OBJECTIVES: Health technology assessment (HTA) mainly based on international evidence was introduced in the Romanian pharmaceutical reimbursement system in 2014. Our objective was to assess the current status of HTA implementation and to determine the long-term preferences for development HTA development in Romania.

METHODS: We applied the survey template published by Kalo et al (2016) among the participants at the National Conference of Pharmacoeconomics and Health Management. Further targeted sampling among public stakeholders (from regulatory agency and academia) was applied to increase the sample size.

RESULTS: CONCLUSIONS: Our results indicated the continuous need to strengthen the educational and methodological basis of current activities in Romania which should lead to a more effective HTA system. Findings also point out that the locally collected evidence should have a higher importance.