Abstract：
While South Africa has some experience in various forms of health technology assessment (HTA), it is currently fragmented across numerous players. Additionally, there is a lack of systematic and consistently applied HTA processes that inform priority-setting and budget allocations. To address this, the country is journeying toward more institutionalized use of HTA. This will begin with the establishment of a Ministerial Advisory Committee on HTA for National Health Insurance (NHI) and will gradually embed HTA processes in decision-making. The goal is to create an independent HTA agency. Although these reforms will be intrinsically linked to the wider health financing reforms envisaged under NHI, such as formulating the benefits package, they will also assist in strengthening South Africa\'s health system. As a country facing a highly constrained fiscal environment, with limited space for additional funding for the health sector, evidence-based priority-setting will be critical to ensure that value for money is achieved in the government\'s investments in health care services in NHI.
摘要：
虽然南非在各种形式的卫生技术评估(HTA)方面有一些经验，它目前分散在众多玩家中。此外,缺乏系统和一致应用的HTA流程来指导优先级设置和预算分配。为了解决这个问题，这个国家正在走向更制度化的HTA使用。这将从建立国家健康保险HTA部长级咨询委员会（NHI）开始，并将逐步将HTA流程嵌入决策中。目标是创建一个独立的HTA机构。尽管这些改革将与NHI设想的更广泛的卫生筹资改革有着内在的联系，例如制定福利方案，他们还将协助加强南非的卫生系统。作为一个面临高度紧张的财政环境的国家，卫生部门额外资金的空间有限，以证据为基础的优先级设置对于确保政府在NHI的医疗保健服务投资中实现物有所值至关重要。
