Health Systems and Reform Journal
@hsrjournal.bsky.social
First journal dedicated to research, theory, and analysis in #healthsystems and #healthreform🌍 ┃Publisher: @tandfresearch.bsky.social
https://www.tandfonline.com/toc/khsr20/current
https://www.tandfonline.com/toc/khsr20/current
How did Indigenous leadership shape a major medicines funding decision in Aotearoa New Zealand?
A 2021 policy change introduced ethnicity-based eligibility for new diabetes medicines, marking a significant shift in how equity is addressed within a universal health system🧵
A 2021 policy change introduced ethnicity-based eligibility for new diabetes medicines, marking a significant shift in how equity is addressed within a universal health system🧵
December 18, 2025 at 2:34 PM
How did Indigenous leadership shape a major medicines funding decision in Aotearoa New Zealand?
A 2021 policy change introduced ethnicity-based eligibility for new diabetes medicines, marking a significant shift in how equity is addressed within a universal health system🧵
A 2021 policy change introduced ethnicity-based eligibility for new diabetes medicines, marking a significant shift in how equity is addressed within a universal health system🧵
Despite these limitations, the authors find that HTA is positioned to support wider policy applications across China’s health sector, provided that data systems, governance, and stakeholder participation continue to improve.
Read more: bit.ly/3KA0MUU
Read more: bit.ly/3KA0MUU
December 10, 2025 at 10:48 AM
Despite these limitations, the authors find that HTA is positioned to support wider policy applications across China’s health sector, provided that data systems, governance, and stakeholder participation continue to improve.
Read more: bit.ly/3KA0MUU
Read more: bit.ly/3KA0MUU
How has health technology assessment (HTA) evolved in China, and what has shaped its role in health policy?
This article by Wudong Guo and colleagues offers a useful overview🧵
This article by Wudong Guo and colleagues offers a useful overview🧵
December 10, 2025 at 10:48 AM
How has health technology assessment (HTA) evolved in China, and what has shaped its role in health policy?
This article by Wudong Guo and colleagues offers a useful overview🧵
This article by Wudong Guo and colleagues offers a useful overview🧵
How can countries build the institutional foundations needed for fair, transparent, and evidence-informed decisions as they expand their universal health coverage systems?
In this article, Juhwan Oh and colleagues trace South Korea's two-decade journey to institutionalize HTA 🧵
In this article, Juhwan Oh and colleagues trace South Korea's two-decade journey to institutionalize HTA 🧵
December 1, 2025 at 10:37 AM
How can countries build the institutional foundations needed for fair, transparent, and evidence-informed decisions as they expand their universal health coverage systems?
In this article, Juhwan Oh and colleagues trace South Korea's two-decade journey to institutionalize HTA 🧵
In this article, Juhwan Oh and colleagues trace South Korea's two-decade journey to institutionalize HTA 🧵
In this commentary, Budi Hidayat analyzed the current state of health technology supply landscape in Indonesia as well as the impact of HTA studies on priority-setting decisions.
These are some key insights about the present challenges and future directions🧵
These are some key insights about the present challenges and future directions🧵
November 24, 2025 at 5:04 PM
In this commentary, Budi Hidayat analyzed the current state of health technology supply landscape in Indonesia as well as the impact of HTA studies on priority-setting decisions.
These are some key insights about the present challenges and future directions🧵
These are some key insights about the present challenges and future directions🧵
The Health Intervention and Technology Assessment Program (HITAP) in Thailand has been recognized as a leading HTA research unit located in a LMIC.
These are fifteen lessons, based on fifteen years of experience, shared by Yot Teerawattananon and colleagues🧵
These are fifteen lessons, based on fifteen years of experience, shared by Yot Teerawattananon and colleagues🧵
November 17, 2025 at 8:30 PM
The Health Intervention and Technology Assessment Program (HITAP) in Thailand has been recognized as a leading HTA research unit located in a LMIC.
These are fifteen lessons, based on fifteen years of experience, shared by Yot Teerawattananon and colleagues🧵
These are fifteen lessons, based on fifteen years of experience, shared by Yot Teerawattananon and colleagues🧵
➡️Rejecting Inclusion Requests Based on HTA Evidence
The inclusion of ribociclib and palbociclib in the health benefits package was denied because the cost-effectiveness analysis revealed their inclusion remains cost-ineffective in India even with a 95% price reduction.
