EDITORIAL

Volume 5 : Jul-Dec 2013

HTA FORUM

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Capacity building for HTA…when there is no such thingas a mone size fits alln model!

The NEw EuroQoL-Five Dimension-

The capacity of young researchers

HTA ACTIVITIES

Capacity buildingfor HTA organization in Asia

Capacity buildingfor HTA organization in Asia

HTAsiaLinkNEWSLETTER TO STRENGTHEN COLLABORATION AMONG HTA AGENCIES IN ASIA

HTA REVIEW

htasialink@hitap.net

erforming Health Technology Assements

( (HTA) involves the pursuit of pure scientific research as well as the art of linking scientific evidence to decision making; therefore HTA capacity development at all levels entails multi-disciplinary knowledge enhancements in order to improve HTA systems.

In Asian countries, an emerging market for HTA, capacity building is definitely one of the most interesting topics among the HTA community. Nevertheless, the need for HTA capacity building in Asia vary as some countries are at an embryonic stage of HTA development, while other countries are looking for mechanisms to enhance

the use of HTA in their health system, especially for those countries with universal public health insurance coverage. In addition, HTA capacity building ranges from the development of the capacity of individual researchers to capacity building efforts at an institutional or a country level.As it is clearly and widely accepted that

in building up capacity, there is neither an “ideal model” nor “a one-size fit all model” that can respond to the needs for capacity building at all levels. Therefore, by learning from others’ experiences, we can understand why particular capacity building activities have been selected in each setting. This issue of the HTAsiaLink newsletter provides interesting experiences from our HTAsiaLink members in the main scoop of “Capacity building for HTA…when there is no such thing as a one size fits all model!”Moreover, capacity building cannot be

fully accomplished if it is limited to only individuals or organizations. Therefore to strengthen the capacity in HTA, there is a

need to intertwine HTA capacity building schemes at the regional and international levels with those conducted at the level of the individual. In this issue, we will also share with you a story from one of HTAsiaLink's activities, ie the HTAsiaLink annual conference which was emerged as a learning platform for young researchers to build up their HTA capacities.

Finally, the HTAsiaLink editorial team hopes that this issue will be useful for information sharing on how HTA organizations in Asia may together move the issue forward. We will be very pleased to receive any feedback or comments from our readers in order to improve our newsletter.

Happy New Year to you all!HTAsiaLink Editorial team

HTA FORUMChalarntorn Yothasamutra

chalatorn.y@hitap.net

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Capacity building for HTA…Wheﾐ theヴe is ﾐo suIh thiﾐg as a さoﾐe size fits allざ ﾏodel!

Canadian International Development Agency (2000) Capacity Development: Why, What and How International Network of Agencies for Health Technology Assessment (INAHTA)

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Wheﾐ talkiﾐg aHout さIapaIit┞ Huildiﾐgざ, soﾏe ﾏa┞ ヴefeヴ to it thヴough speIifiI aIi┗ies, suIh as tヴaiﾐiﾐg, ┘oヴkshops, higheヴ eduIaioﾐ, etc..

Iﾐ faIt, IapaIit┞ Huildiﾐg oヴ IapaIit┞ de┗elopﾏeﾐt is ﾐot oﾐl┞ liﾏited to aIi┗iies Hut iﾐIlude appヴoaIhes, stヴategies aﾐd ﾏethodologies ┘hiIh aヴe used to help oヴgaﾐizaioﾐs aﾐd/oヴ s┞steﾏs iﾏpヴo┗e peヴfoヴﾏaﾐIe .

The Uﾐited Natioﾐs De┗elopﾏeﾐt Pヴogヴaﾏﾏe ふUNDPぶげs guideliﾐes foヴ IapaIit┞ de┗elopﾏeﾐt suggest that iﾐ oヴdeヴ to effeIti┗el┞ aIhie┗e IapaIit┞ de┗elopﾏeﾐt, thヴee fuﾐdaﾏeﾐtal ケuestioﾐs ﾏust He Ilaヴified.

The di┗eヴsit┞ of IapaIit┞ de┗elopﾏeﾐt ﾏodels is espeIiall┞ tヴue iﾐ the aヴea of Health TeIhﾐolog┞ Assessﾏeﾐt ふHTAぶ, ┘hiIh is a ﾏulidisIipliﾐaヴ┞ field IoﾐIeヴﾐiﾐg the ﾏediIal, soIial, ethiIal, aﾐd eIoﾐoﾏiI iﾏpliIaioﾐs of the de┗elopﾏeﾐt,diffusioﾐ, aﾐd the use of health teIhﾐolog┞ . Coﾐseケueﾐtl┞, Iouﾐtヴies that adopt HTA to theiヴ health s┞steﾏs Iaﾐﾐot deﾐ┞ the ﾐeed foヴ HTA IapaIit┞ Huildiﾐg duヴiﾐg its iﾐiial phase oヴ loﾐg-teヴﾏ de┗elopﾏeﾐt of HTA IapaIit┞.

Despite diffeヴeﾐIes iﾐ le┗els of HTA de┗elopﾏeﾐt iﾐ paヴiIulaヴ Iouﾐtヴies, lessoﾐs Iaﾐ He shaヴed aﾐd leaヴﾐed. A sﾏall ヴouﾐd taHle ┘as set-up aﾏoﾐg HTAsiaLiﾐk ﾏeﾏHeヴs to fiﾐd out ho┘ eaIh ageﾐI┞ dealt ┘ith HTA IapaIit┞ Huildiﾐg iﾐ theiヴ paヴiIulaヴ iﾐsituioﾐal seiﾐgs. Theヴe ┘eヴe ヴepヴeseﾐtai┗es fヴoﾏ fouヴ oヴgaﾐizaioﾐs iﾐIludiﾐg the Naioﾐal E┗ideﾐIe-Hased healthIaヴe CollaHoヴaiﾐg AgeﾐI┞ ふNECAぶ, Koヴea; DisIipliﾐe of “oIial & Adﾏiﾐistヴai┗e PhaヴﾏaI┞ ふD“APぶ, Uﾐi┗eヴsii “aiﾐs Mala┞sia ふU“Mぶ, Mala┞sia; Gヴaduate “Ihool of PhaヴﾏaIeuiIal “IieﾐIes, Uﾐi┗eヴsit┞ of Tok┞o, Japaﾐ; aﾐd the Health Iﾐteヴ┗eﾐioﾐ aﾐd TeIhﾐolog┞ Assessﾏeﾐt Pヴogヴaﾏ ふHITAPぶ, Thailaﾐd.

