Health Technology Assessment in Egypt

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Questions and Answers

What is the first stage mentioned in the HTA process in Egypt?

Scoping exercise

Implementation stage

Agenda setting/policy formulation stage (correct)

Impact evaluation stage

What is a primary goal of the impact evaluation stage in the HTA process?

To gather data for historical analysis

To set up key performance indicators (correct)

To develop methodological guidelines

To assess stakeholder perceptions

Why is stakeholder analysis crucial in the establishment of HTA policy in Egypt?

It eliminates the need for evaluation stages

It guarantees buy-in and legitimacy of HTA processes (correct)

It ensures funding for healthcare projects

It assesses public health from historic perspectives

What method was used to gauge stakeholders' awareness in Egypt regarding HTA?

A survey delivered to targeted stakeholders Signup and view all the answers

What aspect of the healthcare system plays a major role in the implementation of HTA policy?

Health system context Signup and view all the answers

What type of analysis informs future HTA efforts in Egypt?

Situational analysis Signup and view all the answers

Which organization commented on the development of the HTA process in Egypt?

NICE International Signup and view all the answers

What was the survey in 2022 focused on regarding stakeholders in Egypt?

Their perceptions and attitudes towards HTA Signup and view all the answers

What critical area was highlighted as needing further support in the context of health technology assessment (HTA) in Egypt?

Capability building and training Signup and view all the answers

What type of technology was ranked first by stakeholders in the health technology assessment process in Egypt?

Medicines Signup and view all the answers

Which law envisioned the creation of new bodies to improve healthcare governance in Egypt?

Law No. 2/2018 Signup and view all the answers

What is identified as a significant characteristic of the healthcare system in Egypt?

Complex and fragmented structure Signup and view all the answers

Which organization is mentioned in association with medical supply management in Egypt?

Egyptian Authority for Unified Procurement Signup and view all the answers

What is an essential next step for advancing health technology assessment (HTA) in Egypt?

Building on existing skills and capabilities Signup and view all the answers

What is a component of the healthcare system in Egypt that is affected by both public and private sectors?

Health service delivery Signup and view all the answers

Which aspect is considered crucial for stakeholders during the health technology assessment process in Egypt?

Involvement and contribution Signup and view all the answers

What is the primary objective of the HTA process being developed by the UPA?

To assess the value of new pharmaceuticals for reimbursement decisions. Signup and view all the answers

Which organization has a central role in HTA in Egypt according to the survey respondents?

UPA Signup and view all the answers

According to the content, how long is the draft HTA process expected to take?

3 months Signup and view all the answers

What aspect of the HTA process shows a mismatch in stakeholder perception?

The mandatory nature of evaluations. Signup and view all the answers

What kind of analysis is emphasized in the HTA development focus?

Cost-effectiveness and budget impact analysis. Signup and view all the answers

What will the UHIA collaborate with the UPA to identify?

Priority disease areas. Signup and view all the answers

What is a key consideration in the HTA process to ensure its effectiveness?

Inclusion of all stakeholder opinions. Signup and view all the answers

What may future HTA evaluations in Egypt possibly include?

Requests by various stakeholders. Signup and view all the answers

What percentage of respondents mentioned capacity building and training as a technical need for HTA?

57% Signup and view all the answers

Which qualification was least commonly reported among respondents for staff involved in HTA?

Epidemiology Signup and view all the answers

What was the primary barrier identified in the situational analysis of HTA in Egypt?

Vague responses regarding HTA capacity Signup and view all the answers

What was one of the HTA products published by stakeholders in Egypt?

Cost-effectiveness analyses Signup and view all the answers

How many staff were reported to have qualifications in health economics?

Fewer than 10 Signup and view all the answers

Which group was mentioned as having a significant role in supporting the HTA process in Egypt?

UPA staff Signup and view all the answers

What is the primary purpose of the Universal Procurement Authority (UPA)?

To procure and manage healthcare supplies for public entities Signup and view all the answers

Which of the following was highlighted as a challenge in implementing HTA in Egypt?

Limited understanding of HTA procedures Signup and view all the answers

What do stakeholders in Egypt express a willingness to do regarding the HTA process?

Collaborate in the process by providing essential data Signup and view all the answers

How is health technology assessment (HTA) primarily used in the context of universal health coverage (UHC)?

To evaluate the cost-effectiveness of health technologies Signup and view all the answers

What legal framework guides the operation of various healthcare agencies in Egypt regarding UHC?

