Good practices for health technology assessment guideline development: a report of the Health Technology Assessment International, HTAsiaLink, and ISPOR special task force

Siobhan Botwright, Manit Sittimart*, Kinanti Khansa Chavarina, Diana Beatriz Samson Bayani, Tracy Merlin, Gavin Surgey, Christian Suharlim, Manuel A. Espinoza, Anthony J. Culyer, Wija Oortwijn, Yot Teerawattananon

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

Objectives
Health technology assessment (HTA) guidelines are intended to support the successful implementation of HTA by enhancing consistency and transparency in concepts, methods, processes, and use, thereby enhancing the legitimacy of the decision-making process. This report lays out good practices and practical recommendations for developing or updating HTA guidelines to ensure successful implementation.

Methods
The task force was established in 2022 and comprised experts and academics from various geographical regions, each with substantial experience in developing HTA guidelines for national health policy making. Literature reviews and key informant interviews were conducted to inform these good practices. Stakeholder consultations, open peer reviews, and expert opinions validated the recommendations. A series of teleconferences among task force members was held to iteratively refine the report.

Results
The recommendations cover six key aspects throughout the guideline development cycle: (1) setting objectives, scope, and principles of the guideline, (2) building a team for a quality guideline, (3) defining a stakeholder engagement plan, (4) developing content and utilizing available resources, (5) putting in place appropriate institutional arrangements, and (6) monitoring and evaluating guideline success.

Conclusion
This report presents a set of resources and context-appropriate practices for developing or updating HTA guidelines. Across all contexts, the recommendations emphasize transparency, building trust among stakeholders, and fostering a culture of ongoing learning and improvement. The report recommends timing development and revision of guidelines according to the HTA landscape and pace of HTA institutionalization. Because HTA is increasingly used to inform different kinds of decision making in a variety of country contexts, it will be important to continue to monitor lessons learned to ensure the recommendations remain relevant and effective.
Original languageEnglish
Article numbere74
Number of pages14
JournalInternational Journal of Technology Assessment in Health Care
Volume40
Issue number1
DOIs
Publication statusPublished - 6 Jan 2025

Keywords

  • evidence-informed priority setting
  • good practices
  • guidelines
  • HTA

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