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Total Systems Effectiveness (TSE) Pilot Project in Thailand

The aim of the meeting was to feedback the findings from the Total Systems Effectiveness (TSE) Thailand pilot project back to stakeholders and discuss the usefulness and applicability of TSE for the Thai setting. For full report please click here

Total System Of Effectiveness (Tse) For Research & Development (R&D)

As innovative technologies and biological treatment are becoming available for use, policymakers worldwide will require a tool to evaluate the cost and assess the trade-offs. The concept of Total System Effectiveness (TSE) is an end-to-end analytical framework which is intended to inform future inve

Topic prioritization and selection for health technology assessment 2009 (in Thai language)

The Health Intervention and Technology Assessment Program (HITAP ) has tried to develop mechanisms for HTA topic selection that are systematic, transparent and participatory. HITAP has organized a topic selection workshop annually in order to obtain HTA topics from stakeholders including decision makers, health professionals, academics, patient rep

Too Much Medical Care?

A few years ago, my daughter sprained her ankle at dance camp. What happened next offers a glimpse into some of the problems in our nation’s health care system.For years, we’ve been hearing that the United States spends more on health care than any other country, even as it lags far behind other cou

To include or not include: renal dialysis policy in the era of universal health coverage

SUMMARY POINTS •  End stage renal disease (ESRD) is a life-threatening condition that results in most patients requiring a lifetime of high cost renal dialysis •  Governments have grappled with the political, economic, and ethical challenges of providing treatment with their available budgets •

To Cut Blood Pressure, Nerves Get a Jolt

In recent decades, there have been few new treatments for people with stubbornly high blood pressure. Exercise and a low-sodium diet, along with such stalwart drugs as diuretics, ACE inhibitors and beta-blockers, have made up the standard regimens.But these efforts fail in a surprising number of pat

The way home: a scoping review of public health interventions to increase the utilization of home dialysis in chronic kidney disease patients

Abstract Background Home dialysis (HoD) remains underutilized, despite evidence showing it provides comparable mortality rates to in-center hemodialysis (ICHD) while offering advantages such as improved quality of life and lower overall costs. This scoping review comprehensively evaluates the

The use of economicevaluation for guiding the pharmaceutical reimbursement list in Thailand. (2014)

Summary Medicines expenditure consumes a significant proportion of public health expenditure in Thailand, where Universal Health Coverage has been in place since 2002. The National List of Essential Medicines has been successfully used as a pharmaceutical benefits package for all public health plan

The use of comparative effectiveness research to inform policy decisions on the inclusion of bevacizumab for the treatment of macular diseases in Thailand’s pharmaceutical benefit package

Abstract: There is increasing impetus to use pharmaceutical interventions, ie, ranibizumab or bevacizumab, for the treatment of particular macular diseases. This paper describes the evidence and decision-making of the National List of Essential Medicines Committee that recently announced the inclusi

The Trouble With ‘Doctor Knows Best’

Doctors were told last month that we should stop doing so many screenings for prostate cancer with the prostate-specific antigen test. We learned that sigmoidoscopy is a cheaper, easier and effective alternative to colonoscopy for colon cancer screening. And a study I led turned up strong evidence t
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