<?xml version="1.0" encoding="UTF-8"?><mets:mets xmlns:mads="http://www.loc.gov/mads/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:tef="http://www.abes.fr/abes/documents/tef" xmlns:metsRights="http://cosimo.stanford.edu/sdr/metsrights/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mets="http://www.loc.gov/METS/">
    <mets:metsHdr ID="rennes1-ori-wf-1-22160" CREATEDATE="2026-01-06T23:28:38" LASTMODDATE="2026-01-06T23:28:39">
  <mets:agent ROLE="CREATOR">
            <mets:name>Université de Rennes</mets:name>
        </mets:agent>
</mets:metsHdr>
    <mets:dmdSec ID="desc_expr" CREATED="2026-01-06T23:28:38">
  <mets:mdWrap MDTYPE="OTHER" OTHERMDTYPE="tef_desc_these">
            <mets:xmlData>
                <tef:thesisRecord>
     <dc:title xml:lang="fr">Le nouveau Règlement Européen sur l’Évaluation des Technologies de Santé (HTAR) et son application à l’échelle nationale : perceptions des parties prenantes et premiers enseignements</dc:title>
     <dcterms:alternative xml:lang="en">The new European Health Technology Assessment Regulation (HTAR) and its national-level implementation : stakeholder perceptions and initial lessons learned</dcterms:alternative>
     <dc:subject xml:lang="fr">Consultation Scientifique Conjointe</dc:subject><dc:subject xml:lang="fr">Évaluation Cliniques Conjointes</dc:subject><dc:subject xml:lang="fr">Évaluation des technologies de santé</dc:subject><dc:subject xml:lang="fr">Europe</dc:subject><dc:subject xml:lang="fr">États membres</dc:subject><dc:subject xml:lang="fr">Harmonisation</dc:subject><dc:subject xml:lang="fr">Industrie</dc:subject><dc:subject xml:lang="fr">Innovations</dc:subject><dc:subject xml:lang="fr">Instances</dc:subject><dc:subject xml:lang="fr">Patients</dc:subject><dc:subject xml:lang="fr">Règlement</dc:subject>
     <dc:subject xml:lang="en">Joint Scientific Consultation</dc:subject><dc:subject xml:lang="en">Joint Clinical Assessment</dc:subject><dc:subject xml:lang="en">Health technology assessment</dc:subject><dc:subject xml:lang="en">Europe</dc:subject><dc:subject xml:lang="en">Member States</dc:subject><dc:subject xml:lang="en">Harmonization</dc:subject><dc:subject xml:lang="en">Industry</dc:subject><dc:subject xml:lang="en">Innovations</dc:subject><dc:subject xml:lang="en">Authorities</dc:subject><dc:subject xml:lang="en">Patients</dc:subject><dc:subject xml:lang="en">Regulation</dc:subject><tef:sujetRameau><tef:vedetteRameauNomCommun>
						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="061604631">Législation européenne</tef:elementdEntree>
					</tef:vedetteRameauNomCommun><tef:vedetteRameauNomCommun>
						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="029680026">Évaluation médicale </tef:elementdEntree>
					</tef:vedetteRameauNomCommun><tef:vedetteRameauNomCommun>
						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="027454134">Innovations médicales‎</tef:elementdEntree>
					</tef:vedetteRameauNomCommun><tef:vedetteRameauNomCommun>
						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="027820653">Technologie médicale‎</tef:elementdEntree><tef:subdivision autoriteSource="Sudoc" type="subdivisionDeSujet" autoriteExterne="027791513">Évaluation </tef:subdivision>
					</tef:vedetteRameauNomCommun><tef:vedetteRameauNomCommun>
						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="090262581">Parties prenantes (gestion d'entreprise)</tef:elementdEntree>
					</tef:vedetteRameauNomCommun></tef:sujetRameau>
     <dcterms:abstract xml:lang="fr">Le nouveau Règlement Européen sur l’Évaluation des Technologies de Santé (HTAR) constitue une avancée majeure dans la coordination des évaluations au sein de l’Union européenne. En instaurant un cadre commun pour les Évaluations Cliniques Conjointes (JCAs) et les Consultations Scientifiques Conjointes (JSCs), il vise à harmoniser les méthodologies, réduire les duplications entre les instances nationales et accélérer l’accès des patients aux innovations thérapeutiques. En France, il marque une phase d’adaptation du processus national d’HTA en impactant certaines procédures. Les parties prenantes soutiennent globalement cette harmonisation, tout en soulignant des attentes et des préoccupations spécifiques. Son succès dépendra d’un dialogue précoce et continu entre tous les acteurs tout au long du cycle de vie du produit, afin de garantir l’innovation et un accès équitable aux traitements.</dcterms:abstract>
     <dcterms:abstract xml:lang="en">The new European Health Technology Assessment Regulation (HTAR) represents a major advance in the coordination of assessments within the European Union. By establishing a common framework for Joint Clinical Assessments (JCAs) and Joint Scientific Consultations (JSCs), it harmonizes methodologies, reduces duplication between national bodies, and accelerates patient access to therapeutic innovations. In France, it leads to an adaptation of the national HTA process. Stakeholders broadly support this harmonization, while highlighting specific expectations and concerns. Its success will depend on early and continuous dialogue among all actors throughout the
product lifecycle, to ensure it best serves innovation and equitable access to treatments.</dcterms:abstract>
     <dc:type>Electronic Thesis or Dissertation</dc:type><dc:type xsi:type="dcterms:DCMIType">Text</dc:type>
     <dc:language xsi:type="dcterms:RFC3066">fr</dc:language>
    </tef:thesisRecord>
            </mets:xmlData>
        </mets:mdWrap>
</mets:dmdSec>
    <mets:dmdSec ID="desc_edition" CREATED="2026-01-06T23:28:38">
  <mets:mdWrap MDTYPE="OTHER" OTHERMDTYPE="tef_desc_edition">
            <mets:xmlData>
                <tef:edition><dcterms:medium xsi:type="dcterms:IMT">application/pdf</dcterms:medium><dcterms:extent>1 : 10355 Ko</dcterms:extent><dc:identifier xsi:type="dcterms:URI">https://ged.univ-rennes1.fr/nuxeo/site/esupversions/b418ae15-4351-4295-9813-6c4c88ed1520</dc:identifier></tef:edition>
            </mets:xmlData>
        </mets:mdWrap>
</mets:dmdSec>
    <mets:amdSec>
        <mets:techMD ID="admin_expr">
            <mets:mdWrap MDTYPE="OTHER" OTHERMDTYPE="tef_admin_these">
                <mets:xmlData>
                    <tef:thesisAdmin>
                        <tef:auteur>
       <tef:nom>Grosset</tef:nom>
       <tef:prenom>Maxence</tef:prenom>
       
