china | iDSI https://www.idsihealth.org Better decisions. Better health. Fri, 27 May 2022 11:52:45 +0000 en-US hourly 1 https://wordpress.org/?v=6.8.1 /wp-content/uploads/2019/04/favicon.png china | iDSI https://www.idsihealth.org 32 32 154166752 iDSI hosts fifth two-week study tour for senior Chinese health professionals and researchers https://www.idsihealth.org/blog/idsi-hosts-fifth-two-week-study-tour-for-senior-chinese-health-professionals-and-researchers/ Fri, 11 Oct 2019 13:32:11 +0000 https://idsihealth.org/?p=5039 The iDSI team at Imperial College and core iDSI partner the China National Health Development Research Centre (CNHDRC), have been organising visits by groups of high-level Chinese health leaders and professionals, from national and regional bodies, and from clinical and non-clinical roles, to visit the UK each year since 2014. The study tours seek to provide delegates with a solid introduction to the UK health service, and its experience in priority setting and using health technology assessment (HTA) to support decision making. These study tours also provide an opportunity for iDSI colleagues to gain further understanding of the latest policy developments in Chinese healthcare reform.

The 2019 study tour represented another successful collaboration between core iDSI partners to support knowledge strengthening among key policy makers in China through interaction with representatives from UK government agencies, NHS, academic and private sector colleagues involved in healthcare.

The Chinese participants included seven representatives from the National Health Commission, including representation from the Department of Drug Policy and Essential Medicines Systems, and the Department of Healthcare Reform; a representative from the Department of Social Security, Ministry of Finance; and representatives from provincial health authorities, including the health commissions of Liaoning, Jiangsu and Henan. Researchers and policy advisers from CNHDRC and the Shanghai Health and Development Research Center also joined, in addition to colleagues from the academic sector in China, the latter including representation from Peking University, the Beijing Normal University, and the China Pharmaceutical University. Full details of all the participants can be found listed in the agenda.

As in previous years, all 27 delegates received a detailed introduction into the structure and financing of the NHS, including the role of HTA in supporting resource allocation decisions in the UK. In addition, there was a special focus on primary care, led by the Imperial College WHO Collaborating Centre for Public Health Education and Training, and an afternoon workshop hosted by the Centre for Health Economics at the University of York, which explored specific issues relating to the application of economic techniques to inform discussions on evaluating health system performance and efficiency.

For this year’s tour, we also placed a special emphasis on the UK’s approach to cancer care, specifically in relation to the process adopted by the National Institute for Health and Care Excellence (NICE) when evaluating new oncology products. We also explored the importance of considering the value that new innovations could bring within the context of delivering appropriate and timely pathways of care, including radiology, pathology, surgery, and radiotherapy. The UK’s experience in these issues can potentially provide useful insights for the Chinese setting, given that cancer has become a leading cause of mortality in the country. This is being driven by an ageing population and the prevalence of lifestyle factors such as smoking, with lung, stomach and breast being among the most common cancers. Policy makers in China have recognised the need to strengthen systems for assessing the clinical benefit of new cancer medicines, and this will be the focus of planned further collaboration between the Global Health and Development Group at Imperial and CNHDRC.

We would like to thank everyone who attended and contributed to the two-week study tour, with a special thanks to the British Embassy in Beijing, and Professor Kun Zhao and her team at the CNHDRC.

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Balancing budgets and coverage on the road to determining Health Benefit Packages: iDSI hosts three major events bringing together policy-makers from around the world https://www.idsihealth.org/blog/balancing-budgets-and-coverage-on-the-road-to-determining-health-benefit-packages-idsi-hosts-three-major-events-bringing-together-policy-makers-from-around-the-world/ Mon, 12 Nov 2018 17:41:45 +0000 https://uat.idsihealth.org/?p=3727 Although needs and available resources will undoubtedly differ by country, many face similar challenges on the road to determining an essential package of health benefits as part of Universal Health Coverage (UHC).

As part of three recent events, which saw hundreds working in health policy gather in Accra, Liverpool and London, iDSI sought to delve into important factors that guide the design of Essential Medicines Lists and Health Benefit Packages that can evidentially identify the potential value of different interventions.

