THE TRANSPARENCY OF PUBLISHED RECOMMENDATIONS ON REIMBURSEMENT OF HEALTH TECHNOLOGIES IN POLAND

Author(s)

Bochenek T1, Kocot E1, Rodzinka M1, Godman B2, Maciejewska K1, Kamal S3, Pilc A4
1Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland, 2Division of Clinical Pharmacology, Karolinska Institutet, Stockholm, Sweden, 3School of Pharmaceutical Sciences, University of Geneva, University of Lausanne, 1211 Geneve 4, Switzerland, 4Institute of Pharmacology, Polish Academy of Sciences, Krakow, Poland

OBJECTIVES:  The Polish state agency for health technology assessment (AOTM/AOTMiT) serves as an advisory body to the Minister of Health, to whom it issues the HTA-based recommendations on reimbursement of new health technologies. The recommendations are being partly blinded before making them available to the general public. Nevertheless, it was assumed that the citizens of a democratic country should have an appropriate insight into these recommendations, since they pertain to spending of public money. Consequently, the goal of this study was to examine how the formally existing fundamental right to information has been exercised in reality in Poland and how the execution of this right has changed in recent years. METHODS:  All recommendations on financing new technologies published by the President of the AOTM/AOTMiT within two predefined equal periods of time between 2013 and 2015 were analysed. The texts of the recommendations were evaluated with regard to the frequency of blinding their parts to the public, their readability and clarity of messages. The gathered data and assessments were subjected to statistical analysis. The descriptive statistics were conducted (mean, standard deviation, frequency, range), as well as the Pearson's Chi-square test for independence was used to assess relationships. RESULTS:  The frequency and intensity of censoring the published HTA-based recommendations on reimbursement of health technologies has diminished. The text readability and clarity of message resulting from recommendations has improved. The improvements were made without issuing any new laws or regulations and they occurred due to the changed interpretation of the already existing legislation, as well as the change in culture and public communication policy. CONCLUSIONS:  The positive changes in the public communication policy should be maintained. The transparency of the HTA-based recommendations should be increased further in some areas in the future.

Conference/Value in Health Info

2016-10, ISPOR Europe 2016, Vienna, Austria

Value in Health, Vol. 19, No. 7 (November 2016)

Code

PHP48

Topic

Health Policy & Regulatory, Health Service Delivery & Process of Care, Health Technology Assessment, Real World Data & Information Systems

Topic Subcategory

Approval & Labeling, Decision & Deliberative Processes, Health & Insurance Records Systems, Hospital and Clinical Practices, Pricing Policy & Schemes, Reimbursement & Access Policy

Disease

Multiple Diseases

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