HTA in Germany: basics in practice and education
DOI:
https://doi.org/10.15587/2519-4852.2025.326977Keywords:
healthcare, health economy, health assessment, health technology, health technology assessment (HTA), HTA curriculum, HTA authorities, competence grid, HTA stakeholders, target groups in HTAAbstract
The aim. The aim of the investigation was to elucidate the HTA system's development process and its educational component by studying the basic functions and options of services that are responsible for its functioning in Germany.
Material and methods. Official sites of government and non-government non-profit organizations and government publications in specialized open sources have been used. Research methods include mostly descriptive approaches and methods for collecting data: observation, generalization data, graphics and methods for analyzing data: qualitative content analysis.
Results. The creation of the HTA system in Germany has been ongoing since 1994. State institutions responsible for HTA have changed, and their areas of responsibility and control have been reformatted. Today, 5 institutions/organizations that ensure the effective functioning of the HTA in Germany are presented. A basic training program aimed at training executors (reporters) and decision-makers is presented. A grid of 7 basic competencies in HTA education in Germany is presented. The program is presented in 10 modules, which are grouped by the authors into three cycles: Fundamental (Modules 1-6), Methodological (M. 7-9) and final cycles (M. 10).
Conclusions. To build or improve the HTA system, attention should be paid to the periodicity of updating information, which will contribute to a more accurate identification (satisfaction) of the needs of the country's HTA, both from the standpoint of implementation and ensuring applied functioning, and for the educational component of the HTA process. Constant review and assessment of the need/basic scope of the national HTA and stakeholders. The best way to do this is to study existing models and mechanisms of HTA in countries with the most developed and advanced healthcare systems
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