Activities and procedures
The topics of HTA reports are set by the Council of HTA, which coordinates the activities of the HTA Centre. The HTA Council includes representatives from the Estonian Health Insurance Fund, Ministry of Social Affairs, Estonian Hospitals Association, Union of General Practitioners, State Agency of Medicines, Tallinn University of Technology, and University of Tartu. Health technologies are taken under evaluation, in case:
- They are expected to have considerable beneficial effect on public health.
- Will use considerable resources from the health insurance and state budgets.
- There are controversial opinions about the clinical efficacy and cost-effectiveness.
- The extent of use and target groups in Estonia is not known.
Research questions to be addressed and answered in the report are described in the respective work description and verified by the HTA Council.
The report is compiled by a team of 2 to 3 analysts together with 2 to 3 clinical experts. To start with, literature reviews on medical efficacy and safety as well as cost-effectiveness are compiled, and graduate and medical students are involved in this process. The disease burden, treatment practices and costs arising in Estonia are evaluated on the basis of epidemiological data and use of health care services. Specific models are constructed to evaluate the cost-effectiveness and budget impact analyses are conducted. The assessment team formulates conclusions of the HTA report and suggestions on organisational aspects, as applicable. Occasionally public consultations with interested parties (specialist medical societies and manufacturers) are carried out to discuss and verify the methodology of the HTA report and the conclusions drawn by the assessmnet team.
The final report is submitted for review and approval by the HTA Council to ensure the quality of the report and the validity of the assessment process. The reports approved are published on the website of the HTA Centre and disseminated to all major health institutions and specialist medical societies in Estonia.