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This research compares health technology assessment (HTA) agencies to derive policy options for improving HTA processes in various health systems.

June 15, 2026Pharmacoeconomics and PolicyOpen Access

Comparative review of selected health technology assessment agencies: Features and insights for health technology assessment development and improvement

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This research compares health technology assessment (HTA) agencies to derive policy options for improving HTA processes in various health systems.
Conducted a comparative narrative review of ten HTA systems using WHO’s institutionalisation framework.
Extracted 35 structural and procedural elements and synthesised them into five analytical modules.
Analyzed governance, assessment methods, institutional roles, lifecycle integration, and stakeholder engagement.
HTA functions and processes varied greatly across agencies, influencing their authority and effectiveness in pricing and reimbursement.
Binding coverage outcomes were noted in specific countries like England and Germany, each with unique legal frameworks.
Problems identified included uneven implementation of horizon scanning and disinvestment mechanisms, with few employing lifecycle-oriented practices.

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Comparative review examines features of HTA agencies, revealing insights for policy reforms in diverse health systems.

Dai et al. (2026) studied this question.

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