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(1) to ┘hat eﾐd do ┘e ﾐeed to de┗elop this IapaIit┞; (2) ┘hose IapaIiies ﾐeed to He de┗eloped; aﾐd (3) ┘hat kiﾐd of IapaIiies ﾐeed to He de┗eloped. Fヴoﾏ aﾐs┘eヴs to these ケuesioﾐs, it Iaﾐ He seeﾐ that

The Questions are :

theヴe aヴe ﾏaﾐ┞ ┘a┞s eaIh uﾐit oヴ iﾐdi┗idual Iaﾐ Huild IapaIit┞ aﾐd it is Ileaヴ that IapaIit┞ Huildiﾐg does ﾐot ha┗e a siﾐgle appヴoaIh oヴ a けoﾐe size fits allげ ﾏodel.

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DisIussioﾐ Hegaﾐ ┘ith a desIヴipioﾐ of the Iuヴヴeﾐt state of HTA IapaIit┞ de┗elopﾏeﾐt foヴ eaIh iﾐstitute aﾐd ﾏo┗ed oﾐ to ヴefleIioﾐs aHout the ﾏost effeIi┗e IapaIit┞ Huildiﾐg aIi┗iies foヴ eaIh uﾐit. Fiﾐall┞, the flooヴ ┘as opeﾐ foヴ a geﾐeヴal disIussioﾐ of the role of the HTAsiaLink network for capacity building

aIi┗iies at the ﾐaioﾐal aﾐd iﾐteヴﾐaioﾐal le┗el.

The fiヴst ヴouﾐd of the disIussioﾐ Hegaﾐ ┘ith a ヴe┗ie┘ of Iuヴヴeﾐt IapaIit┞ Huildiﾐg plaﾐs aﾐd aIti┗ities of the ﾏeﾏHeヴs. Iﾐ the gヴoup disIussioﾐs, Ioﾏpヴisiﾐg ヴepヴeseﾐtati┗es fヴoﾏ Hoth aIadeﾏia aﾐd HTA iﾐsituioﾐs, iﾐfoヴﾏaioﾐ ┘as deヴi┗ed fヴoﾏ Hoth peヴspeIti┗es.

Fヴoﾏ the peヴspeIi┗e of aIadeﾏia, IapaIit┞ Huildiﾐg ┘as tailoヴed to the goals aﾐd ﾏissioﾐ of the aIadeﾏiI depaヴtﾏeﾐt. Ho┘e┗eヴ, ┘hile the geﾐeヴal appヴoaIh ┘as desigﾐed to seヴ┗e the ﾐeeds of the depaヴtﾏeﾐt, theヴe ┘eヴe diffeヴeﾐt eleﾏeﾐts foヴ thヴee ﾏaiﾐ stakeholders: (1) IapaIit┞ Huildiﾐg foヴ seﾐioヴ ヴeseaヴIheヴs; (2) capacity building for

suppoヴt staff; aﾐd (3) external capacity building.

AssoIiate Pヴofessoヴ Dヴ. Asヴul Akﾏal “hafie of the U“M iﾐdiIated that his uﾐi┗eヴsit┞ pヴo┗ides tヴaiﾐiﾐg oﾐ fuﾐdaﾏeﾐtal ヴeseaヴIh suHjeIts foヴ suppoヴtiﾐg ヴeseaヴIh staff suIh as statistiIs aﾐd e┗ideﾐIe s┞ﾐthesis Iouヴses. Iﾐ additioﾐ, the┞ also offeヴ liﾏited fuﾐdiﾐg foヴ ヴetooliﾐg of seﾐioヴ ヴeseaヴIheヴs iﾐ shoヴt Iouヴses oヴ Ph.D. pヴogヴaﾏs.

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Dr. Ataru Igarashi add: “In Japan, collaboration among researchers in this

area is very important as we cannot do anything if we only rely on single

individuals or activities by a single institute. We need to go out and collaborate

to build up capacity or to disseminate HTA knowledge”

Iﾐ Japaﾐ, although it is iﾐ the iﾐiial phase of seiﾐg up a health teIhﾐolog┞ assessﾏeﾐt Ieﾐteヴ, it Iaﾐﾐot He deﾐied that the aIadeﾏiI seItoヴ is a ke┞ pla┞eヴ iﾐ foヴﾏulaiﾐg aﾐ HTA s┞steﾏ. HTA IapaIit┞ Huildiﾐg iﾐ Japaﾐ staヴted ┘ith uﾐi┗eヴsit┞ aﾐd Iollege Iouヴses. Dヴ. Ataヴu Igaヴashi - Assistaﾐt Pヴofessoヴ at the Uﾐi┗eヴsit┞ of Tok┞o - stated that a stヴoﾐg ﾐet┘oヴkiﾐg ヴelaioﾐship Het┘eeﾐ ヴeseaヴIheヴs fヴoﾏ diffeヴeﾐt uﾐits is Ioﾐsideヴed as a ke┞ faItoヴ iﾐ iﾐiiaiﾐg HTA iﾐ Japaﾐ. The ﾐet┘oヴk of HTA ヴeseaヴIheヴs ┘oヴk togetheヴ to Iヴeate guideliﾐes foヴ health eIoﾐoﾏiI aﾐal┞sis aﾐd togetheヴ pヴo┗ide Iouヴses oﾐ phaヴﾏaIoeIoﾐoﾏiIs.

Ho┘e┗eヴ, Dヴ. “hafie stヴessed that it is iﾏpoヴtaﾐt to Iヴeate the IoヴヴeIt eIospheヴe that suppoヴt the gヴo┘th of HTA iﾐ a Iouﾐtヴ┞. Without deﾏaﾐd H┞ ﾏaヴket, ヴegulatoヴs oヴ Ioﾐsuﾏeヴs foヴ HTA, theヴe ﾏight ﾐot e┗eﾐ He IapaIit┞ to Huild. HeﾐIe, aﾐ iﾏpoヴtaﾐt aspeIt that Iaﾐﾐot He ﾐegleIted is Huildiﾐg IapaIit┞ foヴ the eﾐ┗iヴoﾐﾏeﾐt to use, aﾐd suppoヴt HTA aIi┗iies. The DisIipliﾐe of “oIial & Adﾏiﾐistヴai┗e PhaヴﾏaI┞ iﾐ U“M has eﾏplo┞ed soﾏe stヴategies oﾐ e┝teヴﾐal IapaIit┞ Huildiﾐg, suIh as geﾐeヴaiﾐg pヴiﾏaヴ┞ e┗ideﾐIe foヴ IoﾐduIiﾐg phaヴﾏaIoeIoﾐoﾏiI studies as ┘ell as pヴo┗idiﾐg tヴaiﾐiﾐg aﾐd ┘oヴkshops oﾐ fuﾐdaﾏeﾐtal ヴeseaヴIh tools suIh as HasiI staisiIs, s┞steﾏaiI ヴe┗ie┘s, aﾐd phaヴﾏaIoeIoﾐoﾏiIs.

