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Representing the first book on the topic, this work offers the reader an introduction to the Japanese systems for health technology assessment (HTA) officially introduced by the Ministry of Health, Labour and Welfare (MHLW) in 2016. Policy and guidelines are discussed, with the relevant methods and conditions of cost-effectiveness analysis explained alongside. Numerous instructive examples and exercises, ranging from basic to advanced, impart valuable knowledge and insight on the quantitative methods for economic evaluation, which will appeal to both beginners and experts.
 
This guidebook is authored by Japan’s foremost expert in HTA and pharmacoeconomics, with a view to strengthening the reader’s expertise in value-based healthcare and decision-making. The methods presented are essential to informing regulatory, local, and patient decisions; as such, the book is equally recommended to industry and government, as well as academia, and anyone with an interest in Japanese HTA.
 
Dr. Yasuki Kobayashi, Professor of Public Health, Graduate School of Medicine, University of Tokyo, endorsed this book, stating “A long-awaited standard text book of health technology assessment (HTA) is published and authored by the leading HTA expert Professor Isao Kamae. Due to advances in health technology, financial constraints, and fundamental practical knowledge to global healthcare HTA is a powerful tool in achieving the best healthcare value for patients. Countries such as Canada, Australia, the UK, and South Korea, which provide universal health coverage already have HTA “institutionalized” within their respective healthcare systems. HTA integration is as important in Japan, not only in clinical practice but also for the export of health technologies to overseas as a growth strategy. However, few textbooks have been written in Japanese in this field, and most were published more than a decade ago, as the country lagged behind the global trends toward the “institutionalization” of HTA. This book by Professor Kamae offers a comprehensive picture of HTA in that it pays close attention to the three essential pillars in institutionalizing HTA, namely 1) systems and policy, 2) guidelines, and 3) the role of the body conducting the assessment, in addition to easy-to-follow discussions on HTA methodology. It is also a perfect “workbook,” with accompanying exercises and applications. This is a handbook highly recommended to all those who seek to address this great challenge.”
 
The features of this book include:
--The minimum essence of occupational knowledge required in HTA practice,
--Reference to the MHLW’s Guideline 2.0 (2019) for Preparing Cost-Effectiveness Evaluation to the Central Social Insurance Medical Council, describing the key points of the new HTA system with full guideline statements (Chapters II, III, and IV),
--Features designed to assist learning the methods for analysis, including exercises for beginners develop their practical expertise (Chapter V), The list of “Key points” that summarizes the key concepts in each section, and “Self-check” questions to review the material presented in the section,
--A brief discussion of the methods involved in HTA for intermediate learners (Chapter VI), and topics addressed in recent studies to meet the needs of advanced readers.
 

(Written by KAMAE Isao, Project Professor, Graduate School of Public Policy / 2021)