The events allowed for an increased understanding of the value of Health Technology Assessment (HTA) and how it underpins strategic purchasing of health services for achieving UHC; and shone a light on ‘demonstration’ countries such as China and Ghana which are making large strides towards ensuring HTA is at the forefront of their policy agenda. Events on this scale are a result of the culmination of many years of engagement; and new partnerships that have enabled iDSI access to new LMIC partners, allowing for regional and global networking and knowledge sharing.

Setting Priorities Fairly: Sustainable Policies for Effective Resource Allocation saw almost 100 policy representatives from across Africa and Europe gathered in Accra, Ghana for a special event in September 2018 that focused on sustainable resource allocation policies for LMICs, co-hosted by iDSI and Health Technology Assessment International (HTAi). The event marks an important milestone in iDSI’s collaboration with Ghana which began in 2008 (via the Global Health and Development Group at Imperial College, formerly NICE International), as well as the nation’s commitment to realising a “Ghana beyond aid” as its booming economy puts it on course to transition from external development aid.

The two-day event, opened by Ghana’s Deputy Minister for Health Mr Kingsley Aboagye-Gyedu, set out to address the difficulties LMICs face with attaining UHC; and how to navigate inconsistent and dwindling healthcare funding. HTA was a key focus, with presentations including global experiences of HTA from eminent researchers, health economists and clinicians from the University of Ghana, Ghana’s National Health Insurance Authority, The Global Fund to Fight AIDS, Tuberculosis and Malaria, World Health Organization, HTAi, iDSI and more.

During his keynote speech Mr Aboagye-Gyedu described how Ghana had incorporated HTA recommendations in its Standard Treatment Guidelines and Essential Medicines List because of its usefulness as tool to assuring value-for-money – from the design and management of benefit packages to the determination of reimbursement list of medicines. This follows a View our iDSI timeline to read more about Ghana’s journey towards UHC to date.

iDSI‘s newly released Health Technology Assessment Toolkit was launched at the event, with each delegate receiving the resource on a USB stick. The HTA Toolkit is a free, accessible resource for technical staff working in health policy keen to build HTA processes in their own countries and was developed in consultation with staff working in health policy around the world.

In October 2018 iDSI co-hosted a satellite session on the opening day of the Fifth Global Symposium on Health Systems Research in Liverpool, with Sida and CHAI, on Health financing towards UHC. Through the collaboration, the session brought together officials from Kenya, Zambia, Indonesia, Malawi – as well Eswatini and Rwanda, with whom iDSI had not previously engaged – representing ministries of health, national health insurers, a Prime Minister’s cabinet and academia. The panellists shared practical experiences from health financing reforms in their countries, with a focus on priority-setting and strategic purchasing. The overarching theme of the symposium was Health Systems for all in the Sustainable Development Goals era and it commemorated anniversaries of two significant global health events – the Alma Ata declaration and the 70 years of the UK National Health Service (NHS).

The same week saw iDSI welcome 22 delegates from China, from both clinical and non-clinical backgrounds, representing various departments within the Chinese Ministry of Health (National Health Commission); the China National Health and Development Research Center (Beijing and Shanghai); local policy makers from three provinces; and academics from Huazong, Beijing and Shanghai universities, to develop their understanding of the UK healthcare system, including health-related legislation and regulatory mechanisms, policy development and health reforms. The momentum behind HTA in China has in part been facilitated by longstanding relationships between the Global Health and Development Group and the enthusiasm of Chinese policy makers following UK study tours to learn about the NHS approach to setting priorities fairly.

The visit preceded the National HTA Congress in Beijing on 25 October 2018 which saw the formal launch of the National Center for Integrated Assessment of Pharmaceuticals and Health Technologies in China, and where iDSI support was noted at the opening event. One of the first major tasks of the national HTA Center will be to update the National Essential Drugs List taking into consideration cost-effectiveness criteria. The HTA Center’s work will be carried out by iDSI core partner the China National Health Development Research Center, a national think-tank set up in 2008 that provides evidence-based technical advice to national and provincial health policy-makers.

iDSI Director Professor Kalipso Chalkidou has said China “can lead the way” with regards to using HTA as a policy tool to contain spending and drive more equitable care. This follows Professor Chalkidou’s attendance to the National HTA Congress, detailed also in an View our iDSI timeline to read more about the evolution of HTA in China.