Dヴ. Igaヴashi foヴesees that ┘heﾐ Japaﾐ has fiﾐall┞ set up its HTA foヴﾏal Hod┞, theヴe ┘ill He a IヴuIial ﾐeed foヴ IapaIit┞ Huildiﾐg foヴ all stakeholdeヴs, espeIiall┞ poliI┞ﾏakeヴs aﾐd iﾐdustヴ┞ as the┞ aヴe t┘o ke┞ pla┞eヴs iﾐ the Japaﾐese health s┞steﾏ.

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At NECA, theiヴ oヴgaﾐizaioﾐal aiﾏ is to eﾐhaﾐIe the use of sIieﾐtifiI e┗ideﾐIe to suppoヴt deIisioﾐ-ﾏakiﾐg iﾐ the de┗elopﾏeﾐt of the Koヴeaﾐ ﾐaioﾐal healthIaヴe s┞steﾏ. Theヴefoヴe the┞ plaIe a high le┗el of iﾏpoヴtaﾐIe oﾐ IapaIit┞ de┗elopﾏeﾐt Hoth ┘ithiﾐ aﾐd outside the oヴgaﾐizaioﾐ. This is ヴefleIted iﾐ the opeﾐiﾐg speeIh of the Ihaiヴﾏaﾐ of NECA – Dヴ. Tae-H┘aﾐ Liﾏ, ┘ho stated,

さ…NECA is de┗elopiﾐg a さﾏade iﾐ Koヴeaざ e┗ideﾐIe-Hased appヴoaIh stヴateg┞ thヴough ┗aヴious tヴial tests. Also, ┘e aヴe tヴ┞iﾐg to iﾐIヴease e┗ideﾐIe aﾐal┞sis IapaHilit┞ H┞ de┗elopiﾐg the sepaヴate eduIaioﾐal ﾏodule aﾐd IuヴヴiIuluﾏ iﾐ┗ol┗iﾐg Koヴeaﾐ ヴeseaヴIheヴs.ざ

B┞ talkiﾐg to Dヴ. Jeoﾐghooﾐ Ahﾐ, the E┝eIui┗e DiヴeItoヴ of NECA, ┘e ha┗e leaヴﾐed that NECA iﾏpleﾏeﾐted ┗aヴious IapaIit┞ Huildiﾐg appヴoaIhes to eﾐsuヴe that theiヴ ヴeseaヴIh ヴeaIhed aIadeﾏiI staﾐdaヴds aﾐd is used foヴ poliI┞ deIisioﾐ ﾏakiﾐg. Foヴ iﾐstaﾐIe, these aIi┗iies iﾐIlude puHlishiﾐg ヴeseaヴIh ﾏaﾐuals foヴ HTA, aヴヴaﾐgiﾐg puHliI foヴa, aﾐd offeヴiﾐg tヴaiﾐiﾐg to poliI┞ deIisioﾐ ﾏakeヴs. Ho┘e┗eヴ, oﾐe of the ﾏost effeIi┗e IapaIit┞ Huildiﾐg tools that NECA has used is pヴo┗idiﾐg HasiI HTA iﾐteﾐsi┗e pヴogヴaﾏs foヴ its staff aﾐd the puHliI.

HTA organization where capacity building is a must!

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Foヴ HTA oヴgaﾐizaioﾐs like NECA aﾐd HITAP, the IoﾐIept of IapaIit┞ Huildiﾐg ┘as stヴuItuヴed as aﾐ oヴgaﾐizaioﾐal stヴateg┞. Both NECA aﾐd HITAP ha┗e a IoﾐIヴete plaﾐ foヴ IapaIit┞ de┗elopﾏeﾐt at all le┗els fヴoﾏ the iﾐdi┗idual to the iﾐteヴﾐaioﾐal.

Dヴ. Ahﾐ desIヴiHed the Iouヴses iﾐ ﾏoヴe detail, “We have an 8 week program for several subjects

such as ecoﾐoﾏic e┗aluaioﾐ, s┞steﾏaic re┗ie┘, outcoﾏes research, iﾐdirect coﾏparisoﾐ, aﾐd leadership traiﾐiﾐg for upper-le┗el seﾐior researchers. These courses begin in the evening

ater paricipaﾐts ha┗e fiﾐished their regular ┘ork, aﾐd last for 8 ┘eeks. All ﾐe┘ staff are e┝pected to take 3 iﾐtroductor┞ courses. Ater these iﾐtroductor┞ courses, the┞ caﾐ take other course aﾐd further their traiﾐiﾐg”.

Fヴoﾏ a NECA e┗aluaioﾐ ヴepoヴt oﾐ IapaIit┞ Huildiﾐg Ioﾏpleted iﾐ ヲヰヱヰ, it ┘as suggested that NECA ﾐeeds to Huild a ﾏulidisIipliﾐaヴ┞ ヴeseaヴIh teaﾏ to IoﾐduIt HTA, as HTA is a ﾏulidisIipli-ﾐaヴ┞ field.

Although at HITAP theヴe aヴe ﾐo ﾏaﾐdatoヴ┞ HTA Iouヴses foヴ staff, otheヴ IapaIit┞ Huildiﾐg aIi┗iies ha┗e Heeﾐ applied. HITAP ヴeIogﾐized IapaIit┞ Huildiﾐg as oﾐe of its 5 stヴategies. The aiﾏ of its IapaIit┞ Huildiﾐg stヴateg┞ is to stヴeﾐgtheﾐ IapaIities foヴ HTA at Hoth iﾐdi┗idual aﾐd oヴgaﾐizaioﾐal le┗els as ┘ell as foヴ the Thai HTA health s┞steﾏ.