Universal Health Insurance Law No. 2/2018 Signup and view all the answers

Which authority is responsible for the registration and supervision of pharmaceutical products in Egypt?

Egyptian Drug Authority (EDA) Signup and view all the answers

What significant health system reform is Egypt aiming to achieve by 2030?

Universal Health Coverage (UHC) Signup and view all the answers

What role does the UPA play in relation to the health technologies it procures?

It negotiates prices for cost-effective health technologies Signup and view all the answers

Which of the following best describes health technology assessment (HTA)?

A multidisciplinary process for determining the value of health technologies Signup and view all the answers

Which authority must contract GAHC facilities after obtaining accreditation?

Universal Health Insurance Authority (UHIA) Signup and view all the answers

What is the main focus of the stakeholder analysis discussed?

Noncommunicable diseases Signup and view all the answers

Which initiative is highlighted for its role in health sector reform?

LACHSR Health Sector Reform Initiative Signup and view all the answers

What was the publication year of the recommendations for reporting pharmacoeconomic evaluations in Egypt?

2013 Signup and view all the answers

Which country’s lessons are drawn upon for institutionalizing evidence-informed priority setting?

Indonesia Signup and view all the answers

Which journal published the guidelines for stakeholder analysis?

WHO South-East Asia Journal of Public Health Signup and view all the answers

What is the primary goal of the technology assessment discussed?

Facilitating international collaboration in health policies Signup and view all the answers

Which of the following is mentioned as a publication outlet for research on health topics?

Frontiers in Pharmacology Signup and view all the answers

Which aspect of health is emphasized in the document related to Bangladesh?

Multisectoral action plans Signup and view all the answers

Study Notes

Institutionalizing Health Technology Assessment (HTA) in Egypt

Objective: Conduct a situational analysis to inform future HTA in Egypt.
Introduction: Egypt aims for universal health coverage (UHC) by 2030. The Egyptian Authority for Unified Procurement, Medical Supply, and the Management of Medical Technology (UPA) was created to support strategic procurement, using HTA.
Methods: A literature review, a stakeholder analysis, and an HTA capacity survey of relevant stakeholders, were conducted in 2022. A stakeholder event followed to contextualize findings.
Results: UPA plans to evaluate the cost-effectiveness of health technologies and new pharmaceuticals introduced to the Egyptian market to inform decisions.
- 16 organizations participated in the HTA capacity survey.
- More than 80% of respondents supported implementing HTA in Egypt.
- Transparency was a key concern.
- Over 90% of respondents felt economic analysis was an important HTA product.
- Pharmaceuticals were ranked as the highest priority for HTA output.
Conclusion: This study is the first to describe the current HTA path in Egypt. Momentum exists to formalize HTA processes. Next steps should be built upon existing skills and capabilities.
Process development:
- UPA is developing an HTA process, initially focusing on value assessment for new pharmaceuticals, to support reimbursement decisions and procurement.
- Stakeholder analysis shows a need for continued training and capability building for HTA staff, both within UPA and wider stakeholder groups.
Key stakeholders:
- A significant number of organizations (88%) expressed UPA as a central HTA role in Egypt.
- The majority of these stakeholders perceived UPA's role as mandatory, instead of simply advisory This may require further clarification.
Perceptions on the HTA process:
- Some stakeholders lack clarity on the decision-making processes.
- Transparency and stakeholder buy-in are critical.
- The process needs to provide a clear path for all stakeholders.
Policy Formulation:
- HTA products being developed include economic HTA analyses (cost-effectiveness, budget impact), clinical guidelines, redesigning the essential list and other analyses.
- Medicine was the most urgent area for HTA output, followed by medical devices.
Capacity Analysis:
- Several stakeholders indicated the need for capacity building and training.
- Some expressed concern about current capacity and insufficient resources to support HTA.
Stakeholder Event:
- Attendees emphasized the importance of a transparent, evidence-based, and inclusive HTA process, along with clear HTA roles for all involved.
- Stakeholder buy-in was highlighted as crucial for success.

Future Research Orientations

Formalizing the HTA process in Egypt.
Establishing a broader stakeholder engagement and feedback mechanism.

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Description

This quiz explores key stages and concepts related to the Health Technology Assessment (HTA) process in Egypt. It covers stakeholder analysis, impact evaluation, and the role of healthcare systems in implementing HTA policies. Test your knowledge about the development and challenges faced in the area of health technology assessment in Egypt.