The annual study tours, which started in 2014 (under NICE International) have involved talks from expert representatives from the Department of Health, the Medicine and the Healthcare Products Regulatory Agency, Public Health England, National Institute for Health and Care Excellence, the UK Health Forum and the London School of Economics.

2017’s study tour was timed so key individuals from the National Health and Family Planning Commission (replaced by the National Health Commission in 2018), CNHDRC and GHD could participate in the 5th UK-China People-to-People Health dialogue, attended by UK Secretary of State Jeremy Hunt; NHFPC Vice Minister Cui Li; and the Parliamentary Under Secretary of State for Public Health and Primary Care Steve Brine and Margaret Chan, former Director-General of the World Health Organization.

We have made slides available from:

Setting Priorities Fairly: Sustainable Policies for Effective Resource Allocation

Health financing towards UHC HSR 2018 satellite session

Chinese delegation visit 2018

What’s In What’s Out contains in-depth case studies of how LMICs have grappled with and guidance on designing Health Benefits Packages for UHC.

 

 

 

 

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iDSI hosts two-week study tour for Chinese delegation https://www.idsihealth.org/blog/idsi-hosts-two-week-study-tour-for-chinese-delegation/ Thu, 18 Oct 2018 14:13:34 +0000 https://uat.idsihealth.org/?p=3695 Health policy evaluation and Health Technology Assessment in the UK were put under the spotlight during a two-week study tour for Chinese officials, hosted by iDSI, which concluded today.

The 22 delegates, from both clinical and non-clinical backgrounds, visited London and Cambridge to develop their understanding of the UK healthcare system, including health-related legislation and regulatory mechanisms, policy development and health reforms.

Along with visits to St Thomas’ Hospital, Boots Pharmacy’s corporate office and AstraZeneca, the group received talks on the role and function of National Institute for Health and Care Excellence and the Medicines and Healthcare Products Regulatory Agency in protecting and improving public health; the pricing of branded and generic pharmaceuticals in the UK; vaccine evaluation; the development of evidence-based clinical pathways and integrated care pathways; and how to best to make use of electronic health record systems.

Members of the delegation from China with iDSI staff in Queen’s Gate

Yu Ou’yang from the Division of Medical Administration within the Hunan Provincial Health Commission in China said: “Over the last two weeks we have had presentations from almost 30 experts, even though the context of the UK and China is very different there has been so much for us to learn here. During the study tour I have realised healthcare management and delivery in the UK is very detailed and precise to ensure all goes as smoothly as possible, the UK also takes into account the balance between cost and effectiveness in healthcare which is extremely important. It has been great to learn more about standardised operations such as Clinical Commissioning Groups and NICE and their responsibilities. I would like to extend my thanks to all the presenters and those that facilitated our practical days.”

Ying Peng, who is based in Beijing but also carrying out a PhD in Health Economics at the University of Sheffield, said: “The range of presentations we received will really help my own PhD studies, I’ve definitely developed my understanding of how new interventions are appraised in the UK and how evidence is the pinnacle of decision-making. It was really important for me to learn more about the UK health system, which organisations underpin it and how this could be adapted for China.”

The group was made up of officials from iDSI core partner the China National Health and Development Research Center (CNHDRC) and the Chinese Ministry of Health (National Health Commission); along with policy makers and academics from Huazong, Beijing and Shanghai universities.

Liu Jianan, from the Division of the Essential Medicines List, within China’s National Health Commission, said: “Our delegation is diverse but between us all we have rich experience and knowledge. Our learning over the last two weeks has been delivered in such a systematic way; there is still much more we can learn from the UK healthcare system however for now I am pleased we will all be able to bring back our experiences from this trip, especially for matters such as pricing for medicines, which is of broad and current interest in China.”

Chen Bo, a PhD student from Peking University’s School of Public Health, said: “I feel very lucky to be here. The talks have inspired me a lot, particularly as my current area of study is public hospital reform at county-level in China. For me the most valuable part of the study tour has been expanding my knowledge of the ways in which hospital reforms could be made more efficient; and learning so much about Cost Effective Analysis exercises and ways we could push forward with this in China.”