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HITAP has categorized their capacity building

plan into two levels, one is internal capacity

Huildiﾐg oヴ staff IapaIit┞ de┗elopﾏeﾐt, aﾐd the otheヴ oﾐe is foヴ the e┝teヴﾐal Ioﾏﾏuﾐit┞ aﾐd aiﾏed at HITAP stakeholdeヴs. Foヴ iﾐteヴﾐal IapaIit┞ Huildiﾐg, HITAP offeヴs ┗aヴious aIi┗iies such as on-the-job training, scholarships, and

jouヴﾐal IluHs.

Moヴeo┗eヴ, H┞ lookiﾐg at HTA IapaIit┞ at the Hヴoadeヴ le┗el, HITAP sees the iﾏpoヴtaﾐIe of de┗elopiﾐg stakeholdeヴsげ IapaIit┞ iﾐ HTA. Theヴefoヴe, the┞ iﾏpleﾏeﾐted e┝teヴﾐal IapaIit┞ Huildiﾐg aIi┗iies, suIh as ┘oヴkshops, stud┞ ┗isits, aﾐd joiﾐt pヴojeIts oヴ leItuヴes foヴ poliI┞ﾏakeヴs, health pヴaItitioﾐeヴs aﾐd aIadeﾏiIiaﾐs.

The HITAP e┗aluaioﾐ ヴepoヴt iﾐ ヲヰヱヱ ヴe┗ealed that the ﾏost helpful tool iﾐ fosteヴiﾐg ヴeseaヴIh skills ┘as oﾐ-the-joH tヴaiﾐiﾐg. Ho┘e┗eヴ, it ┘as also poiﾐted out that although HITAP has iﾏpヴo┗ed its IapaIit┞ Huildiﾐg, soﾏe ヴeIoﾏﾏeﾐdaioﾐs siﾐIe the fiヴst e┗aluaioﾐ ha┗e ﾐot Heeﾐ adopted, for instance, there has been no strategic plan

de┗eloped foヴ staff ヴeIヴuitﾏeﾐt oヴ ヴeteﾐioﾐ.

It Iaﾐ He seeﾐ that eaIh oヴgaﾐizaioﾐ has adopted diffeヴeﾐt appヴoaIhes aﾐd aIi┗iies to deal ┘ith IapaIit┞ Huildiﾐg; eaIh aIi┗it┞ ┘as seleIted aﾐd applied to ﾏatIh uﾐiケue aﾐd diffeヴeﾐt Ioﾐte┝ts. Oﾐe IoﾐIlusioﾐ that Iaﾐ He dヴa┘ﾐ fヴoﾏ eaIh Iouﾐtヴ┞げs experience is that in order to develop

HTA IapaIit┞ effeIi┗el┞, aﾐ aヴヴa┞ of capacity building approaches and activities

need to be applied since capacity

Huildiﾐg itself is aﾐ appヴoaIh aiﾏed to de┗elop IapaIit┞ at e┗eヴ┞ le┗el.

Fiﾐall┞, disIussioﾐ oﾐ ho┘ the HTAsiaLiﾐk ﾐet┘oヴk Iaﾐ suppoヴt the HTA IapaIit┞ Huildiﾐg foヴ eaIh ﾏeﾏHeヴ oヴgaﾐizaioﾐ ┘as ヴaised. Foヴ the past ン ┞eaヴs, HTAsiaLiﾐk ﾏeﾏHeヴs ┘eヴe ┘oヴkiﾐg togetheヴ iﾐ ﾏaﾐ┞ aIti┗ities ┘ith the aiﾏ to Huild IapaIit┞ foヴ iﾐstaﾐIe HTAsiaLiﾐkげs aﾐﾐual IoﾐfeヴeﾐIe, tヴaiﾐiﾐgs aﾐd ┘oヴkshops, aﾐd Iヴoss-Iouﾐtヴ┞ ヴeseaヴIh pヴojeIts. These aIti┗ities ヴeIei┗ed good feedHaIk as effeIti┗e IapaIit┞ Huildiﾐg tools.

All ﾏeﾏHeヴs agヴeed that the ﾏost iﾏpoヴtaﾐt IapaIit┞ Huildiﾐg ヴole of the ﾐet┘oヴk is thヴough shaヴiﾐg iﾐfoヴﾏatioﾐ aﾐd kﾐo┘ledge, aﾐd e┗eﾐ shaヴiﾐg IapaIit┞ Huildiﾐg Iosts aﾏoﾐg the ﾐet┘oヴk ﾏeﾏHeヴs.

B┞ lookiﾐg at the futuヴe oﾐ ho┘ HTAsiaLiﾐk Iould suppoヴt its ﾏeﾏHeヴs oﾐ IapaIit┞ Huildiﾐg, Dヴ. Asヴul pヴoposed that HTAsiaLiﾐk Iould ﾏake use of its ┘eHsite to pヴo┗ide aﾐ aヴIhi┗e of ┘oヴkshops, tヴaiﾐiﾐgs, ヴeseaヴIh ﾏaﾐuals, etI. foヴ the ﾏeﾏHeヴs aﾐd otheヴ iﾐteヴested paヴtiIipaﾐts.

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Addiioﾐall┞, otheヴ tools to pヴoﾏote iﾐfoヴﾏaioﾐ shaヴiﾐg aﾏoﾐg HTAsiaLiﾐk ﾏeﾏHeヴs ┘eヴe ヴeIoﾏﾏeﾐded, suIh as a dataHase oﾐ Cヴoss Couﾐtヴ┞ Coﾏpaヴisoﾐs of Co┗eヴage aﾐd PヴiIiﾐg deIisioﾐs ふalso kﾐo┘ﾐ as a ヴC dataHaseぶ. The puヴpose of ha┗iﾐg a ヴC dataHase is to estaHlish aﾐd ﾏaiﾐtaiﾐ aﾐ aIi┗e puHliI dataHase oﾐ Io┗eヴage aﾐd pヴiIiﾐg deIisioﾐs ﾏade usiﾐg HTA iﾐfoヴﾏaioﾐ H┞ Ioﾏpeteﾐt authoヴiies iﾐ Asia foヴ phaヴﾏaIeuiIal, ┗aIIiﾐe aﾐd ﾏediIal de┗iIe pヴiIiﾐg aﾐd ヴeiﾏHuヴseﾏeﾐt. This is ﾐot oﾐl┞ to pヴoﾏote the e┝Ihaﾐge of Iouﾐtヴ┞-speIifiI iﾐfoヴﾏaioﾐ ┘ithiﾐ aﾐd outside the ヴegioﾐ Hut it is also e┝peIted to He aﾐ esseﾐial tool foヴ e┝peヴieﾐIe shaヴiﾐg aﾐd IapaIit┞ Huildiﾐg aﾏoﾐg the ﾏeﾏHeヴs.

