HEALTH TECHNOLOGY ASSESSMENT IN CENTRAL-EASTERN AND SOUTH EUROPE COUNTRIES: BOSNIA AND HERZEGOVINA

Author:

Guzvic Vladimir,Catic Tarik,Kostic Marina

Abstract

Objectives: The aim of this study was to describe the healthcare system and health financing in Bosnia and Herzegovina and recent trends in health technology assessment (HTA) placement in the system.Methods: A short review of PubMed published literature has been conducted using key words related to reimbursement, HTA, and health policy. We also revised legislation in Bosnia and Herzegovina published in Official Gazettes related to healthcare financing and organization.Results: A deecentralized system in Bosnia and Herzegovina led to high differences in health policy. HTA has been recognized in legislation in Bosnia and Herzegovina, but it still has not been introduced in practice in full capacity. A small number of publications are found in PubMed treating these issues, but generally the problem of introduction of HTA in Bosnia and Herzegovina is lack of experts, as well as the political environment and education in this field.Conclusions: HTA in the Federation of Bosnia and Herzegovina and the Republic of Srpska has a short history because of a huge political impact in the decision-making process, decentralized system, and multiple decision makers in these regions. Challenges remain in assessments, in development of more transparent approaches in different areas of the health system in these regions, and in consistent application of appropriate standards especially in education of professionals who will provide establishment of HTA in the health system of The Federation of Bosnia and Herzegovina and the Republic of Srpska.

Publisher

Cambridge University Press (CUP)

Subject

Health Policy

Reference27 articles.

1. Health care law of Federation of Bosnia and Herzegovina. Official gazette of Federation of Bosnia and Herzegovina 46/10 (in Bosnian).

2. Federal Health Insurance Fund. http://www.fedzzo.com.ba/bs/clanak/fond-solidarnosti/38 (accessed November 8, 2015)

3. Health Insurance Fund of Republic of Srpska. https://www.zdravstvo-srpske.org (accessed November 7, 2015).

4. Decision of medicines on Cytotoxic and biologics list. Official Gazette of Republic of Srpska 74/15 (in Bosnian).

5. Ministry of Civil Affairs of Bosnia and Herzegovina. http://www.mcp.gov.ba (accessed November 7, 2015).

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