       <tef:dateNaissance>1998-02-18</tef:dateNaissance>
       <tef:nationalite scheme="ISO-3166-1">FR</tef:nationalite>
       <tef:autoriteExterne autoriteSource="Sudoc">298125218</tef:autoriteExterne>
       <tef:autoriteExterne autoriteSource="mailPerso">maxencegrosset@orange.fr</tef:autoriteExterne>
      </tef:auteur>
                        <dc:identifier xsi:type="tef:NNT">2025URENP114</dc:identifier>
                        <dc:identifier xsi:type="tef:nationalThesisPID">http://www.theses.fr/2025URENP114</dc:identifier>
                        <dcterms:dateAccepted xsi:type="dcterms:W3CDTF">2025-12-19</dcterms:dateAccepted>
                        <tef:thesis.degree>
                            <tef:thesis.degree.discipline xml:lang="fr">Pharmacie</tef:thesis.degree.discipline>
                            <tef:thesis.degree.grantor>
        <tef:nom>Universite de Rennes</tef:nom><tef:autoriteInterne>thesis.degree.grantor_1</tef:autoriteInterne>
        
        <tef:autoriteExterne autoriteSource="Sudoc">26693823X</tef:autoriteExterne>
       </tef:thesis.degree.grantor>
                            <tef:thesis.degree.level>Doctorat (thèse d'exercice)</tef:thesis.degree.level>
                        </tef:thesis.degree>
                        <tef:theseSurTravaux>non</tef:theseSurTravaux>
                        <tef:avisJury>oui</tef:avisJury><tef:directeurThese><tef:nom>Arrmoiry</tef:nom><tef:prenom>Xavier</tef:prenom><tef:autoriteInterne>intervenant_1</tef:autoriteInterne><tef:autoriteExterne autoriteSource="Sudoc">085192929</tef:autoriteExterne></tef:directeurThese>
      
      
                        
