Table 4

Action plan for HTA implementation

Action within 1–2 yearsAction within 3–5 yearsActions from 6–10 years
Capacity building
  • Train the trainers programs

  • Providing regular short courses for decision makers

  • Inclusion of short courses in the residency program of healthcare professionals

Increasing awareness of HTA among the publicDecide on the need for local academic programs (PhD or masters) implementation
HTA funding
  • Public funding by the ministry of health will take the lead for the critical appraisal with minor submission fees from the private sector

  • Assessment should be financed mainly by pharmaceutical companies

Outsourcing with third parties might be needed with increased capacity for appraisalAssessment of technologies with no interest to the manufacturer will be prioritized by the ministry of health and assessed according to importance
Legislation on HTASingle national HTA unit under the umbrella of the MoHUnit will expand with increasing scope of technologies 
Scope of HTA implementationStart assessing innovative pharmaceuticals with high budget impact to support reimbursement decisionsExpand scope to medical devices and surgical interventionsExpand scope to prevention programs and revising HTA decisions
Decision criteriaInitially use 1–3x GDP per capita threshold value, apply multiple thresholds, and pilot MCDA in certain casesDevelop a CET for Oman, expand the use of MCDA 
Quality and transparency of HTA implementationRecommendations only are published during the first 5 yearsAfter 1 year of pilot testing, clear timelines will be establishedCritical appraisal reports are published
Use of local dataUse available local data from electronic databasesBuild local data warehouse 
International collaborationParticipation/hosting international training Exchanging experience through Gulf Cooperation Council

Source(s): Authors work

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