Read more: bit.ly/3wtaT6Y
The inclusion of ribociclib and palbociclib in the health benefits package was denied because the cost-effectiveness analysis revealed their inclusion remains cost-ineffective in India even with a 95% price reduction.
Read more: bit.ly/3wtaT6Y
November 13, 2025 at 8:55 AM
➡️Rejecting Inclusion Requests Based on HTA Evidence
The inclusion of ribociclib and palbociclib in the health benefits package was denied because the cost-effectiveness analysis revealed their inclusion remains cost-ineffective in India even with a 95% price reduction.
Read more: bit.ly/3wtaT6Y
The inclusion of ribociclib and palbociclib in the health benefits package was denied because the cost-effectiveness analysis revealed their inclusion remains cost-ineffective in India even with a 95% price reduction.
Read more: bit.ly/3wtaT6Y
Health Technology Assessment (HTA) is resulting in cost-effective and evidence-based decision-making processes within PM-JAY in India!
These are some examples presented in a research article by Shankar Prinja, Yashika Chugh, Nidhi Gupta and Vipul Aggarwal🧵
These are some examples presented in a research article by Shankar Prinja, Yashika Chugh, Nidhi Gupta and Vipul Aggarwal🧵
November 13, 2025 at 8:55 AM
Health Technology Assessment (HTA) is resulting in cost-effective and evidence-based decision-making processes within PM-JAY in India!
These are some examples presented in a research article by Shankar Prinja, Yashika Chugh, Nidhi Gupta and Vipul Aggarwal🧵
These are some examples presented in a research article by Shankar Prinja, Yashika Chugh, Nidhi Gupta and Vipul Aggarwal🧵
How can a Health Technology Assessment organization be created?
Victoria Y. Fan, Abha Mehndiratta, Jubilee Ahazie, Javier Guzman, Shankar Prinja, T. Sundararaman, and Soumya Swaminathan share insights based on the experience of India's national HTA agency🧵
Victoria Y. Fan, Abha Mehndiratta, Jubilee Ahazie, Javier Guzman, Shankar Prinja, T. Sundararaman, and Soumya Swaminathan share insights based on the experience of India's national HTA agency🧵
November 10, 2025 at 8:30 AM
How can a Health Technology Assessment organization be created?
Victoria Y. Fan, Abha Mehndiratta, Jubilee Ahazie, Javier Guzman, Shankar Prinja, T. Sundararaman, and Soumya Swaminathan share insights based on the experience of India's national HTA agency🧵
Victoria Y. Fan, Abha Mehndiratta, Jubilee Ahazie, Javier Guzman, Shankar Prinja, T. Sundararaman, and Soumya Swaminathan share insights based on the experience of India's national HTA agency🧵
Implementing HTA policy
In 2019, the Ministry of Health established the HTA Technical Working Group and the Steering Committee as governance structures to oversee evidence and recommendations, and to advise the health minister, respectively
Read more: bit.ly/3QPZvJg
In 2019, the Ministry of Health established the HTA Technical Working Group and the Steering Committee as governance structures to oversee evidence and recommendations, and to advise the health minister, respectively
Read more: bit.ly/3QPZvJg
November 8, 2025 at 5:52 PM
Implementing HTA policy
In 2019, the Ministry of Health established the HTA Technical Working Group and the Steering Committee as governance structures to oversee evidence and recommendations, and to advise the health minister, respectively
Read more: bit.ly/3QPZvJg
In 2019, the Ministry of Health established the HTA Technical Working Group and the Steering Committee as governance structures to oversee evidence and recommendations, and to advise the health minister, respectively
Read more: bit.ly/3QPZvJg
Discover the key phases of health technology assessment institutionalization in Ghana, as outlined in recent research by Augustina Koduah, Jessica Anim Boadi, Joycelyn Naa Korkoi Azeez, Brian Adu Asare, Saviour Yevutsey, Martha Gyansa-Lutterodt, and Justice Nonvignon 🧵
November 8, 2025 at 5:52 PM
Discover the key phases of health technology assessment institutionalization in Ghana, as outlined in recent research by Augustina Koduah, Jessica Anim Boadi, Joycelyn Naa Korkoi Azeez, Brian Adu Asare, Saviour Yevutsey, Martha Gyansa-Lutterodt, and Justice Nonvignon 🧵
Looking ahead, Wilson and Görgens emphasize the need to integrate data on service quality, geography, and patient needs to ensure that health financing is not only efficient but also equitable and responsive.