Francis Ruiz, iDSI Senior Advisor, said: “The Global Health & Development Team at Imperial and iDSI have been delighted to organise study tours to the UK for senior Chinese officials since 2014. The talks from various presenters, including representatives from The Nuffield Trust, NHS England, NHS Benchmarking and feedback on their own workstreams from the delegates themselves has been a fantastic complement to off-site days where the group observed the delivery of health care first-hand and attended a workshop focused on primary care. We hope the visit was valuable and will have positive impact on them as individuals; and help develop the UK-China partnership in Health Technology Assessment.”

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Launch of new Chinese health ministry should help develop UK-China partnership in Health Technology Assessment https://www.idsihealth.org/blog/launch-of-new-chinese-health-ministry-should-help-develop-uk-china-partnership-in-health-technology-assessment/ Mon, 16 Apr 2018 11:03:07 +0000 https://uat.idsihealth.org/?p=3475 The National People’s Congress of China has endorsed the National Health Commission, which will replace the National Health and Family Planning Commission, paving the way for greater Health Technology Assessment in China.

The new ministry has been launched following a sweeping reorganisation of China’s State Council and a set of institutional reforms.

The National Health Commission will be responsible for formulating national health policies; coordinating and advancing medical and healthcare reform; establishing a national basic medicine system; supervising and administering public health, medicare, health emergencies and family planning services.

The move is considered essential in supporting the Healthy China initiative and establishing comprehensive “cradle-to-grave” health services. The Congress has also announced the creation of a dedicated agency to coordinate China’s foreign aid policies.

 Building the HTA evidence-to-policy mechanism in China

Ma Xiaowei, Head of the National Health Commission, was previously vice-minister of the National Health and Family Planning Commission. At the launch of the China Health Policy and Technology Assessment Network in 2016 Mr Xiaowei described HTA as “a precondition for achieving Healthy China 2030…and a new approach to the supervision and reimbursement approach of the market economy in China.”

At the time of the launch the network was made up of 29 organisations, including many prominent Chinese universities, research institutes and hospitals, all under the leadership of iDSI core partner the China National Health and Development Research Centre and the previous National Health and Family Planning Commission.

By the network’s second annual meeting in November 2017, attended by Francis Ruiz and Professor Simon Dixon from the University of Sheffield, it was announced the network had grown to 37 organisations, all of which will be instrumental to the future institutionalisation of HTA in China.

Expertise from the iDSI network will play a key role in supporting CNHDRC and the network as a self-sustaining mechanism for translating evidence into policy when making priority setting decisions.

 UK-China people-to-people dialogue

The momentum behind HTA in China has in part been facilitated by longstanding relationships between Imperial’s Global Health and Development Group (GHD, formerly NICE International) and the enthusiasm of Chinese policy makers following UK study tours to learn about the NHS approach to setting priorities fairly.

The study tours have involved talks from expert representatives from the Department of Health, the Medicine and the Healthcare Products Regulatory Agency, Public Health England, National Institute for Health and Care Excellence, the UK Health Forum and the London School of Economics.

The most recent tour took place over two weeks (agenda and slides can be viewed here) and was timed so key individuals from the NHFPC, CNHDRC and GHD could participate at the 5th UK-China People-to-People Health dialogue, attended by UK Secretary of State Jeremy Hunt; NHFPC Vice Minister Cui Li; and UK Minister for Public Health and Primary Care Steve Brine. Professor Kalipso Chalkidou and Professor Kun Zhao discussed the CNHDRC-Imperial collaboration to date and future work under the Gates Foundation grant to institutionalise HTA in China. Vice Premier Mme Liu Yandong and Mr Jeremy Hunt signed the joint statement on UK-China Dialogue achievements and future commitments, highlighting a commitment on both sides to support HTA capacity building through ongoing collaboration between CNHDRC and GHD.

Vice Premier Mme Liu Yandong and Secretary of State for Health Jeremy Hunt sign the joint statement on UK-China Dialogue.

 

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A series of events to support the China Health Policy & Technology Assessment Network, led by CNHDRC, the iDSI China HTA hub https://www.idsihealth.org/blog/a-series-of-meetings-for-health-policy-technology-assessment-network-by-cnhdrc-idsi-hub/ Fri, 10 Mar 2017 13:04:57 +0000 https://uat.idsihealth.org//?p=2049 17th, 21st-22nd  February 2017, China National Health Development Research Centre (CNHDRC) and Global Health and Development Group (GHD), Imperial College London organised a series of events in Xiamen which further illustrate China’s ongoing commitment to improve the quality and cost-effectiveness of its health services.

