CEU Electronic Theses and Dissertations, 2018
| Author | Todorić, Nikola Dragan |
|---|---|
| Title | Institutional Dynamics and Bureaucratic Agencies: Adoption of Health Technology Assessment (HTA) in the Western Balkans |
| Summary | The proliferation of health technology assessment (HTA), policy of evidence-based evaluation of health care technologies, has not bypassed Western Balkans, with Croatia pioneering institutionalized HTA in 2009 by establishing a national HTA agency. However, other countries did not follow, most of them still lacking institutionalized HTA. Assuming that implementation of HTA is a type of gradual institutional reform, where existing bodies within the healthcare sector represent main opponents, a comparison was made between Croatia and Serbia (which has not successfully institutionalized HTA despite some initial momentum). Timeline of the most important events was reconstructed using the method of episode analysis, in order to identify key mechanisms of (non-)adoption. Analysis confirms initial assumption that Serbia failed to establish formalized HTA because of the structural and actor-based opposition coming from the bodies within the healthcare system. It also demonstrates that Croatia managed to overcome this opposition most probably due to the external pressure related to EU integration. However, it also shows that Croatian HTA agency is, in fact, very weak and ineffective, and that pre-existing bodies within Croatian healthcare system have managed to retain all their prerogatives. |
| Supervisor | Kovács, Borbála |
| Department | Political Science MA |
| Full text | https://www.etd.ceu.edu/2018/todoric_nikola.pdf |
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