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Analysis Of The HTA Process In Bulgaria And Ensurance Of Experts For Working Groups On Health Technology Assessment

Anelia Nikolova, Evgeni Grigorov, Antonia Dimova, Jivko Kolev, Petko Salchev


Introduction: The HTA process is new for Bulgaria. Its effectiveness depends on several factors, including technical security, availability of experts, training, and competence of experts, as well as the MAH experience and awareness regarding the nature of HTA, administrative procedures, deadlines and requirements for evaluations. At the initial stage of the process, its important these factors to be analyzed and evaluated for improving the overall conducting of HTA in Bulgaria.

Objective: This study aims to provide a comprehensive analysis and assessment of the insurance with experts regarding the activities of the appointed working expert groups, which work on applications for HTA, under Article 10, paragraph 1 of Ordinance No. 9 on the terms and conditions of Health Technology Assessment.

Methodology: The study is based on data about the number and specialties of the experts, involved and participating in the working expert groups. The information sources are the database from the HTA Department in NCPHA and all the registers that are maintained. The quantitative results of the study are presented graphically. The monitoring method is applied to the overall organization of the study objects - the Health Technology Assessment Department in NCPHA and the working expert groups.

Results: A register of experts has been established at the NCPHA who has applied for participation in HTA working expert groups. Doctors from different specialties predominate. The number of statisticians and economists is relatively small and does not cover the needs of the process, so it is necessary to involve the same experts at the same time in several committees.

A considerable part of the experts is habilitated persons. Тhe overwhelming number of people with academic positions, who have applied for inclusion as experts in the working expert groups is dictated by their scientific interest in the specific field and the relevance of the HTA process in Bulgaria. A habilitated person is always appointed for chairman of each working expert group, in most cases a physician with a specialty profile for a particular disease.

Conclusion: The analysis shows that the organization of the process is good, but there are problems with its resource availability. The recruitment of highly qualified specialists to be involved in the HTA process should continue. It is necessary to build an expert training system, as well as an information system to support the process.


Health technology assessment, working committees, experts, Bulgaria

Full Text


Henshall C, Oortwijn W, Stevens A, Granados A, Banta D. Priority setting for health technology assessment: By the Priority Setting Subgroup of the EUR-ASSESS Project. Int J Technol Assess Health Care [Internet]. New York, USA: Cambridge University Press. 1997;13(2):144-85.

Velasco-Garrido M, Reinhard B. Health technology assessment – An introduction to objectives, role of evidence, and structure in Europe. European observatory on health systems and policies, WHO, Copenhagen, 2005.

Искров Г, Стефанов Р. Оценка на иновативни здравни технологии за онкологични и редки заболявания, Наука, Фармакол., 2014;5(2):13-18.

Banta HD, Behney CJ, Andrulis DP. Assessing the Efficacy and Safety of Medical Technologies. OTA Congress of the US, Washington; 1978.

Drummond M, O’Brien B, Stoddart G, Torrance G. Methods for Economic Evalu-ation of Health Care Programmes. Oxford University Press; 1997.

Веков Т, Салчев П, Гетов И, Григоров Е, Велева Н, Лебанова Х. Планиране и въвеждане на ОЗТ и лекарствени терапии в България. 2015.

Салчев П, Григоров Е. ОЗТ в България. In: Здравен дебат “Иновации и ОЗТ – ползи и предизвикателства”, София Хотел Балкан; 2016.

Джамбазов С, Георгиев С. Оценката на здравните технологии по света и в България – ситуационен анализ. София; 2015.

Drummond M, O’Brien B, Stoddart G, Torrance G. Methods for Economic Evaluation of Health Care Programmes. Oxford University Press; 1997.

Vankova D. Health Technology Assessment, Editorial. Scripta Scientifica Medica, 2014; 48(3): 7-7.

МЗ, Наредба № 9/1.12.2015 г. за условията и реда за извършване на ОЗТ

НЦОЗА. Правила за деклариране, предотвратяване и установяване на конфликт на интереси в процеса на ОЗТ.

Салчев П. Обективизиране на вземането на решения при ОЗТ – многокритериен подход. Бълг. сп. за обществено здраве. 2016;8(2):3-30.



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