The first day started with the dissemination meeting of a project supported by the UK Prosperity Fund. The project, led by CNHDRC, focused on utilising UK expertise to support the development of standardised methods to generate evidence-based care pathways for chronic disease in China. The division director of CNHDRC, Prof Kun Zhao, outlines the aim of developing a standardized approach to developing and updating clinical guidelines in China, with a practical application to existing care pathways and guidelines in hypertension and diabetes, currently in use in Xiamen and Qingdao.

The meeting continued with an overview by experts from Xiamen and Qingdao on the ongoing efforts to improve the management of patients with chronic diseases. At the end of the meeting Prof Mike Roberts from UCL Partners shared some experiences on transforming health care towards evidence-based practices and current thinking on new integrated care models in the UK. He emphasized the importance of establishing standardised guidelines to provide high quality and equitable care for the whole Chinese population.

During the afternoon of the 17th, a leadership training workshop was delivered. At the beginning of the workshop, participants were familiarized by the theory on how to implement change and introduce new guidelines into clinical practice.  Later on, effective team leadership strategies in implementing change were discussed.  The training was attended by senior officials from Xiamen Health Bureau and Qingdao Health Bureau, representatives from tertiary and secondary hospitals, nurses, local administrative officials as well as clinicians. The knowledge gained from the workshop is expected to help local stakeholders build effective clinical teams to implement the new guidelines in an efficient manner.

The following week, a workshop was held over two days on ‘Health Policy Evaluation and Technology Assessment Knowledge Sharing’. This workshop was organised in order to help support the momentum generated by the newly launched China Health Policy and Technology Assessment Network, with CNHDRC in the role of focal point of the network (the iDSI China HTA hub).  The workshop was opened by Hongwei Yang, the deputy Director General of CNHDRC, Prof Kun Zhao and Dr Kalipso Chalkidou, Director of the GHD. The aims, objectives and structure of the nascent China HTA network were introduced. In addition, the workshop explored a number of topics considered highly relevant for HTA development in China. These include the role of the iDSI Reference Case and how it may be adapted for a Chinese context; evaluating non-budgetary constraints; health system strengthening; measuring HTA impact; economic evaluation and public health; adapting HTAs; and HTA and medical devices.  For each thematic area there were presentations from UK-based academics and Chinese researchers, as well as experts from the Thai HTA agency, HITAP. HITAP colleagues shared their experiences of how HTA was used to inform UHC policy in Thailand. The workshop concluded with reflections on the working plan for the China network as an iDSI HTA hub, and exploring new collaborations and next steps.

In terms of next steps, it was highlighted that a key objective should be to increase the number of members of the China Health Policy and Technology Assessment Network and on standardising the methodology used in developing clinical guidelines, especially for chronic diseases in China.

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Health Policy Evaluation and Technology Assessment Network Meetings in Xiamen, China – New horizons for international cooperation in evidence informed policy making https://www.idsihealth.org/blog/health-policy-evaluation-and-technology-assessment-network-meetings-in-xiamen-china-new-horizon-for-international-cooperation/ Fri, 10 Mar 2017 12:21:11 +0000 https://uat.idsihealth.org//?p=2022 2017 February 17th – 21st, Building on the launch of China Health Policy and Technology Assessment Network last December, China National Health Development Research Center (CNHDRC) hosted a series of events in Xiamen, China – marking the network’s consistent progress towards evidence-informed healthcare in China as well as building capacities for China’s HTA network.
Kalipso Chalkidou, Reetan Patel, & Mohamed Gad of the iDSI Global Health and Development group (GHD, formerly NICE International), along with Tony Culyer of the university of York, Mike Roberts of UCL Partners and other UK  and international colleagues participated in the meetings held in Xiamen. These included leadership training, a dissemination meeting on a project relating to integrated care pathways for chronic disease in China supported by the Prosperity Fund, and an iDSI HTA workshop.

