HTAi의 INTEGRATE-Health Technology Assessment 프로젝트와 국내 시사점

Abstract

Objectives: As complex technologies are becoming increasingly important alongside changing disease structures, it is necessary to consider the complex features of technologies in health technology assessments (HTAs) to prevent the assessment from drawing a wrong conclusion. In this context, the present study intends to review the methodology applicable to complex technologies from the HTAi’s latest INTEGRATE-HTA project and to identify implications for Korean healthcare. The object of the present study is to examine the methodology of health technology assessment for evaluating complex interventions (technologies) using the HTAi’s INTEGRATE-HTA project and to find the implications that a apply to Korea. Methods: The present study summarizes and introduces six guidelines in the INTEGRATE-HTA project from the HTAi’s website(https://htai.org) and describes the implications for Korea healthcare. Results: The following are the five steps of the INTEGRATE-HTA Model for complex health technologies: Step 1 defines an HTA objective and technology. Step 2 may use a logic model to determine the required evidence. Step 3 reports and summarizes the evidence for each aspect of assessment and patient preferences. Step 4 may expand the logic model to synthesize and summarize evidence. Step 5 recommends decision-making for the HTA, which is not a requisite. Conclusion: The INTEGRATE-HTA method may be applicable in Korea as an integrated assessment to evaluate the interactions between different contexts and implementation factors of various interventions when assessing the effect of a disease program or the public health system including the service delivery framework. Using these experiences, applying the INTEGRATE-HTA project in the Korean context to public health and medical fields would contribute significantly to evidence-based public health policies.