Objectives: The aim of this study was to review the history of health technology assessment (HTA) in Italy. Methods: Founded in 1978, the Italian National Health Service (NHS) has been strongly regionalized mainly after a constitutional reform, which started a devolution process. HTA started in the 1980s at the National Institute of Health and in a few University Hospitals, with a focus on big ticket technology: that process was driven by clinical engineers. Results: In recent years, HTA is becoming an important tool for decision-making processes at central, regional, and local levels. In particular, the National Agency for Regional Health Services (AGENAS) and five regions (of twenty-one) are strongly committed to develop HTA initiatives connected with the planning process. Conclusions: At the local level, the hospital-based HTA activity is probably the most important peculiarity of the country and the real driver of the HTA movement
Lingua originaleEnglish
pagine (da-a)127-133
Numero di pagine7
RivistaInternational Journal of Technology Assessment in Health Care
Stato di pubblicazionePubblicato - 2009


  • Decision making
  • Evidence based medicine
  • Health policy
  • Health technology assessment


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