Fヴoﾏ the gヴoup disIussioﾐ oﾐ HTA IapaIit┞ Huildiﾐg aﾏoﾐg the HTAsiaLiﾐk ﾏeﾏHeヴs, it Iaﾐ He IoﾐIluded that theヴe is ﾐo “one side fits all” approach for developing

HTA IapaIit┞. As a ヴesult, aIi┗iies foヴ IapaIit┞ de┗elopﾏeﾐt ┘eヴe IoﾐstヴuIted diffeヴeﾐtl┞ to Hest fit eaIh Ioﾐte┝t. “iﾏilaヴ to HTA itself, ┘hiIh ┘as laヴgel┞ de┗eloped iﾐ diffeヴeﾐt ┘a┞s iﾐ diffeヴeﾐt Iouﾐtヴies, its uliﾏate puヴpose is to iﾏpヴo┗e health foヴ iﾐdi┗iduals aﾐd the populaioﾐ. Like┘ise, ┗aヴious HTA IapaIit┞ Huildiﾐg aIi┗iies ┘eヴe applied iﾐ eaIh seiﾐg ┘ith a siﾏilaヴ aiﾏ to eﾐhaﾐIe skills, aHiliies aﾐd ヴesouヴIes; stヴeﾐgtheﾐ uﾐdeヴstaﾐdiﾐg aﾐd ヴelaioﾐships; aﾐd to addヴess ┗alues, aitudes, ﾏoi┗aioﾐs aﾐd Ioﾐdiioﾐs iﾐ oヴdeヴ to suppoヴt sustaiﾐaHle de┗elopﾏeﾐt.

HTAsialink08

HTA ReviewDr. Thant Htoo Aung

thant.h@hitap.net

1. EuroQol-Group;. EuroQol -a new facility for the measurement of health-related quality of life. Health Policy. 1990;16:199-208.

2. EuroQol-Group. EQ-5D-5L language versions. [cited Dec 24, 2013]; Available from: http://www.euroqol.org/eq-5d-products/eq-5d-5l.html.

3. The EuroQol Group. Downloaded article titled "Measurement properties of the EQ-5D-5L compared to the EQ-5D-3L across eight patient groups: a multi-country study" by Janssen MF, et al.

[cited Dec 25, 2013]; Available from: http://www.euroqol.org/fileadmin/user_upload/Documenten/PDF/Crosswalk_5L/Measurement_properties_of_the_EQ-5D-5L_compared.pdf.

4. Devlin NJ, Krabbe PF. The development of new research methods for the valuation of EQ-5D-5L. Eur J Health Econ. 2013;14 (Suppl 1):S1-3.

5. NICE Decision Support Unit. NICEDSU Technical Support Document 11: Alternatives to EQ-5D for Generating Health State Utility Values by John Brazier, Donna Rowen.

[cited Dec 23, 2013]; Available from: http://www.nicedsu.org.uk/TSD11%20Alternatives%20to%20EQ-5D_final.pdf.

Iﾐ oヴdeヴ to oHtaiﾐ Iouﾐtヴ┞-speIifiI ┗alue sets, a┗aluaioﾐ stud┞, ┘hiIh diヴeItl┞ eliIited pヴefeヴeﾐIes fヴoﾏ geﾐeヴal populaioﾐ ﾐeeded to He IoﾐduIted. Maﾐ┞ Asiaﾐ Iouﾐtヴies like Thailaﾐd, Tai┘aﾐ, “outh Koヴea, Japaﾐ, Hoﾐg Koﾐg aﾐd “iﾐgapoヴe aヴe ﾐo┘ IoﾐduIiﾐg EQ-ヵD-ヵL ┗aluaioﾐ studies, ┘hile a stud┞ iﾐ Chiﾐa ha┗e Heeﾐ Ioﾏpleted. Ho┘e┗eヴ, if EQ-ヵD data aヴe ﾐot a┗ailaHle oヴ ﾐot appヴopヴiate, alteヴﾐai┗e ﾏethods ふsuIh as a s┞steﾏaiI seaヴIh of the liteヴatuヴe oヴ ﾏappiﾐgぶ aヴe ヴeケuiヴed to geﾐeヴ-ate health state uilit┞ ┗alues. The ﾏost ┘idel┞ used geﾐeヴiI pヴefeヴeﾐIe-Hased ﾏeasuヴes apaヴt fヴoﾏ EQ-ヵD iﾐIlude: Health Uiliies Iﾐde┝ ふHUI ヲ & HUI ンぶ, Fiteeﾐ-diﾏeﾐsioﾐal ﾏeasuヴe of health-ヴelated ケualit┞ of life ふヱヵ Dぶ, Assessﾏeﾐt of Qualit┞ of Life ふAQoLぶ, AQoL Maヴk II iﾐstヴuﾏeﾐt ふAQoL ヲぶ aﾐd “hoヴt-Foヴﾏ ふ“F-ヶDぶ. “taﾐdaヴd GaﾏHle ふ“Gぶ, Tiﾏe Tヴade-off ふTTOぶ, aﾐd Best Woヴst “Ialiﾐg ふBW“ぶ teIhﾐiケues Iaﾐ also He used as alteヴﾐai┗e of VA“ iﾐ ┗aluaioﾐ.

