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From idealistic rookies to a regional leader: the history of health technology assessment in Poland.
Int J Technol Assess Health Care 2009; 25 Suppl 1:156-62IJ

Abstract

In 1989, Poland started to slowly release itself not only from the burden of a half-century of communist indoctrination and soviet exploitation, but also from the consequences of the Semashko model of healthcare organization: low doctors' salaries, primary care based on multispecialty groups, overdeveloped hospital infrastructure, and limited access to sophisticated interventions overcome by patients' unofficial payments. A few years after the 1998 workshop on health technology assessment (HTA) in Budapest, the first HTA reports were elaborated in the National Center for Quality Assessment in Health Care, which could mark the beginning of HTA in Poland. Several individuals and organizations have been involved in developing HTA, both from noncommercial and commercial standpoints. A goal to establish a national HTA agency appeared among the priorities of the Polish Ministry of Health in 2004 and was realized a year later. The Agency for HTA in Poland published guidelines on HTA and established a sound and transparent two-step (assessment-appraisal) process for preparing recommendations on public financing of both drugs and nondrug technologies. The recommendations of the Agency's Consultative Council were warmly welcomed by the public payer. However, the recent major restructuring of the Agency and new drug reimbursement decisions aroused doubts as to keeping transparency of the decision-making processes.

Authors+Show Affiliations

Department of Angiology, Jagiellonian University and University Hospital, Kracow 31-066, Poland. r.nizankowski@gmail.comNo affiliation info available

Pub Type(s)

Historical Article
Journal Article

Language

eng

PubMed ID

19527537

Citation

Nizankowski, Rafał, and Norbert Wilk. "From Idealistic Rookies to a Regional Leader: the History of Health Technology Assessment in Poland." International Journal of Technology Assessment in Health Care, vol. 25 Suppl 1, 2009, pp. 156-62.
Nizankowski R, Wilk N. From idealistic rookies to a regional leader: the history of health technology assessment in Poland. Int J Technol Assess Health Care. 2009;25 Suppl 1:156-62.
Nizankowski, R., & Wilk, N. (2009). From idealistic rookies to a regional leader: the history of health technology assessment in Poland. International Journal of Technology Assessment in Health Care, 25 Suppl 1, pp. 156-62. doi:10.1017/S0266462309090588.
Nizankowski R, Wilk N. From Idealistic Rookies to a Regional Leader: the History of Health Technology Assessment in Poland. Int J Technol Assess Health Care. 2009;25 Suppl 1:156-62. PubMed PMID: 19527537.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - From idealistic rookies to a regional leader: the history of health technology assessment in Poland. AU - Nizankowski,Rafał, AU - Wilk,Norbert, Y1 - 2009/06/16/ PY - 2009/6/17/entrez PY - 2009/6/17/pubmed PY - 2009/10/14/medline SP - 156 EP - 62 JF - International journal of technology assessment in health care JO - Int J Technol Assess Health Care VL - 25 Suppl 1 N2 - In 1989, Poland started to slowly release itself not only from the burden of a half-century of communist indoctrination and soviet exploitation, but also from the consequences of the Semashko model of healthcare organization: low doctors' salaries, primary care based on multispecialty groups, overdeveloped hospital infrastructure, and limited access to sophisticated interventions overcome by patients' unofficial payments. A few years after the 1998 workshop on health technology assessment (HTA) in Budapest, the first HTA reports were elaborated in the National Center for Quality Assessment in Health Care, which could mark the beginning of HTA in Poland. Several individuals and organizations have been involved in developing HTA, both from noncommercial and commercial standpoints. A goal to establish a national HTA agency appeared among the priorities of the Polish Ministry of Health in 2004 and was realized a year later. The Agency for HTA in Poland published guidelines on HTA and established a sound and transparent two-step (assessment-appraisal) process for preparing recommendations on public financing of both drugs and nondrug technologies. The recommendations of the Agency's Consultative Council were warmly welcomed by the public payer. However, the recent major restructuring of the Agency and new drug reimbursement decisions aroused doubts as to keeping transparency of the decision-making processes. SN - 1471-6348 UR - https://www.unboundmedicine.com/medline/citation/19527537/From_idealistic_rookies_to_a_regional_leader:_the_history_of_health_technology_assessment_in_Poland_ L2 - https://www.cambridge.org/core/product/identifier/S0266462309090588/type/journal_article DB - PRIME DP - Unbound Medicine ER -