Abstract
BackgroundAll healthcare systems face problems of justice and efficiency related to setting priorities for allocating limited financial resources. Therefore, explicit decision-making in healthcare depicted as a continuum from evidence generation to deliberation and communication of the decision made, needs to be transparent and fair. Nevertheless, priority-setting in many parts of the world remains being implicit and ad-hoc process. Health Technology Assessment (HTA) and Multi-Criteria Decision Analysis (MCDA) have emerged as policy tools to assist informed decision-making. Both, MCDA and HTA have pros and cons.Main bodyColombia experienced an important institutional transformation after the establishment of the Health Technology Assessment Institute in 2012. This paper briefly presents the current challenges of the Colombian health system, the general features of the new health sector reform, the main characteristics of HTA in Colombia and the potential benefits and caveats of incorporating MCDA approaches into the decision-making process.ConclusionStructured and objective consideration of the factors that are both measurable and value-based in an open and transparent manner may be feasible through combining HTA and MCDA in contexts like Colombia. Further testing and validation of HTA and MCDA solely or combined in LMICs are needed to advance these approaches into healthcare decision-making worldwide.
Highlights
In 1993, Colombia established a statutory health insurance health system through Law 100
This paper briefly presents the current challenges of the Colombian health system, the general features of the health sector reform, the main characteristics of Health Technology Assessment (HTA) and the potential benefits and caveats of incorporating Multi-Criteria Decision Analysis (MCDA) approaches into the decision-making process
Participants considered HTA and MCDA combined were useful tools to assist decision-making to be potentially used in Colombia
Summary
In 1993, Colombia established a statutory health insurance health system through Law 100. All healthcare systems face problems of justice and efficiency related to setting priorities for allocating limited financial resources. Explicit decision-making in healthcare depicted as a continuum from evidence generation to deliberation and communication of the decision made, needs to be transparent and fair. This paper briefly presents the current challenges of the Colombian health system, the general features of the new health sector reform, the main characteristics of HTA in Colombia and the potential benefits and caveats of incorporating MCDA approaches into the decision-making process. All healthcare systems face problems of justice and efficiency related to setting priorities for their populations [1]. Health Technology Assessment (HTA) is a multidisciplinary technique aimed at assessing the available evidence to better inform decision-makers about the most efficient use of resources. HTA initiation could be the result of Castro et al Cost Eff Resour Alloc 2018, 16(Suppl 1):
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