Hector E. Castro J.

美国 哥伦比亚特区 华盛顿
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Senior health policy and systems expert with more than two decades of experience in…

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工作经历和教育背景

  • Health Technology Assessment international (HTAi)

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出版作品

  • Assessing progression of health technology assessment implementation in Asia: a balanced scorecard for cross comparison of selected countries in Asia

    Cambridge University Press/ International Journal of Technology Assessment in Health

    Build upon the research by Chootipongchaivat and the World Health Organization identifying eighteen “factors conducive to the development of HTA in Asia.” These factors were used to create a balanced scorecard to assess the progress of HTA, measuring progress against each factor in China, India, Indonesia, Malaysia, Philippines, South Korea, Taiwan, Thailand, and Vietnam. A scoring system was used wherein: 1, No progress; 2, milestone at early stages, ad hoc HTA use; 3, progress on milestone…

    Build upon the research by Chootipongchaivat and the World Health Organization identifying eighteen “factors conducive to the development of HTA in Asia.” These factors were used to create a balanced scorecard to assess the progress of HTA, measuring progress against each factor in China, India, Indonesia, Malaysia, Philippines, South Korea, Taiwan, Thailand, and Vietnam. A scoring system was used wherein: 1, No progress; 2, milestone at early stages, ad hoc HTA use; 3, progress on milestone but limited impact; 4, significant progress but limited remit; and 5, significant progress on milestone, routine HTA informs decisions. Total scores indicated progress of HTA while milestone scores provided contextual insights within countries. Literature reviews and expert interviews were used to complete scorecards.

    South Korea and Thailand scored highest with seventy-three and seventy-one points, respectively, while Vietnam scored lowest at 28.5. Advanced HTA programs have independent HTA agencies with a broad remit, explicit process and methods, network of researchers, and routine use of HTA. Taiwan and Malaysia fall in a middle tier, with established HTA programs with limited remit. The final tier with China, India, Indonesia, Philippines, and Vietnam, emerging HTA processes.

    Conclusions
    Universal Health Coverage goals have catalyzed expansion of HTA. Political will, technical expertise, and sustained financing remain challenges for sustainable HTA programs. Legislation supporting HTA is helpful but political will is key. Recommendations for regional collaboration are provided.

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  • A ROADMAP FOR SYSTEMATIC PRIORITY SETTING AND HEALTH TECHNOLOGY ASSESSMENT (HTA): A PRACTICAL GUIDE FOR POLICY ACTION IN LOW- AND MIDDLE-INCOME COUNTRIES.

    USAID/MSH

    This document aims to go beyond listing capacity building needs and cross-country, cross-comparing HTA. The introduction illustrates the need for explicit priority setting to achieve universal health coverage (UHC), presents general definitions relevant for priority setting and HTA, and summarizes the history and evolution of HTA in different settings. In Chapter 2, we explore the policy process for successfully implementing HTA. We present a variety of policy analysis tools for partners in…

    This document aims to go beyond listing capacity building needs and cross-country, cross-comparing HTA. The introduction illustrates the need for explicit priority setting to achieve universal health coverage (UHC), presents general definitions relevant for priority setting and HTA, and summarizes the history and evolution of HTA in different settings. In Chapter 2, we explore the policy process for successfully implementing HTA. We present a variety of policy analysis tools for partners in seizing or creating windows of opportunity for HTA policy action. These instruments also help characterize the content, context, and processes conducive to high-quality HTA and the involvement of stakeholders throughout the formulation and implementation stages of the intervention. The policy formulation and adoption/implementation stages (Chapters 3 and 4) inform when, why, and how best (pragmatically) to incorporate HTA into existing health systems. We present some principles of best practice for HTA, address common methodological considerations, offer practical solutions to address these challenges, and indicate some useful capacity-building approaches for both HTA doers and users. The impact evaluation stage in Chapter 5 discusses potential frameworks for monitoring and evaluating the impact of HTA implementation.

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  • Sharing knowledge for policy action in LMICs: A literature review of Managed Entry Agreements

    Medicine Access @ Point of Care

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  • Colombian Health System on Its Way To Improve Allocation Efficiency-Transition from a Health Sector Reform to the settlement of an HTA agency

    Value In Health

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  • The history and evolution of the clinical effectiveness of haemophilia type A treatment- A systematic review

    Indian Journal Of Hematology And Blood Transfusion

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  • Case Study: HIV/AIDS in the Context of the Colombian Health Care Reform

    Centros De Estudios En Protección Social Y Economía De La Salud

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  • Smoking bans and their potential implications for mental healthcare- a review of the evidence

    Revista Colombiana De Psiquiatría

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  • Agencias de evaluación de tecnologías en salud: ?moda o necesidad?

    Revista Vía Salud

  • The cost-effectiveness of enzyme replacement therapy (ERT) for the infantile form of Pompe disease: comparing a high-income country’s approach (England) to that of a middleincome one (Colombia)

    Revista De Salud Publica

  • Diagnostic Related Groups (DRGs): Resourceful tools for financial crisis times?

    Revista Ciencias De La Salud

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语言能力

  • Spanish

    母语或精通双语

  • English

    母语或精通双语

  • Portuguese

    高级 (无障碍商务沟通)

  • French

    初级 (入门)

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