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What is the value of a Quality-Adjusted Life Year and How Much Is It ?

The value of a Quality-Adjusted Life Year (QALY) used to screen medicines for inclusion in the National List of Essential Medicines (NLEM) in 2013 was 160,000 baht per QALY. Any medicines that cost less than this amount is considered to be cost-effective. However, is this figure consistent with publ

The Thai Version of the EQ-5D-5L Health Questionnaire

Evaluating health-related quality of life has many benefits. It can beused to evaluate the results of treatment from diseases as well as monitor population health. In addition, it can also be used in various types of research such as clinical research and econo measuring generic health status. The d

Public Health Policy Development in Thailand: Success and challenges

A concept on social determinants of health and the Ottawa Charter’s action areas for health promotion have drawn, in many countries, awareness to the health impacts resulting from a public policy. In Thailand, the issue was taken under consideration in the process of the National Health Systems Refo

Health Technology Assessment for Renal Dialysis for End-Stage Renal Disease in Indonesia

Due to the increasing burden of non-communicable diseases (NCDs) in aging populations and the prevalence of unhealthy lifestyles, end-stage renal disease (ESRD) that results from NCDs is a growing concern in Indonesia. With the target of achieving Universal Health Coverage (UHC) by 2019, public prov

The Quality and Outcomes Framework Project: Incentive to develop primary care quality

Primary care services are health services which are the first point of contact in the healthcare system and play a role in the health of the local population. The Quality and Outcomes Framework (QOF) project, which is managed by the Ministry of Public Health (MoPH) and National Health Security Offic

Health Technology Assessment on Sildenafil as Treatment for Pulmonary Arterial Hypertension (PAH)

Sildenafil is a treatment option for PAH patients that is found to offer an additional 1-3 life years gained for PAH patients compared to beraprost, currently the only treatment available in the benefit package under the National Social Health Insurance (Jaminan Kasehatan Nasional – JKN) of Indonesi

Off-label medicines: Rational or Irrational?

The use of off-label medicines is an unexplored area for healthcare priority setting, though it is common practice in countries and can have a significant positive or negative effect on health outcomes and the efficiency of health care systems. It is therefore important to have a rational an

Your Friendly, Neighborhood GEAR Guide!

In 2015, a HITAP International Unit (HIU) survey identified the major challenges (both contextual and technical) to the conduct of rigorous economic evaluations for policymakers’ use in healthcare decision making. • From this study, HITAP created an online platform called the Guide to health Econ

Is it Worthwhile to Introduce Pneumococcal Conjugate Vaccine into the Routine Immunization Services?

In Bhutan, respiratory infections are some of the major causes of morbidity and mortality in children. Pneumonia, an infection of the lungs, is among the top 10 common causes of children’s death in the country. Not only does it impose costs on society that may not be immediately visible (e.g. produ
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