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Development of a Health Screening Package Under the Universal Health Coverage: The Role of Health Technology Assessment

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  • Yot Teerawattananon
  • Pritaporn Kingkaew
  • Tanunya Koopitakkajorn
  • Sitaporn Youngkong
  • Nattha Tritasavit
  • Patsri Srisuwan
  • Sripen Tantivess

Abstract

This study reports the systematic development of a population‐based health screening package for all Thai people under the universal health coverage (UHC). To determine major disease areas and health problems for which health screening could mitigate health burden, a consultation process was conducted in a systematic, participatory, and evidence‐based manner that involved 41 stakeholders in a half‐day workshop. Twelve diseases/health problems were identified during the discussion. Subsequently, health technology assessments, including systematic review and meta‐analysis of health benefits as well as economic evaluations and budget impact analyses of corresponding population‐based screening interventions, were completed. The results led to advice against elements of current clinical practice, such as annual chest X‐rays and particular blood tests (e.g. kidney function test), and indicated that the introduction of certain new population‐based health screening programs, such as for chronic hepatitis B, would provide substantial health and economic benefits to the Thais. The final results were presented to a wide group of stakeholders, including decision‐makers at the Ministry of Public Health and the public health insurance schemes, to verify and validate the findings and policy recommendations. The package has been endorsed by the Thai UHC Benefit Package Committee for implementation in fiscal year 2016. © 2016 The Authors. Health Economics published by John Wiley & Sons Ltd.

Suggested Citation

  • Yot Teerawattananon & Pritaporn Kingkaew & Tanunya Koopitakkajorn & Sitaporn Youngkong & Nattha Tritasavit & Patsri Srisuwan & Sripen Tantivess, 2016. "Development of a Health Screening Package Under the Universal Health Coverage: The Role of Health Technology Assessment," Health Economics, John Wiley & Sons, Ltd., vol. 25(S1), pages 162-178, February.
    • Handle: RePEc:wly:hlthec:v:25:y:2016:i:s1:p:162-178
    DOI: 10.1002/hec.3301
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    References listed on IDEAS

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    1. Naiyana Praditsitthikorn & Yot Teerawattananon & Sripen Tantivess & Supon Limwattananon & Arthorn Riewpaiboon & Saibua Chichareon & Nantakan Ieumwananonthachai & Viroj Tangcharoensathien, 2011. "Economic Evaluation of Policy Options for Prevention and Control of Cervical Cancer in Thailand," PharmacoEconomics, Springer, vol. 29(9), pages 781-806, September.
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    Cited by:

    1. Herberholz, Chantal, 2020. "Risk attitude, time preference and health behaviours in the Bangkok Metropolitan Area," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 87(C).
    2. Catherine Pitt & Anna Vassall & Yot Teerawattananon & Ulla K. Griffiths & Lorna Guinness & Damian Walker & Nicola Foster & Kara Hanson, 2016. "Foreword: Health Economic Evaluations in Low‐ and Middle‐income Countries: Methodological Issues and Challenges for Priority Setting," Health Economics, John Wiley & Sons, Ltd., vol. 25(S1), pages 1-5, February.

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