1- Dissemination Meeting on Developing Evidence-based Care Pathways for Chronic Disease in China
February 17th – Morning

National Developments showcase & providing means for utilising UK expertise

Following successful launch of this UK supported Prosperity Fund project on July 28th 2016, the dissemination meeting had the key aim of communicating progress in establishing a standardised approach to clinical guidelines development, and in applying them to update existing care pathways in China. The topic areas selected for the pilot were on priority chronic disease areas namely hypertension and diabetes that were currently in use in Xiamen and Qingdao cities.

A representative on the behalf of CNHDRC Director General- Ms Wei Fu gave an opening speech where he provided an overview of the burden of chronic diseases in China. He described China’s aging population as a critical high priority issue, highlighting the estimated 220 million people aged above 60 in China, added to by about 8 million people per year. He emphasized the significance of establishing a ‘tiered healthcare system’ in China utilizing UK NHS expertise and experience to support the local development of standardised care pathways. He concluded by inviting the audience of about 50 in number consisting of senior officials from Xiamen Health and Qingdao Health authorities, representatives from tertiary and secondary hospitals, nurses, local administrative officials and clinicians- to share the results of the preliminary version of the guidelines handbook, and encouraged feedback and discussion among attendees.

Ashwini Kirchner, Head of Health and Social Care at the British Embassy in Beijing highlighted the importance of bilateral commitment between the UK and China, to learn from one another. She stated that healthcare is a key point of interest between the two countries. Kirchner highlighted the aims of Prosperity Fund Project in providing cutting edge policy in an area where the UK can offer expertise, and to give way for a real impact on the ground.

Kun Zhao, Division Director in CNHDRC, described the status quo and progress of Chinese guidelines development. She compared UK and Chinese guidelines, and provided recommendations for realizing the project aims. She linked the importance of robust guidelines development with the considerable uncertainty around the effectiveness of most of new technologies in China, and the absence of economic and equity perspective in setting hospital treatment standards in different regions in China.

The preliminary version of the Chinese guidelines handbook received strong positive feedback from the audience. Changqin Liu, Vice President of the first affiliated hospital of Xiamen University noted the professionalism underpinning the handbook and described it as a first of its kind to be developed in China.

“This guidelines handbook is very comprehensive…It is first time where we can align with UK Clinical Guidelines principles….I learned a lot”
Fusong Liu- Cardiology department Director of The Third People’s hospital of Qingdao.

Professor Mike Roberts of UCL Partners concluded the meeting by giving a brief presentation on new models of care in the UK, such as ‘Integrated Care Pioneers’ and ‘Vanguard sites’. His presentation can be found here.

2- Leadership & Change Management training
February 17th – Afternoon

Leading Change: New guidelines, new approach..

The afternoon session was dedicated to a training workshop that builds on the introduction of the new guidelines in Xiamen and Qingdao hospitals. According to Mike Roberts, the implementation of new guidelines depends on a number of factors, the most important of which are understanding and managing the change process involved, and developing effective leadership among the interdisciplinary teams adopting the new hypertension and diabetes clinical guidelines.

The training workshop took place over 3 hours and involved presentations on change management by Reetan Patel, effective team leadership by Mike Roberts, combined with an interactive discussion and group work scenarios. The group work emphasised the experience of trying to implement a new set of clinical guidelines and how they may be understood from different perspectives among the stakeholders affected such as management, clinicians and other various implementing teams. The audience were mainly senior officials from Xiamen and Qingdao health authorities, representatives from tertiary and secondary hospitals, nurses, local administrative officials and clinicians.

3- iDSI HTA workshop: knowledge sharing event to support newly launched China HTA network
February 20th – 21st

The role of HTA in international development & National Regulatory Authority strengthening

The iDSI HTA workshop in Xiamen builds on the MOU supporting informed implementation framework for HTA between GHD and CNHDRC. The two-day workshop revolved around 6 main themes: standardised methods for economic evaluation, non-budget constraints and health system strengthening, measuring HTA impact and return on investment, HTA and medical devices, economic evaluation modelling and public health, and adapting HTA to the Chinese context.

The workshop commenced with an opening statement by a representative of CNHDRC on the behalf of Deputy Director Hongwei Yang, who emphasized that the current leadership in China is very supportive of HTA capacity building especially in light of major technology transformation in China.