                        <tef:oaiSetSpec>ddc:610</tef:oaiSetSpec>
                        
                    <tef:MADSAuthority authorityID="intervenant_1" type="personal"><tef:personMADS><mads:namePart type="family">Arrmoiry</mads:namePart><mads:namePart type="given">Xavier</mads:namePart></tef:personMADS></tef:MADSAuthority><tef:MADSAuthority authorityID="thesis.degree.grantor_1" type="corporate"><tef:personMADS><mads:namePart>Universite de Rennes</mads:namePart><mads:description>Sciences et technologie, medecine, pharmacie, odontologie, droit, economie, gestion, philosophie</mads:description></tef:personMADS></tef:MADSAuthority></tef:thesisAdmin>
                </mets:xmlData>
            </mets:mdWrap>
        </mets:techMD><mets:techMD ID="file_1"><mets:mdWrap MDTYPE="OTHER" OTHERMDTYPE="tef_tech_fichier"><mets:xmlData><tef:meta_fichier>
     <tef:encodage>ASCII</tef:encodage>
     <tef:formatFichier>PDF</tef:formatFichier>
     
     
     
     <tef:taille>10603032</tef:taille>
    </tef:meta_fichier></mets:xmlData></mets:mdWrap></mets:techMD>
        
        <mets:rightsMD ID="dr_expr_thesard">
            <mets:mdWrap MDTYPE="OTHER" OTHERMDTYPE="tef_droits_auteur_these">
                <mets:xmlData>
                    <metsRights:RightsDeclarationMD>
                        <metsRights:Context CONTEXTCLASS="GENERAL PUBLIC">
                            <metsRights:Permissions DISCOVER="true" DISPLAY="true" COPY="true" DUPLICATE="true" MODIFY="false" DELETE="false" PRINT="true"/>
                        </metsRights:Context>
                    </metsRights:RightsDeclarationMD>
                </mets:xmlData>
            </mets:mdWrap>
        </mets:rightsMD>
        <mets:rightsMD ID="dr_expr_univ">
            <mets:mdWrap MDTYPE="OTHER" OTHERMDTYPE="tef_droits_etablissement_these">
                <mets:xmlData>
                    <metsRights:RightsDeclarationMD>
                        <metsRights:Context CONTEXTCLASS="GENERAL PUBLIC">
                            <metsRights:Permissions DISCOVER="true" DISPLAY="true" COPY="true" DUPLICATE="true" MODIFY="false" DELETE="false" PRINT="true"/>
                        </metsRights:Context>
                    </metsRights:RightsDeclarationMD>
                </mets:xmlData>
            </mets:mdWrap>
        </mets:rightsMD>
        <mets:rightsMD ID="dr_version">
            <mets:mdWrap MDTYPE="OTHER" OTHERMDTYPE="tef_droits_version">
                <mets:xmlData>
                    <metsRights:RightsDeclarationMD>
                        <metsRights:Context CONTEXTCLASS="GENERAL PUBLIC">
                            <metsRights:Permissions DISCOVER="true" DISPLAY="true" COPY="true" DUPLICATE="true" MODIFY="false" DELETE="false" PRINT="true"/>
                        </metsRights:Context>
                    </metsRights:RightsDeclarationMD>
                </mets:xmlData>
            </mets:mdWrap>
        </mets:rightsMD>
    </mets:amdSec>
    <mets:fileSec>
  <mets:fileGrp ID="FGrID1" USE="archive"><mets:file ID="FID1" ADMID="file_1" MIMETYPE="application/pdf" USE="maitre"><mets:FLocat LOCTYPE="URL" xlink:href="https://ged.univ-rennes1.fr/nuxeo/site/esupversions/b418ae15-4351-4295-9813-6c4c88ed1520"/></mets:file></mets:fileGrp>
 </mets:fileSec>
    <mets:structMap TYPE="logical">
        <mets:div DMDID="desc_expr" ADMID="dr_expr_thesard dr_expr_univ admin_expr" TYPE="THESE" CONTENTIDS="http://ori-oai-search.univ-rennes1.fr/uid/rennes1-ori-wf-1-22160/oeuvre">
            <mets:div ADMID="dr_version" TYPE="VERSION_COMPLETE" CONTENTIDS="http://ori-oai-search.univ-rennes1.fr/uid/rennes1-ori-wf-1-22160/oeuvre/version">
                <mets:div DMDID="desc_edition" TYPE="EDITION" CONTENTIDS="http://ori-oai-search.univ-rennes1.fr/uid/rennes1-ori-wf-1-22160/oeuvre/version/edition">
                    <mets:fptr FILEID="FGrID1"/>
                </mets:div>
            </mets:div>
        </mets:div>
    </mets:structMap>
</mets:mets>