Read more: bit.ly/3X98qrO
Read more: bit.ly/3X98qrO
November 3, 2025 at 12:57 PM
Looking ahead, Wilson and Görgens emphasize the need to integrate data on service quality, geography, and patient needs to ensure that health financing is not only efficient but also equitable and responsive.
Read more: bit.ly/3X98qrO
Read more: bit.ly/3X98qrO
How can governments make smarter decisions about where to invest limited health budgets?
David Wilson and Marelize Görgens from the World Bank explore how mathematical modeling can help countries get more health for every dollar spent🧵
David Wilson and Marelize Görgens from the World Bank explore how mathematical modeling can help countries get more health for every dollar spent🧵
November 3, 2025 at 12:57 PM
How can governments make smarter decisions about where to invest limited health budgets?
David Wilson and Marelize Görgens from the World Bank explore how mathematical modeling can help countries get more health for every dollar spent🧵
David Wilson and Marelize Görgens from the World Bank explore how mathematical modeling can help countries get more health for every dollar spent🧵
Both phases of HBP in Colombia had their own pros and cons. They reflected the tension between seeing health as a fundamental human right, regardless of cost, and prioritizing HBP based on available funding. Read more: bit.ly/45aFyT8
October 30, 2025 at 7:52 AM
Both phases of HBP in Colombia had their own pros and cons. They reflected the tension between seeing health as a fundamental human right, regardless of cost, and prioritizing HBP based on available funding. Read more: bit.ly/45aFyT8
Health Benefits Packages (HBP) have been a key policy instrument for improving #UHC. Discover the research by Marcela Brun, Johnattan Garcia Ruiz, Javier Guzman on Colombia’s evolution in this field! 🧵
October 30, 2025 at 7:52 AM
Health Benefits Packages (HBP) have been a key policy instrument for improving #UHC. Discover the research by Marcela Brun, Johnattan Garcia Ruiz, Javier Guzman on Colombia’s evolution in this field! 🧵
Why do diabetes and NCDs remain chronically underfunded in many countries, even when effective solutions exist?
This study focused on Ghana by Leonard Baatiema, Kristen Danforth, David A. Watkins, Joana Ansong, Adwoa Twumwaah Twum-Barimah, and Bruno Meessen reveals the barriers blocking progress🧵
This study focused on Ghana by Leonard Baatiema, Kristen Danforth, David A. Watkins, Joana Ansong, Adwoa Twumwaah Twum-Barimah, and Bruno Meessen reveals the barriers blocking progress🧵
October 28, 2025 at 8:14 AM
Why do diabetes and NCDs remain chronically underfunded in many countries, even when effective solutions exist?
This study focused on Ghana by Leonard Baatiema, Kristen Danforth, David A. Watkins, Joana Ansong, Adwoa Twumwaah Twum-Barimah, and Bruno Meessen reveals the barriers blocking progress🧵
This study focused on Ghana by Leonard Baatiema, Kristen Danforth, David A. Watkins, Joana Ansong, Adwoa Twumwaah Twum-Barimah, and Bruno Meessen reveals the barriers blocking progress🧵
What can countries do to address the global rise of type 2 diabetes when existing market and government responses have fallen short?
In their new commentary, Agnes L. Soucat, Sylvestre Gaudin, and Abdo S. Yazbeck explore this question through the lens of the WHO’s Common Goods for Health framework🧵
In their new commentary, Agnes L. Soucat, Sylvestre Gaudin, and Abdo S. Yazbeck explore this question through the lens of the WHO’s Common Goods for Health framework🧵
October 15, 2025 at 9:07 AM
What can countries do to address the global rise of type 2 diabetes when existing market and government responses have fallen short?
In their new commentary, Agnes L. Soucat, Sylvestre Gaudin, and Abdo S. Yazbeck explore this question through the lens of the WHO’s Common Goods for Health framework🧵
In their new commentary, Agnes L. Soucat, Sylvestre Gaudin, and Abdo S. Yazbeck explore this question through the lens of the WHO’s Common Goods for Health framework🧵
The review highlights that while all countries face challenges in HTA institutionalization, HICs and UMICs have leveraged political support and international collaboration to overcome barriers. This points to potential strategies for LMICs and LICs.
Read more: bit.ly/3yYzq4P
Read more: bit.ly/3yYzq4P
October 12, 2025 at 6:53 PM
The review highlights that while all countries face challenges in HTA institutionalization, HICs and UMICs have leveraged political support and international collaboration to overcome barriers. This points to potential strategies for LMICs and LICs.