IEQ-5D-5L is Iuヴヴeﾐtl┞ ヴegaヴded as the ﾏost helpful tool foヴ eIoﾐoﾏiI e┗aluaioﾐ aﾐd IliﾐiIal pヴaIiIes. “oﾏe studies Ioﾏpaヴed the ┗alidit┞, iﾐfoヴﾏai┗e aﾐd ヴeliaHilit┞ of EQ-ヵD-ヵL to the pヴe┗ious EQ-ヵD-ンL. It has Heeﾐ sho┘ﾐ that EQ-ヵD-ヵL has gヴeateヴ peヴfoヴﾏaﾐIe thaﾐ EQ-ヵD-ンL iﾐ ﾏaﾐ┞ diffeヴeﾐt ┘a┞s. It is ﾏoヴe feasiHle; it offeヴs Heteヴ IoﾐstヴuIt ┗alidit┞ aﾐd ヴeasoﾐaHle ヴeliaHilit┞, ┘ith pヴoﾏisiﾐg le┗els of peヴfoヴﾏaﾐIes, gヴeateヴ iﾐfoヴﾏai┗e aﾐd fe┘eヴ oIIuヴヴeﾐIe of a Ieiliﾐg effeIt. Ho┘e┗eヴ, Hoth tools sho┘ ヴelai┗el┞ siﾏilaヴ effiIieﾐI┞ of iﾐfoヴﾏaioﾐ as theiヴ diﾏeﾐsioﾐs aヴe ideﾐiIal. gヴeateヴ iﾐfoヴﾏai┗e aﾐd fe┘eヴ oIIuヴヴeﾐIe of a Ieiliﾐg effeIt. Ho┘e┗eヴ, Hoth tools sho┘ ヴelai┗el┞ siﾏilaヴ effiIieﾐI┞ of iﾐfoヴﾏaioﾐ as theiヴ diﾏeﾐsioﾐs aヴe ideﾐiIal.

Figure 1Figure 1 Figure 2Figure 2

The NEw EuroQoL-Five Dimension-Five Level Version <EQ-5D-SL>, What is it?

References:

The latest information about EQ-5D-5L can be obtained from

EuroQoL website http://www.euroqol.org. Researchers or

organizations who want to use this tool will have to complete

a registration form under the guidelines of EuroQoL available

at the EuroQoL website.

EuヴoQoL Gヴoupげs EQ-ヵD is ﾐo┘ siﾏpl┞ the ﾏost┘ell-kﾐo┘ﾐ aﾐd easil┞ aIIessiHle geﾐeヴiI pヴefeヴeﾐIe-Hased ﾏeasuヴeﾏeﾐt of health status aﾐd used e┝teﾐsi┗el┞ iﾐ health teIhﾐolog┞ assessﾏeﾐts, phaヴﾏaIo-eIoﾐoﾏiI aﾐd health Iaヴe deIisioﾐ ﾏakiﾐg studies. The EQ-ヵD is a tool to ┞ield a staﾐdaヴdized ﾏeasuヴe of health status iﾐ oヴdeヴ to pヴo┗ide a siﾏple, geﾐeヴiI ﾏeasuヴe of health foヴ IliﾐiIal aﾐd eIoﾐoﾏiI appヴaisal. The Iuヴヴeﾐt fi┗e le┗el ┗eヴsioﾐ ふEQ-ヵD-ヵLぶ ┘as de┗eloped fヴoﾏ the pヴe┗ious thヴee-le┗el ┗eヴsioﾐs ﾐaﾏed EQ-ヵD-ンL aﾐd fiヴst used siﾐIe ヲヰヰヵ. Cuヴヴeﾐtl┞, the EQ-ヵD-ヵL has Heeﾐ tヴaﾐslated iﾐto ヱヱヱ laﾐguages all aヴouﾐd the ┘oヴld!

ヱ

ン

ン

4

ヵ

ヲ

What does it look like?

oﾐe page is de┗oted to a desIヴipioﾐ of aspeIts of health states aﾐd the otheヴ is the Euヴo Qol ┗isual Aﾐalogue “Iale ふEQ VA“ぶ. The desIヴipi┗e s┞steﾏ has fi┗e diﾏeﾐsioﾐs, ﾐaﾏel┞ ﾏoHilit┞, self Iaヴe, usual aIi┗iies, paiﾐ/disIoﾏfoヴt aﾐd aﾐ┝iet┞/depヴessioﾐ. EaIh diﾏeﾐsioﾐ has けﾐo pヴoHleﾏsげ, けslight pヴoHleﾏsげ, けﾏodeヴate pヴoHleﾏsげ, けse┗eヴe pヴoHleﾏsげ aﾐd けe┝tヴeﾏe pヴoHleﾏsげ. HeﾐIe, ┘e Iall it the fi┗e-le┗el ┗eヴsioﾐ (Figure 1)

This fi┗e-le┗el ┗eヴsioﾐ coﾐsists of t┘o pages of self-coﾏpleted ケuesioﾐs;

The lateヴ, EQ VA“ sIoヴiﾐg s┞steﾏ, ヴeIoヴds aﾐ iﾐdi┗idualげs self-ヴated health status ┘ith ┗alues ヴaﾐgiﾐg fヴoﾏ ヰ ヴepヴeseﾐiﾐg the ┘oヴst health iﾏagiﾐaHle to ヱヰヰ ヴepヴeseﾐiﾐg the Hest health (Figure 2). EQ-ヵD is ﾐoﾐ-Ioﾐteﾐious, eas┞ to ヴead aﾐd uﾐdeヴstaﾐd aﾐd oﾐl┞ takes a fe┘ ﾏiﾐutes to Ioﾏplete.

fi┗e le┗els of peヴfoヴﾏaﾐIes:

HTAsialink 09

HTA ACTIVITIESApinya Mattadet

apinya.m@hitap.netThe capacity of young researchers HTAsiaLink:

It is a tヴadiioﾐ of HTAsiaLiﾐk ﾐet┘oヴk to oヴgaﾐize aﾐaﾐﾐual IoﾐfeヴeﾐIe ┘heヴe ┞ouﾐg staff fヴoﾏ eaIh HTA oヴgaﾐizaioﾐ ┘ithiﾐ the ﾐet┘oヴk Ioﾏe aﾐd pヴeseﾐt theiヴ studies. This aIi┗it┞ is e┝peIted to seヴ┗e as a IapaIit┞ Huildiﾐg plafoヴﾏ ┘heヴe ┞ouﾐg ヴeseaヴIheヴs Iould pヴaIiIe theiヴ IapaIit┞ aﾐd the HTA ┘oヴks ﾐeed to ﾏeet iﾐteヴﾐaioﾐal staﾐdaヴds. The HTAsiaLiﾐk ヲヰヱン aﾐﾐual IoﾐfeヴeﾐIe ┘as held iﾐ Ma┞ iﾐ Peﾐaﾐg, Mala┞sia. “iﾏilaヴ to the ヱst aﾐﾐual IoﾐfeヴeﾐIe iﾐ Thailaﾐd, the ヲﾐd aﾐﾐual IoﾐfeヴeﾐIe iﾐ Mala┞sia displa┞ed a uﾐiケue IhaヴaIteヴisiI of this conference – a learn-

ing plafoヴﾏ foヴ ┞ouﾐg HTA ヴeseaヴIheヴs iﾐ the ヴegioﾐ.

