Iga Lipska, James Neil McAuslane, Bert Leufkens, Anke Hövels

Research output: Contribution to journalArticleAcademicpeer-review


OBJECTIVES: The objective of this study is to illustrate and provide a better understanding of the role of health technology assessment (HTA) processes in decision making for drug reimbursement in Poland and how this approach could be considered by other countries of limited resources.

METHODS: We analyzed the evolution of the HTA system and processes in Poland over the past decade and current developments based on publicly available information.

RESULTS: The role of HTA in drug-reimbursement process in Poland has increased substantially over the recent decade, starting in 2005 with the formation the Agency for Health Technology Assessment and Tariff System (AOTMiT). The key success factors in this development were effective capacity building based on the use of international expertise, the implementation of transparent criteria into the drug reimbursement processes, and the selective approach to the adoption of innovative medicines based on the cost-effectiveness threshold among other criteria.

CONCLUSIONS: While Poland is regarded as a leader in Central and Eastern Europe, there is room for improvement, especially with regard to the quality of HTA processes and the consistency of HTA guidelines with reimbursement law. In the "pragmatic" HTA model use by AOTMiT, the pharmaceutical company is responsible for the preparation of a reimbursement dossier of good quality in line with HTA guidelines while the assessment team in AOTMiT is responsible for critical review of that dossier. Adoption of this model may be considered by other countries with limited resources to balance differing priorities and ensure transparent and objective access to medicines for patients who need them.

Original languageEnglish
Pages (from-to)350-357
Number of pages8
JournalInternational Journal of Technology Assessment in Health Care
Issue number3
Publication statusPublished - Jan 2017


  • Health technology assessment
  • Poland
  • Drug reimbursement


Dive into the research topics of 'A DECADE OF HEALTH TECHNOLOGY ASSESSMENT IN POLAND'. Together they form a unique fingerprint.

Cite this