Reply to Xu—Oral Anticoagulants, Health Technology Assessment, and Health Policy

2015 ◽  
Vol 31 (8) ◽  
pp. 1074.e13
Author(s):  
James A. Stone ◽  
Mukul Sharma ◽  
Karen M. Earl
Keyword(s):  
Health Policy ◽  
Health Technology Assessment ◽  
Technology Assessment ◽  
Oral Anticoagulants ◽  
Health Technology

Health Technology Assessment in the Canadian Health Policy Arena

Evaluation ◽  
2008 ◽  
Vol 14 (3) ◽  
pp. 295-321 ◽  
Author(s):  
Pascale Lehoux ◽  
Myriam Hivon ◽  
Jean-Louis Denis ◽  
Stéphanie Tailliez
Keyword(s):  
Health Policy ◽  
Health Technology Assessment ◽  
Technology Assessment ◽  
Health Technology ◽  
Canadian Health ◽  
Policy Arena

HEALTH TECHNOLOGY ASSESSMENT IN THE AREA OF PREVENTION

2001 ◽  
Vol 17 (3) ◽  
pp. 338-357 ◽  
Author(s):  
Tereza Mousiama ◽  
Souzana Ioakimidou ◽  
Evagelia Largatzi ◽  
Daphne Kaitelidou ◽  
Lycurgus Liaropoulus
Keyword(s):  
Health Policy ◽  
Health Technology Assessment ◽  
Mass Screening ◽  
Technology Assessment ◽  
Normal Pregnancy ◽  
Health Technology ◽  
Policy Formulation ◽  
Screening Tests ◽  
Screening Programs ◽  
The Impact

Objective: To explore the impact of health technology assessment (HTA) on health policy and practice in Greece through selected screening case studies in the prevention area. The three cases studied were mammography screening, PSA screening, and routine ultrasonography in normal pregnancy.Methods: Official policy recommendations or reports, a literature review of Greek published research as well as gray literature from various sources, and interviews with specialists and medical associations were performed, and their impact on health policy formulation was examined.Results: The implementation of the screening tests does not take the form of structured mass screening programs. Almost all physicians (urologists-pathologists, gynecologists) apply PSA and routine ultrasonography in normal pregnancy respectively with the purpose of either prevention or diagnosis. Mammography is applied generally for prevention or diagnosis, but there are some mass screening programs at a local level. In addition, the results show no evidence that the efficacy and the cost-effectiveness of the three screening programs have been a matter of serious concern and investigation for the purposes of policy formulation in Greece.Conclusion: The results point to a need for the implementation of HTA methods on mass screening preventive programs in which real value and cost remain unclear and whose use is based on empirical and personal assessments.

EUR-ASSESS Project Subgroup Report on Methodology:Methodological Guidance for the Conduct of Health Technology Assessment

1997 ◽  
Vol 13 (2) ◽  
pp. 186-219 ◽  
Author(s):  
Alessandro Liberati ◽  
Trevor A. Sheldon ◽  
H. David Banta
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Policy ◽  
Health Technology Assessment ◽  
Technology Assessment ◽  
Health Technology ◽  
Policy Decisions ◽  
Health Technologies ◽  
Benefits And Costs

Health technology assessment (HTA) is primarily concerned with the consequences (benefits and costs) of health care and health policy decisions. Because decision making is complex and outcomes are often uncertain, it is helpful to attempt to assess the consequences. The quality of decisions can be improved by a process that provides a consistent framework for identifying and assessing health technologies.

scholarly journals Health technology management in Israel: HTA in action

2009 ◽  
Vol 25 (S1) ◽  
pp. 134-139 ◽  
Author(s):  
Joshua Shemer ◽  
Mordechai Shani ◽  
Orly Tamir ◽  
Miriam Ines Siebzehner
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Technology Management ◽  
Health Technology Assessment ◽  
Technology Assessment ◽  
National Level ◽  
Historical Analysis ◽  
Present Situation ◽  
Health Technology ◽  
Health Technology Management

Objectives:The aim of this study was to describe the history and present situation with health technology assessment (HTA) in Israel.Methods:The method used in this study was a historical analysis based mainly on the knowledge of the authors, but supplemented by the published literature.Results:HTA originated in Israel as a centralized function conducted under the auspice of research, developing into an active multidisciplinary center. Throughout the expansion of the field, HTA was performed in affiliation with several local and international bodies, while providing direct and indirect support at the national level. Today, mainly as a result of vigorous dissemination of the principles, methodology and tools for HTA by the Israeli Center for Technology Assessment in Health Care (ICTAHC), this discipline is increasingly a decentralized activity conducted by a great variety of institutions. Israeli health policy decisions are increasingly based on the results of HTA.Conclusions:ICTAHC's role and functioning has expanded since its beginnings. HTA has become an important part of health care in Israel.

scholarly journals Who’s afraid of institutionalizing health technology assessment (HTA)?: Interests and policy positions on HTA in the Czech Republic

2017 ◽  
Vol 13 (2) ◽  
pp. 137-161 ◽  
Author(s):  
Olga Löblová
Keyword(s):  
Health Policy ◽  
Czech Republic ◽  
Health Technology Assessment ◽  
Technology Assessment ◽  
Institutional Design ◽  
Health Technology ◽  
The Czech Republic ◽  
Policy Positions ◽  
Vested Interests ◽  
Elite Interviews

AbstractThis article identifies the interests and policy positions of key health policy stakeholders regarding the creation of a health technology assessment (HTA) agency in the Czech Republic, and what considerations influenced them. Vested interests have been suggested as a factor mitigating the diffusion of HTA bodies internationally. The Czech Republic recently considered and discarded establishing an HTA agency, making it a good case for studying actors’ policy positions throughout the policy debates. Findings are based on in-depth, semi-structured expert and elite interviews with 34 key Czech health policy actors, supported by document analysis and extensive triangulation. Findings show that the HTA epistemic community of ‘aspiring agents’ was the only actor strongly in favor of an HTA body. Payers and the medical device and diagnostics industry were against it; patients and clinicians had no clear preferences. Original decision-makers were in favor but a new minister of health opted for a simpler policy alternative to solve his need for expertise. Existing institutions, policy alternatives and the institutional design of a future HTA body influence domestic actors’ preferences for or against an HTA agency. Domestic and international proponents of HTA should give serious thought to their concerns when advocating for HTA bodies.

Toward a procedure for integrating moral issues in health technology assessment

2005 ◽  
Vol 21 (3) ◽  
pp. 312-318 ◽  
Author(s):  
Bjørn Hofmann
Keyword(s):  
Health Policy ◽  
Health Technology Assessment ◽  
Moral Philosophy ◽  
Technology Assessment ◽  
Policy Making ◽  
Theoretical Foundation ◽  
Ethical Issues ◽  
Health Technology ◽  
Moral Issues ◽  
Wide Range

Objectives: Although ethics has been on the agenda in health technology assessment (HTA) since its inception, the integration of moral issues is still not standard and is performed in a vast variety of ways. Therefore, there is a need for a procedure for integrating moral issues in HTA.Methods: Literature review of existing approaches together with application of various theories in moral philosophy and axiology.Results: The article develops a set of questions that addresses a wide range of moral issues related to the assessment and implementation of health technology. The issues include general moral issues and moral issues related to stakeholders, methodology, characteristics of technology, and to the HTA process itself. The questions form a kind of checklist for use in HTAs.Conclusions: The presented approach for integrating moral issues in HTA has a broad theoretical foundation and has shown to be useful in practice. Integrating ethical issues in HTAs can be of great importance with respect to the dissemination of HTA results and in efficient health policy making.

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