Read more: bit.ly/3yYzq4P
Read more: bit.ly/3yYzq4P
4️⃣ Stakeholder‐related factors
5️⃣ Collaborative support for HTA
5️⃣ Collaborative support for HTA
October 12, 2025 at 6:53 PM
4️⃣ Stakeholder‐related factors
5️⃣ Collaborative support for HTA
5️⃣ Collaborative support for HTA
What are the main factors that influence the institutionalization of HTA at the macro-level across all countries globally?
In this scoping review Rahab Mbau, Anna Vassall, Lucy Gilson, and Edwine Barasa found some interesting answers🧵
In this scoping review Rahab Mbau, Anna Vassall, Lucy Gilson, and Edwine Barasa found some interesting answers🧵
October 12, 2025 at 6:53 PM
What are the main factors that influence the institutionalization of HTA at the macro-level across all countries globally?
In this scoping review Rahab Mbau, Anna Vassall, Lucy Gilson, and Edwine Barasa found some interesting answers🧵
In this scoping review Rahab Mbau, Anna Vassall, Lucy Gilson, and Edwine Barasa found some interesting answers🧵
3️⃣Patient and public involvement at the beginning of TISP helps identify HTA topics related to conditions and services that are most relevant to society.
Read the full commentary and discover three countries that are referents of good TISP practices: bit.ly/3ySfjVt
Read the full commentary and discover three countries that are referents of good TISP practices: bit.ly/3ySfjVt
October 8, 2025 at 5:53 PM
3️⃣Patient and public involvement at the beginning of TISP helps identify HTA topics related to conditions and services that are most relevant to society.
Read the full commentary and discover three countries that are referents of good TISP practices: bit.ly/3ySfjVt
Read the full commentary and discover three countries that are referents of good TISP practices: bit.ly/3ySfjVt
Developing a clear process for topic identification, selection, and prioritization (TISP) is key when institutionalizing HTA.
These are three key institutional aspects of TISP identified by Elizabeth Peacocke, Lieke Fleur Heupink, Aparna Ananthakrishnan & Katrine B. Frønsdal🧵
These are three key institutional aspects of TISP identified by Elizabeth Peacocke, Lieke Fleur Heupink, Aparna Ananthakrishnan & Katrine B. Frønsdal🧵
October 8, 2025 at 5:53 PM
Developing a clear process for topic identification, selection, and prioritization (TISP) is key when institutionalizing HTA.
These are three key institutional aspects of TISP identified by Elizabeth Peacocke, Lieke Fleur Heupink, Aparna Ananthakrishnan & Katrine B. Frønsdal🧵
These are three key institutional aspects of TISP identified by Elizabeth Peacocke, Lieke Fleur Heupink, Aparna Ananthakrishnan & Katrine B. Frønsdal🧵
How can Health Technology Assessment (HTA) and Health Benefit Package (HBP) be integrated to achieve #UHC in low- and middle-income countries?
In this commentary, Ole F. Norheim & David A. Watkins offer some insights🧵
In this commentary, Ole F. Norheim & David A. Watkins offer some insights🧵
October 3, 2025 at 6:49 AM
How can Health Technology Assessment (HTA) and Health Benefit Package (HBP) be integrated to achieve #UHC in low- and middle-income countries?
In this commentary, Ole F. Norheim & David A. Watkins offer some insights🧵
In this commentary, Ole F. Norheim & David A. Watkins offer some insights🧵
Prioritizing health interventions is a major challenge for health systems. Pete Baker and colleagues discuss the international Decision Support Initiative (iDSI), a platform aimed to catalyze progress on Evidence-Informed Priority-Setting (EIPS) in LMICs🧵
September 30, 2025 at 7:14 PM
Prioritizing health interventions is a major challenge for health systems. Pete Baker and colleagues discuss the international Decision Support Initiative (iDSI), a platform aimed to catalyze progress on Evidence-Informed Priority-Setting (EIPS) in LMICs🧵
Discover how AI can revolutionize health systems in low and middle-income countries in this article authored by África Periáñez, Ana Fernández Del Río, Ivan Nazarov, Enric Jané, Moiz Hassan, Aditya Rastogi and Dexian Tang🧵
September 27, 2025 at 7:24 AM
Discover how AI can revolutionize health systems in low and middle-income countries in this article authored by África Periáñez, Ana Fernández Del Río, Ivan Nazarov, Enric Jané, Moiz Hassan, Aditya Rastogi and Dexian Tang🧵