Recommendation of the President regarding #HPP #48aa – Prevention of chronic back pain
Recommendation No. 70/2025 of October 31, 2025, of the President of the Agency for Health Technology Assessment and Tariff System on recommended medical technologies, activities carried out under health policy programs, and the conditions for implementing these programs, concerning the prevention of chronic back pain
The recommendation is an update of Recommendation No. 4/2020 of November 30, 2020 of the President of the Agency for Health Technology Assessment and Tariff System on recommended medical technologies, activities carried out as part of health policy programs, and the conditions for implementing these programs, concerning the prevention of chronic back pain in accordance with Article 48aa(8) of the Act on healthcare services financed from public funds.
The recommendation contains a model solution for a given health problem – Prevention of chronic back pain
The recommendation exempts local government units from the obligation to submit a health policy program prepared in accordance with its content for review.
Thus, the recommendation serves as a model for local government units preparing draft programs for this health problem.
The President of the Agency recommends that health policy programs include educational activities aimed at primary prevention of chronic back pain for the general population, training activities in workplaces on the principles of ergonomics in the workplace, diagnostic and physiotherapeutic interventions based primarily on rehabilitation activities for people with back pain lasting continuously for more than three months, as well as training for medical personnel.
The President of the Agency does not recommend the use of physical treatments for patients with back pain or the use of imaging techniques in the diagnosis of back pain in the absence of additional symptoms as part of health policy programs.
Therefore, from October 31, 2025, in order to prepare PPZs for the prevention of chronic back pain, the provisions of recommendation No. 70/2025 should be taken into account, and then a statement of compliance of the PPZ draft with this recommendation should be sent to the Agency pursuant to Article 48aa(11) of the Act.
There is no need to modify the PPZ currently in force, which came into effect before the publication of recommendation 70/2025. It is not possible to continue future editions of the PPZ in an unchanged form.