While a ┞ouﾐg ヴeseaヴIheヴ ┘as faIiﾐg a fiteeﾐ ﾏiﾐutes of ﾐeヴ┗e-┘ヴaIkiﾐg aﾐd stヴessful pヴeseﾐtaioﾐ, oﾐ the podiuﾏ, a gヴoup of Ioﾏﾏeﾐtatoヴs, ヴeﾐo┘ﾐed leItuヴeヴs aﾐd seﾐioヴ ヴeseaヴIheヴs, ┘eヴe seated iﾐ the fヴoﾐt ヴo┘ faIiﾐg the pヴeseﾐteヴs. The audieﾐIes ┘eヴe seated Hehiﾐd theﾏ ┘atIhiﾐg the pヴeseﾐteヴs, tヴ┞iﾐg to leaヴﾐ aﾐd uﾐdeヴstaﾐd the sIieﾐIe aﾐd aヴt of usiﾐg Health TeIhﾐolog┞ Assessﾏeﾐt fヴoﾏ otheヴ peopleげs e┝peヴieﾐIes.

Q&A sessioﾐ staヴted iﾏﾏediatel┞ ateヴ┘aヴds. Both Ioﾏﾏeﾐtatoヴs aﾐd audieﾐIe aヴe allo┘ed to ask as ﾏaﾐ┞ ケuesioﾐs as the┞ ┘aﾐt. Fiteeﾐ ﾏiﾐutes ┘eヴe gi┗eﾐ foヴ Ioﾏﾏeﾐts aﾐd suggesioﾐs; theヴefoヴe, ﾏoヴe iﾐ-depth disIussioﾐs Ioﾏpaヴed to Hig IoﾐfeヴeﾐIes ┘eヴe ﾏade possiHle. This ┘as ﾐot oﾐl┞ Heﾐefit foヴ ┞ouﾐg ヴeseaヴIheヴs iﾐ ヴefleIiﾐg aﾐd ヴe┗isiﾐg theiヴ ┘oヴks, Hut it ┘as also Heﾐefit foヴ the audieﾐIes as those e┝peヴieﾐIes ┘eヴe disIusse aﾐd shaヴed.

Foヴ HTA ヴeseaヴIheヴs, gi┗iﾐg puHliI pヴeseﾐtaioﾐs is aﾐ iﾏpoヴtaﾐt ﾏeIhaﾐisﾏ to pヴeseﾐt theiヴ ideas to poliI┞ﾏakeヴs aﾐd shaヴe e┝peヴieﾐIes aﾏoﾐg ヴeseaヴIheヴs ┘hiIh leads to ﾐet┘oヴkiﾐg. It is a po┘eヴful tool foヴ ヴeseaヴIh disseﾏiﾐaioﾐ. Dヴ. Kalipso Chalkidou, DiヴeItoヴ of NICE Iﾐteヴﾐaioﾐal aﾐd Dヴ.Jeaﾐete Vega, Maﾐagiﾐg DiヴeItoヴ at The ‘oIkefelleヴ Fouﾐdaioﾐ, t┘o Ioﾏﾏeﾐtatoヴs ga┗e soﾏe ideas aHout the pヴeseﾐtaioﾐs iﾐ the seIoﾐd HTAsiaLiﾐk Aﾐﾐual CoﾐfeヴeﾐIe iﾐ Peﾐaﾐg ヲヰヱン ┘heヴe ﾏoヴe thaﾐ ヴヰ ヴeseaヴIheヴs pヴeseﾐted theiヴ Hest studies.

HTAsialink10

HTAsiaLiﾐk ﾏa┞ He a ﾐe┘ geﾐeヴaioﾐ of the gloHal HTA ﾐet┘oヴks. It is fヴesh aﾐd full of eﾐeヴg┞ of the ┞ouﾐg aIadeﾏiIs ┘ho shaヴe the saﾏe goal of ﾏakiﾐg a Heteヴ healthIaヴe s┞steﾏ iﾐ theiヴ o┘ﾐ Iouﾐtヴies aﾐd the ヴegioﾐs. The aIadeﾏiI IapaIit┞ of the ﾐet┘oヴk is kﾐo┘ﾐ gloHall┞ ┞et it sill ﾐeeds to Huild up ﾏoヴe IapaIit┞ to ataIh ┘ith poliI┞ ﾏakiﾐg pヴoIess iﾐ oヴdeヴ to uilize ヴeseaヴIh ヴesults.

A ケuesioﾐ of ho┘ HTA aIadeﾏia IoﾏﾏuﾐiIate theiヴ IoﾏpliIated studies to iﾐflueﾐial stakeholdeヴsespeIiall┞ poliI┞ ﾏakeヴs ┘eヴe ヴaised H┞ Dヴ.Vega aﾐd she fiﾐall┞ IoﾐIluded that fヴoﾏ heヴ ┗ie┘ iﾐ poliI┞ deIisioﾐ ﾏakiﾐg field, she e┝peIted to see the HTA Iヴo┘d to uﾐdeヴstaﾐd the pヴoIess of deIisioﾐ ﾏakiﾐg aﾐd tailoヴ the teIhﾐiIal iﾐtuiioﾐ to suppoヴt that pヴoIess.

“haヴiﾐg e┝peヴieﾐIes aﾐd leaヴﾐiﾐg togetheヴ is aﾐ iﾏpoヴtaﾐt atヴiHute of a ﾐet┘oヴk. HTAsiaLiﾐk is a ﾐet┘oヴk of HTA pヴofessioﾐals iﾐ Asia. Theヴe aヴe pヴoﾏisiﾐg ┞ouﾐg ヴeseaヴIheヴs fヴoﾏ “outheast Asia ┘ho aヴe thヴi┗iﾐg foヴ iﾐtelleIt aﾐd pヴofessioﾐal IapaIit┞ iﾐ the HTAsiaLiﾐk ﾐet┘oヴk. Ha┗iﾐg ┞ouﾐg ヴeseaヴIheヴs to e┝Ihaﾐge e┝peヴieﾐIes aﾐd pヴo┗ide oppoヴtuﾐiies to ┘oヴk togetheヴ is aﾐotheヴ aIi┗it┞ of ﾐet┘oヴkiﾐg aﾐd aIadeﾏiI IapaIit┞ Huildiﾐg.

