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                        <journal-meta>
            <issn>1731-7398</issn>
                                </journal-meta>
        <article-meta>
            <title-group>
                                    <article-title>Health technology assessment of medical devices</article-title>
                                    <article-title></article-title>
                            </title-group>

                        <contrib-group>
                                                            <contrib contrib-type="author" corresp="yes">
                            <name>
                                <surname>Kawalec</surname>
                                <given-names>Paweł</given-names>
                            </name>
                            <role>author</role>
                                                                                                                                    <xref ref-type="aff" rid="aff-1"/>
                                                                                        <xref ref-type="corresp" rid="cor-1"/>
                        </contrib>
                                            <contrib contrib-type="author" corresp="yes">
                            <name>
                                <surname>Mrożek-Gąsiorowska</surname>
                                <given-names> Magdalena A.</given-names>
                            </name>
                            <role>author</role>
                                                                                                                                    <xref ref-type="aff" rid="aff-2"/>
                                                                                        <xref ref-type="corresp" rid="cor-2"/>
                        </contrib>
                                            <contrib contrib-type="author" corresp="no">
                            <name>
                                <surname>Stawowczyk</surname>
                                <given-names>Ewa</given-names>
                            </name>
                            <role>author</role>
                                                                                                                                    <xref ref-type="aff" rid="aff-3"/>
                                                                                        <xref ref-type="corresp" rid="cor-3"/>
                        </contrib>
                                                </contrib-group>

                                                                                        <aff id="aff-1">
                    <institution-wrap>
                        <institution>Instytut Zdrowia Publicznego, Wydział Nauk o Zdrowiu, Uniwersytet Jagielloński Collegium Medicum, Kraków</institution>
                                            </institution-wrap>
                </aff>
                                                                                            <aff id="aff-2">
                    <institution-wrap>
                        <institution>Instytut Zdrowia Publicznego, Wydział Nauk o Zdrowiu, Uniwersytet Jagielloński, Collegium Medicum, Kraków</institution>
                                            </institution-wrap>
                </aff>
                                                                                            <aff id="aff-3">
                    <institution-wrap>
                        <institution>Uniwersytet Bielsko-Bialski</institution>
                                            </institution-wrap>
                </aff>
                            
            <author-notes>
                                    <corresp id="cor-1">Correspondence to: Paweł Kawalec <email>pawel.kawalec@uj.edu.pl</email></corresp>
                                    <corresp id="cor-2">Correspondence to:  Magdalena A. Mrożek-Gąsiorowska <email>magdalena.mrozek-gasiorowska@uj.edu.pl</email></corresp>
                                    <corresp id="cor-3">Correspondence to: Ewa Stawowczyk <email></email></corresp>
                            </author-notes>

                            <pub-date date-type="pub" publication-format="electronic" iso-8601-date="2018-12-28">
                    <day>28</day>
                    <month>12</month>
                    <year>2018</year>
                </pub-date>
            
            <volume>Tom 16, Numer 3</volume>
            <issue>2018</issue>
                        <fpage>187</fpage>
                                    <lpage>194</lpage>
            
            <permissions>
                <copyright-statement>Copyright &#x00A9; 2018</copyright-statement>
                                    <copyright-year>2018</copyright-year>
                            </permissions>

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    <body>
        &lt;p&gt;The current challenge for healthcare systems is to assess the clinical and economic value of non-drug technologies. Attempts have been made to use Health Technology Assessment, a standard method used in many countries to assess and make decisions regarding the reimbursement of medicines. The use of health technology assessment for non-drug technology can be a challenge because of the lower availability of high-quality scientific evidence in comparison with drugs. In several European countries attempts were made to develop guidelines for the clinical and economic evaluation of non-drug technologies; we presented specific guidelines prepared by British and French HTA agencies: NICE and HAS, respectively. In the case of Poland, the role of the Agency for Health Technology Assessment and Tariff System (&lt;em&gt;AOTMiT&lt;/em&gt;) is to assess and appraise all medical technologies and services claiming public money funding; most of these assessments concern drug technologies. Only 103 of 1,550 orders (6.6%) issued by the Ministry of Health, from 1&lt;sup&gt;st&lt;/sup&gt; January 2012 to 1&lt;sup&gt;st&lt;/sup&gt; July 2018, were related to non-drug technologies. The health services assessed by the &lt;em&gt;AOTMiT&lt;/em&gt; include different non-drug medical technologies, both specialized medical devices as well as surgical interventions or diagnostic procedures or screenings. Orders for non-drug technologies issued by the Ministry of Health vary in scope and type of assessment.&lt;/p&gt;
    </body>
    <back>
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