Kalipso Chalkidou gave an overview of the objectives of the HTA workshop including outlining the role of iDSI HTA hubs for supporting national and regional HTA related activities. Kun Zhao introduced the China HTA network, which is a network of 29 institutions and hospitals backed with a great amount of support by the Chinese healthcare authorities (the presentation can be found here). Tony Culyer briefly introduced the iDSI Reference Case, what it is and how it can be adapted to China context (see his presentation here).

Professor Pete Smith of Imperial College London delivered a presentation on developing a framework for evaluating interventions aimed at health system strengthening. Eleanor Grieve of University of Glasgow talked about developing a theoretical framework for assessing the impact of HTA and the return on investment. Professor Klim McPherson of Oxford University provided a presentation on role of epidemiological modelling to support decisions in public health, and Anastasia Chalkidou and Naomi Herz of KiTEC talked about assessing medical devices and the challenge of incorporating economic evaluations in that field (their presentations can be found here).

Chinese academics linked with the new HTA network also spoke about the role of HTA in China in line with the themes of the workshop. There were presentations on: Standards and procedures of HTA in China by Haiyin Wang, Division Director of Shanghai Health Development Research Center, Performance evaluation on public health system in China by Professor Zhachun of Tongji University, Outcome Evaluation of the Tiered healthcare system in China by Rui Zhao of CNHDRC, Rapid HTA on Proton and Heavy Ion radiotherapy by Michelle Li of CNHDRC; Economic Evaluation of hepatitis B management strategy in China by Steven Qiu of CNHDRC; and finally, a talk by Jenny Sui of CNHDRC on using international evidence to assess cellular immunotherapy.

The iDSI HTA workshop provided an opportunity for new collaborations between Chinese HTA specialists, UK researchers, and colleagues from neighbouring countries. During the second day of the workshop, a roundtable discussion involving health officials and academics from Indonesia, Cambodia and China highlighted the interest in engaging in mutual cooperation, and the opportunity offered by the Chinese HTA network in providing regional support. The rise of China’s HTA capacity comes at a pivotal timing given the upcoming BRICS Summit scheduled to take place in Xiamen next September. The five key priority areas for BRICS collaboration are: deepening cooperation, strengthening global governance, making institutional improvements and building broader partnerships. Within this context, HTA capacity buidling and wider heathcare refirm offers one important route to achieve these aims. The Goa declaration highlights the importance of BRICS cooperation in the area of healthcare regulation.

“We will seek to identify possibilities for cooperation among our health and/or regulatory authorities, with a view to share best practices and discuss challenges, as well as identifying potential areas for convergence”
8th BRICS Summit- Goa Declaration October 2016.

China’s role in international support has been given added impetus by a number of initiatives including the recent “One Belt One Road” strategy. Such initiatives can provide important opportunities for sustainable development in countries along the Silk Road Economic Belt, and will be crucial in supporting the spread of evidence informed healthcare decision making in LMICs, a key objective of iDSI.

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Launch of China Health Policy and Technology Assessment Network under auspices of NHFPC https://www.idsihealth.org/blog/launch-of-china-health-policy-and-technology-assessment-network-under-auspices-of-national-health-and-family-planning-committee/ https://www.idsihealth.org/blog/launch-of-china-health-policy-and-technology-assessment-network-under-auspices-of-national-health-and-family-planning-committee/#comments Tue, 06 Dec 2016 14:10:06 +0000 https://uat.idsihealth.org//?p=1948

Health Policy Technology Assessment China

6th December marked the launch of the China Health Technology Assessment hub to which Kalipso Chalkidou, Director Global Health and Development Group (GHD), was invited, representing iDSI and Imperial College London. Kalipso presented on the value of HTA as a means of managing expenditure and ensuring investment is made in those technologies and interventions most likely to benefit large numbers of those in need. The event was hosted by the China National Health Development Research Center (CNHDRC) and attended by the WHO and the World Bank with over 75 senior officials from the National Health and Family Planning Committee (NHFPC), the National Development Research Committee (NDRC), the Ministry of Finance, the Ministry of Labour and Social Security; provincial health bureaus, and scholars from major Universities including Renmin University, Peking University , Fudan University with a track record in health reform and HTA.

