world evidence, (4) carer quality of life, (5) paediatric quality of life, and (6) domains of HTA beyond clinical and cost effectiveness.
CONCLUSIONS: This gap analysis is a foundational step for SUSTAIN-HTA to support the prioritisation of methods and tools for implementation and further development in Europe. The gap analysis showed a clear need for methods and tools to be developed to inform HTA development.
METHODS: The gap analysis was informed by: - a review of published HTA methods guides (n=54) from 36 European HTA bodies and methodological documents published by the Member State Coordination Group on HTA (HTACG) (n=5)
- a review of HTA body needs identified by the SUSTAIN HTA network
- an inventory of HTA methods developed in completed EU-funded HTA projects in the past 5 years
RESULTS: The gap analysis categorised methods into 5 themes, including; (1) areas where no methods were identified, (2) areas where it’s difficult to develop appropriate methods due to inherent issues, (3) areas where there are some methods available, however there is a lack of clarity of best practice or methodological details, (4) areas where there are methods available from EU-funded projects or other initiatives, but these have not been adopted by HTA bodies, and (5) areas where there are some general frameworks but no established methodologies. Six areas that require methodological development were identified: (1) artificial intelligence in HTA, (2) environmental aspects in HTA, (3) real-world evidence, (4) carer quality of life, (5) paediatric quality of life, and (6) domains of HTA beyond clinical and cost effectiveness.
CONCLUSIONS: This gap analysis is a foundational step for SUSTAIN-HTA to support the prioritisation of methods and tools for implementation and further development in Europe. The gap analysis showed a clear need for methods and tools to be developed to inform HTA development.
Conference/Value in Health Info
2025-11, ISPOR Europe 2025, Glasgow, Scotland
Value in Health, Volume 28, Issue S2
Code
HTA7
Topic
Health Technology Assessment, Medical Technologies, Methodological & Statistical Research
Disease
No Additional Disease & Conditions/Specialized Treatment Areas