Dr.Vega said, さWhat I'┗e seeﾐ is a ﾐiIe gヴoup of ┞ouﾐg people ┘ho aヴe ┗eヴ┞ kﾐo┘ledgeaHle aHout the teIhﾐiケues of HTA aﾐd I ヴeall┞ ┘aﾐt to IoﾐﾐeIt these people ﾏuIh ﾏoヴe to poliI┞, to ヴeal Ihaﾐges iﾐ the health s┞steﾏ… I e┝peIt that these gヴoups of people ┘ould He iﾐflueﾐial iﾐ soﾏe poliI┞ deIisioﾐs that ヴelate to o┗eヴall of aヴIhiteItuヴe of the health s┞steﾏ.ざ

Dr. Kalipso Chalkidou described, さI thiﾐk HTAsiaLiﾐk aﾐﾐual IoﾐfeヴeﾐIe is ┗eヴ┞

e┝Iitiﾐg HeIause theヴe aヴe huge iﾐteヴests iﾐIヴeasiﾐg iﾐ HTA aﾐd theヴe aヴe ﾏaﾐ┞

ﾐet┘oヴks suIh as I“POR, “MDM, aﾐd HTAi ┘hiIh people pa┞ to Heiﾐg paヴt of the

ﾐet┘oヴk. Oﾐ the otheヴ haﾐd, HTAsiaLiﾐk is pヴett┞ ﾏuIh deﾏaﾐd dヴi┗eﾐ H┞ the

ﾏeﾏHeヴs aﾐd aiﾏiﾐg to ﾏo┗e iﾐ the deIisioﾐ ﾏakeヴ le┗el. We aヴe ha┗iﾐg a Hig ヴole iﾐ

disseﾏiﾐatiﾐg aﾐd Hヴiﾐgiﾐg theﾏ togetheヴ. I thiﾐk it is ┗eヴ┞ iﾐteヴestiﾐg to see the

de┗elopﾏeﾐt of HTAsiaLiﾐk ..┘hat ┗alue added aﾐd ┘hat people appヴeIiate iﾐ it.ざ.

“he also added that people ┘ho fiﾐall┞ ﾏade a deIisioﾐ oﾐ ┘hat should oヴ should ﾐot He iﾐIluded iﾐ the Iouﾐtヴ┞’s health Heﾐefit paIkage ┘as usuall┞ ﾐot aﾐ HTA e┝peヴt. It is iﾏpoヴtaﾐt foヴ ヴeseaヴIheヴs to Hヴidge ┘ith the poliI┞ ﾏakeヴs aﾐd to leaヴﾐ ho┘ to eﾐIouヴage theﾏ to ﾏake deIisioﾐs iﾐ a ﾏoヴe e┗ideﾐIe-Hased ┘a┞. HeﾐIe, the ヴole of HTA teIhﾐiIal iﾐsituioﾐ should ﾐot solel┞ foIus oﾐ teIhﾐiIal aヴea Hut should also Io┗eヴed the poliiIal aヴea. Iﾐ addiioﾐ, Dr.Vega ﾏeﾐioﾐed that oﾐly kﾐo┘ledge is ﾐot eﾐough to iﾏpro┗e people’s health Hut poliIy deIisioﾐs aﾐd iﾏpleﾏeﾐtaioﾐs are also ﾐeeded.

HTAsialink 11

UPCOMING EVENThtasialink@hitap.net

Centara Grand & Bangkok Convention

Centre, Bangkok, Thailand

Siriraj Hospital, Bangkok, Thailand

Seoul, Korea

Sydney Business School, Circular

Quay, Sydney, NSW, Australia

Fremantle, WA, Australia

Richmond Hotel, Nonthaburi Singapore Management University,

Singapore

Beijing, China

(http://www.pmaconference.mhidol.ac.th/)

(mahidol.ac.th/researchexpo2013/)

(Please contact: Ms. Maneechotirat

Santi at maneechotirat.s@hitap.net) (http://skbi.smu.edu.sg/conference/92261)

http://htasialink.org/news/notice_view.php?seq=91

www.htai2014.org/home

www.healtheconomics.org/conferenc-es/5734-13th-annual-interna-tional-conference-on-health-e/

(www.healtheconomics.org/)

Grand Hyatt Washington

Athens, Greece

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Prince Mahidol Award Conference 2014:

Transformative Learning for Health Equity

Mahidol University Research Expo 2013

2014 NECA Annual Conference:

7 years of HTA in Korea: What we have

achieved and what we need to do next

Health Economics from Theory to Practice:

Optimally Informing Related Decisions

of Reimbursement, Research and Regulation

5th Australasian Workshop on Econometrics and Health Economics

Asia-Pacific Regional Capacity-Building

for HTA (ARCH) Initiative workshop

Inaugural Singapore Health Economics

Association Conference

The HTAsiaLink Annual

Conference 2014

HTAi Washington DC 2014

11th Annual meeting

Dublin, Ireland

(www.healtheconomics.org/conferences/5734-13th-annual-international-conference-on-health-e/)

(http://www.buseco.monash.edu.au/centres/che/workshop2014.html)

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(please contact: Ms.Songhee Cho at luchia1979@gmail.com )

13th Annual International Conference on

Health Economics, Management & Policy

2014 iHEA/ECHE Congress - Health Economics in the Age of Longevity

27-31 Jan 2014

27-28 Jan 2014

24-25 Jan 2014 17 April 2014

15-16 May 2014

15–18 June 2014

23–26 June 2014

13-16 July 2014

26-28 March 2014

2 – 4 April 2014

14-16 April 2014

HTAsiaLinkFor more information, please contact the editorial team at: Health Intervention and Technology Assesment Program (HITAP)

6 Floor, 6 building, Department of Health, Ministry of Public Health, Tiwanon Rd., Muang, Nonthaburi 11000, ThailandTel: +622-590-4549, +662-590-4374-5 Fax:+662-590-4369Editorial Team: Chalarntorn Yothasmutra, Apinya Mattadet, Jomkwan Yothasamut, Varit Chantarastapornchit, Dr. Thant Htoo Aung

Consultants : Dr.Yot Teerawattananon, Dr.Peter Coyte

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