China hub pic

The event was opened by Vice Minister Ma who commented that “HTA is a necessary precondition for achieving Healthy China 2030…and a new approach to the supervision and reimbursement approach of the market economy which has succeeded the planned economy in China”. He also highlighted the value of HTA as a means of promoting “innovation driven development” and supporting policy makers make informed choices for NCD prevention, a major priority for the government.

Building on this work, we are proud to announce CNHDRC as the China hub for iDSI, a major centre for promoting evidence informed policy making in support of China’s national reforms as per the Healthy China 2030 report, as well as a regional and global hub which can support countries in the region struggling to attain and sustain Universal Health Coverage, such as Cambodia and Myanmar and beyond, such as South Africa and others SSA countries launching National Health Insurance plans. We are honoured and look forward to working with our Chinese partners and supporting the Chinese authorities in their task of ensuring good quality equitable care for the whole of their population.

The agenda for the launch can be found here 

 

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FCO People to People Dialogue and the Prosperity Fund https://www.idsihealth.org/blog/fco-people-to-people-dialogue-and-the-prosperity-fund/ Tue, 06 Dec 2016 13:39:50 +0000 https://uat.idsihealth.org//?p=1941 On 5 Dec, Kalipso Chalkidou, Director of the Global Health and Development Group (GHD), represented Imperial group at the 4th People to People dialogue in Beijing, convened by Vice Minister Cui Li from the National Health and Family Planning Commission (NHFPC) of China, and the UK’s Secretary of State for Health Jeremy Hunt. Healthy ageing, improving quality of care and reducing variation, ensuring timely adoption of good value innovation, harvesting ‘Big Data’ and enhancing health and social care integration were some of the common themes highlighted as priorities by the two ministers, with China numbering now over 220 million citizens over the age of 65 and faced with the major task of ensuring universal coverage to good quality affordable care to its 1.3 billion population. The GHD and iDSI’s work in improving quality and efficiency and streamlining the introduction and retirement of technology, is central to these themes. We hope with the support of the Prosperity Fund, we will be in a position to continue engaging with the NHFPC and its think-tank, China National Health Development Research Center (CNHDRC), as they address these challenges and learn in the process.

Please find the FCOs Prosperity Fund strategy for 2016/2017 here 

The UK/China Health Dialogue can be found here

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Global Health and Development Participation 10th China Heath Technology Assessment Forum https://www.idsihealth.org/blog/global-health-and-development-participation-10th-china-heath-technology-assessment-forum/ Mon, 14 Nov 2016 15:31:21 +0000 https://uat.idsihealth.org//?p=1934 In November 2016, Kalipso Chalkidou participated in the 10th China HTA Forum at Hangzhou in SE China, under the auspices of Fudan University and with support from the China Medical Board.

The Forum, attended by 300 delegates from academia, provincial and central administration and the international HTA community, was an opportunity to share experiences and commit to institutional partnerships including with Fudan University.

Fudan has a long tradition in HTA training and capacity building since the early 90s. The University  is increasingly investing in HTA, including a soon to be launched MOOC in HTA for Chinese students and is keen to build international partnerships in the field of Priority Setting in health. This is an opportunity for Imperial College’s Institute for Global Health Development to further strengthen its Chinese links with academics and policy makers in the country.

Evernote Snapshot 20161112 135337

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Chinese Delegation visit and MoU signing – CNHDRC and Imperial College https://www.idsihealth.org/blog/chinese-delegation-visit-and-mou-signing-cnhdrc-and-imperial-college/ Thu, 03 Nov 2016 12:33:14 +0000 https://uat.idsihealth.org//?p=1921 In October 2016, a delegation of 25 high level officials from the China National Health and Development Research Center (CNHDRC) and the National Health and Family Planning Committee (NHFPC) visited Imperial College to learn about the NHS, integrated care and health innovations. The visit was hosted by the Global Health and Development Group (GHD, former NICE International). The delegation received talks from various speakers, including people from the MHRA, NHS Digital, the University of Manchester, the Department of Health, London School of Economics, and others.

The main aim of the visit was the signing a Memorandum of Understanding (MoU) between the China National Health and Development Research Center (CNHDRC) and the Institute for Global Health Innovations (IGHI). This agreement is the first collaboration between Imperial College and CNHDRC.

Find a more detailed visit report on the IGHI webpage 

The slides can be found here

 

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