The implementation of HTA in medicine pricing and reimbursement policies in Indonesia: Insights from multiple stakeholders


Autoři: Riswandy Wasir aff001;  Sylvi Irawati aff003;  Amr Makady aff006;  Maarten Postma aff003;  Wim Goettsch aff006;  Talitha Feenstra aff001;  Erik Buskens aff001
Působiště autorů: Department of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands aff001;  Sekolah Tinggi Ilmu Farmasi Makassar, Makassar, Indonesia aff002;  Groningen Research Institute of Pharmacy, Faculty of Science and Engineering, University of Groningen, Groningen, the Netherlands aff003;  Center for Medicines Information and Pharmaceutical Care, Faculty of Pharmacy, Universitas Surabaya, Surabaya, Indonesia aff004;  Department of Clinical and Community Pharmacy, Faculty of Pharmacy, Universitas Surabaya, Surabaya, Indonesia aff005;  National Health Care Institute, Diemen, the Netherlands aff006;  Department of Pharmacoepidemiology and Clinical Pharmacology, Utrecht University, Utrecht, the Netherlands aff007;  Department of Health Sciences, University of Groningen, Groningen, The Netherlands aff008;  Department of Economics, Econometrics & Finance, Faculty of Economics & Business, University of Groningen, Groningen, the Netherlands aff009;  Department of Pharmacology and Therapy, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia aff010;  Dutch National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands aff011;  Department of Operations, Faculty of Economics & Business, University of Groningen, Groningen, the Netherlands aff012
Vyšlo v časopise: PLoS ONE 14(11)
Kategorie: Research Article
doi: 10.1371/journal.pone.0225626

Souhrn

Objectives

This study aimed to identify the barriers and facilitators to improve the use of health technology assessment (HTA) for the selection of medicines listed in the e-Catalogue and the national formulary in Indonesia.

Methods

Semi-structured interviews were conducted to collect qualitative data. Purposive sampling was used to recruit the stakeholders consisting of policymakers, a pharmaceutical industry representative, healthcare providers, and patients. The data were analyzed using directed content analysis and following the COnsolidated criteria for REporting Qualitative studies (COREQ).

Results

The twenty-five participants interviewed agreed with the use of HTA for supporting the e-Catalogue and the national formulary and perceived the advantages of HTA implementation outweighed the disadvantages. Barriers mentioned were a lack of capability of local human resources, financial incentives, a clear framework and insufficient data. Strategies suggested to overcome the barriers were establishing (inter)national networks to build up capacity, setting up departments of HTA in several universities in Indonesia, and introducing a clear HTA framework. Facilitators mentioned were the ambition to achieve universal health coverage, the presence of legal frameworks to implement HTA in the e-Catalogue and the national formulary, and the demands for appropriate medicine policies.

Conclusions

Several barriers are currently hampering broad implementation of HTA in medicine pricing and reimbursement policy in Indonesia. Solutions to these issues appear feasible and important facilitators exist.

Klíčová slova:

Allied health care professionals – Health care policy – Health care providers – Health care sector – Health economics – Indonesia – Pharmacists – Physicians


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Článek vyšel v časopise

PLOS One


2019 Číslo 11