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International Scientific and Practical Conference “Health Technology Assessment: Perspectives of Integration in CIS countries”

On June 27-28, International Scientific and Practical Conference “Health Technology Assessment: Perspectives of Integration in the Commonwealth of Independent States”, was held in Moscow, Russia.

In the frames of the conference, experience of HTA integration in the decision-making system in the Russian Federation and EU was reviewed as well as experience of implementing guidelines in Healthcare in CIS countries.

Tatiana Kusaiko, a member of the Federation Council Committee on Social Policy, noted in her welcoming speech that currently the key mechanism for achieving greater efficacy of financing healthcare is HTA system implementation. According to T. Kusaiko, Federation Council Committee on Social Policy put enormous efforts into introducing measures to implement HTA system in the Russian Federation. The expert emphasized that Expert Committee of Healthcare, operating under the Federation Council Committee on Social Policy, is actively working on this issue. Working closely with Expert Society, relying on specialists opinions, we will continue to contribute to creation of legal regulations for HTA implementation in all Healthcare areas.

Dmitry Kostennikov, State Secretary – Deputy of the Minister of Health of the Russian Federation, also noted that HTA system is a recognized tool to ensure more effective allocation of resources for optimizing results of patients treatment and help authorities identify new technology that ensure optimal costs and prioritize their implementation. According to Dmitry Kostennikov, today the comprehensive HTA system is applied in more than 70 countries. Ministry of Health in the Russian Federation also does a great work on legislative regulation and optimization of processes for providing medical care, improving its quality and accessibility. Existing guidelines, standards and criteria for medical care quality are being constantly improved and new ones are developed, changes are being implemented in the procedures for providing medical care. These changes of the regulatory support contribute to the formation of effective, safe and economically rational system for providing medical care, however, it should be noted that its formation is impossible without using HTA tools that allow objectively assessing data on medical intervention, allocating HTA resources in condition of limited funding.

Yurii Necheporenko, Deputy Chair of the Federal Compulsory Medical Insurance Fund, emphasized growing role of the HTA concept for budget optimization and rational use as well as the necessity for the international collaboration in HTA, which will avoid efforts duplication, increase transparency, efficiency and practical significance of HTA.

In the opening ceremony also participated: Amelie Schmitt – Senior Adviser, Public Health Specialist, WHO Representative; Adlet Tabarov – Head of the Center for Rational Use of Drugs and Medical Technology of the Republican Center for Health Development of the Ministry of Health of the Republic of Kazakhstan; Nabil Seyidov – Head of the Department for Healthcare Policy and Reforms of the Center for Public Healthcare and Reforms of the Ministry of Health of the Republic of Azerbaijan; Alidzhon Gaibov – Director of the Academy of Medical Sciences of the Ministry of Health and Social Protection of the Population in Tajikistan; Aida Zurdinova – Chief Pharmacology Specialist of the Ministry of Health of the Kyrgyz Republic, Irina Kozhanova – Senior Researcher of the Laboratory for HTA standardization fundamentals of the Republican Scientific and Practical Center of Health Technology, Informational support, management and economics of Public Health (Belarus).

Vitaly Omelyanovskiy, General Director of the Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation pointed out the significance of the international cooperation on such issues as implementation and development of HTA institute. “It is gratifying to note that the topic of HTA development is being discussed with participation of CIS representatives. This proves that our countries begin to understand the importance to create the Institute of Expertise for making informed decisions in Health. In the Russian Federation, this course found support at the legislative level, which was reflected in the standards of the comprehensive assessment. In order to implement these standards an organization was formed, on behalf of the Ministry of Health of the Russian Federation, which is responsible for carrying out comprehensive HTA. Russian experience may serve as an example of HTA system implementation for CIS countries. I would also like to emphasize that Product team on harmonization and development of HTA system is currently operating including participation of CIS representatives. The outcome of this conference will be expansion of the participant list of CIS countries as well as development of the map for HTA integration and harmonization in these countries”, the director stated.

According to Georgy Khachatryan, Head of the Department for HTA Methodological Support of the Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation, at the moment, there are premises for harmonization in CIS countries. The same medical products appear in CIS countries, medical devices, surgical procedures; patient migration is increasing and medical tourism is developing; formation of the horizontal connections in expert area continues.

Maria Avksentieva, Deputy Director of the Institute of applied economic research of the Russian Presidential Academy of National Economy and Public Administration, noted in her speech that HTA techniques in the Russian Federation will be implemented to optimize regulatory decisions on restricted drugs lists. According to M. Avksentieva, this year the procedure of forming lists and concept of how Ministry of Health Commission works on formation of drugs lists has changed. Previously, meeting duration depended on the number of submitted proposals. In some cases, Commission had to review several dozens of proposals within one meeting. Nowadays meetings will be conducted once a quarter, four control deadlines for submitting proposals are defined. The number of drugs, which can be selected for discussion, may be not more than 15. If more proposals are submitted there may be several meetings. Usual duration of the process from submitting an application to Commission meeting is four months.

Niklas Hedberg, Chief Pharmacist and Chair of EUnetHTA Executive Board, shared international experience in HTA integration. “One of the most efficient international associations in HTA is EUnetHTA (European Network for Health Technology Assessment) established in 2016. HTA EUnet is a stable organization for continuing international collaboration, coordination of joint HTA projects, facilitation of standardized information exchange between partner institutions, transfer of knowledge and experience to new states, regions and organizations willing to build their own HTA system to form health policy based on research data. HTA EUnet experience may serve as an example while building cooperation for HTA system development in CIS countries”, Niklas Hedberg noted.

As the result of the conference, a resolution was adopted where participants shared their proposals aimed at professional community of CIS countries, CIS authorities, Federation Council of the Federal Assembly of Russia, State Duma of the Federal Assembly of Russia, Government of the Russian Federation, Ministry of Health of the Russian Federation, Ministry of Science and Higher Education of the Russian Federation, Federal Compulsory Medical Insurance Fund and also heads of the Supreme Executive authorities of the Russian Federation entities.

Representatives of the Ministry of Health of the Russian Federation, WHO, CIS Ministry of Health and Medical Insurance Funds, Eurasian Economic Commission, members of the Federation Council of the Federal Assembly, representatives of the Federal Executive authorities , State authorities of the constituent entities of the Russian Federation, representatives of HTAi, EUnetHTA, INAHTA, G-I-N as well as leading medical experts, representatives of scientific and professional organizations and Mass Media participated in the conference.

Apart from the conference, panel discussion on “Organization and financing oncological aid. World best practices” was held.

Panel discussion became the first joint event of Center of Healthcare Quality Assessment and Control and P4H.

Principal issues discussed were approaches for improving the system of providing medical care for patients with oncology, achieving target indicators of the federal project “Fighting cancer” in the frames of the national project “Health”, approaches to preparing qualified personnel and issues of government-private collaboration in the Russian Federation.

Leading experts from Russia, Slovenia, Israel, Spain, South Korea, WHO and P4H experts in financing Health as well as representatives of the Federal executive authorities and State authorities of the constituent entities of the Russian Federation participated in the panel discussion.