David Banta - Academia.edu (original) (raw)
Papers by David Banta
International Journal of Technology Assessment in Health Care, 1997
The issue of health benefits coverage—and its relation to health technology assessment (HTA)—has ... more The issue of health benefits coverage—and its relation to health technology assessment (HTA)—has gained increasing attention in recent years. Economic constraints on health care, as well as the rapid pace of technological change, have forced European countries to face difficult choices in providing such care. The active use of coverage decision making has been proposed as a tool to help rationalize health care, and HTA has been advocated as a necessary activity to improve coverage decisions.
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Health Policy, 1994
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International Journal of Technology Assessment in Health Care, Feb 1, 2002
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World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales
Future and emerging health care technologies are increasingly high-impact events for society in t... more Future and emerging health care technologies are increasingly high-impact events for society in terms of the quality and costs of health care. They raise issues of efficacy, safety, resource allocation, ethics, impact on the organization and delivery of care, and broad social effects. This article describes an analysis of future and emerging health care technology, initiated by the government of the Netherlands and carried out formally from 1985 to 1988, and its potential usefulness in a policy and decision-making context. Using the results and experiences of this analysis, it is argued that rational health care planning and decision-making can be strengthened by paying more attention to the possible implications of emerging and future technology.
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Lasers in Medical Science
ABSTRACT
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International journal of technology assessment in health care, 2002
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International journal of technology assessment in health care, 2002
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Theoretical medicine and bioethics, 2000
Health technology assessment (HTA) consists of the systematic study of the consequences of the in... more Health technology assessment (HTA) consists of the systematic study of the consequences of the introduction or continued use of the technology in a particular context, with the explicit objective to arrive at a judgment of the value or merit of the technology. Ideally, it is aimed at assessing all aspects of a given technology or group of technologies, including non-technical, e.g. socio-ethical, aspects. However, methods for assessing socio-ethical implications of health technology are relatively undeveloped and few mechanisms exist to take action based on the results of such evaluations. Still, the examples of cochlear inplants (CI) and other cases illustrate that HTA is not a matter of merely collecting the facts about a technology. The facts must be plausible and relevant from a particular framework, which is not always shared by different groups. It is here that socio-ethical aspects are encountered. If health technology assessment aims to enhance the accountability of the deci...
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Läkartidningen, Jan 9, 1990
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NATO ASI Series, 1996
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Lasers in Medical Science, 1990
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Journal of Community Health, 1978
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International Journal of Technology Assessment in Health Care, 2013
The translation of best evidence into practice has become an important purpose of policy making i... more The translation of best evidence into practice has become an important purpose of policy making in health care. In Brazil, a country of continental dimensions with widespread regional and social inequalities, the dissemination and use of the best-evidence in policy making is a critical issue for the healthcare system. The main purpose of this study is to describe an evidence-based public health policy with special emphasis on guidelines creation for high-cost medicines. We also describe how that strategy was diffused to the judiciary system and to other parts of the healthcare system. We present an 11-year follow-up of a national project for creating and updating guidelines for high-cost medicines in Brazil. A total of 109 national guidelines were published (new or updated versions) for 66 selected diseases, the first such effort in Brazilian history. The project influenced the Brazilian legislature, which has recently established a Federal Law requiring national guidelines for any new technology listed for payment by the Brazilian public healthcare system. We were able to involve many different stakeholders in a partnership between academia and policy makers, which made possible the widespread dissemination of the clinical practice guidelines. Problems and constraints were also encountered. This evolving public health strategy might be useful for other developing countries.
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International Journal of Technology Assessment in Health Care, 2000
The French healthcare system combines freedom of medical practice with nationwide social security... more The French healthcare system combines freedom of medical practice with nationwide social security. It is compulsory for every legal resident. A range of public and private institutions provide care, and patients have free access to physicians. The health coverage system is characterized by solidarity and universal responsibility. Although the French system is highly regulated, funding of health-related expenses is a chronic social problem. Since the 1996 healthcare reform, the national objective for reimbursed healthcare expenditures is voted by the parliament, and the annual increase of hospital funding is controlled at the regional level. An agency for hospitals has been established in every region, and it quantifies needs indexes for future equipment and beds. However, establishing appropriate reference ratios based on objective assessment is difficult. The idea of basing policy and practice decisions on objective assessment grew for years, until the National Agency for the Development of Medical Evaluation was established in 1989. The 1996 healthcare reform expanded this agency to encompass hospital accreditation and renamed it the National Agency for Accreditation and Evaluation in Health. In March 1999, the National Agency for Health Products was established. It controls the safety of medical products and evaluates products' medical benefits before reimbursement decisions. Health technology assessment is now related to virtually every health policy process in France, and its role increases continually.
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International Journal of Technology Assessment in Health Care, 1992
In general, technically demanding medical procedures are associated with better outcomes when the... more In general, technically demanding medical procedures are associated with better outcomes when they are carried out in institutions and by physicians with higher volumes of practice. This paper examines the evidence for a volume-outcome relationship in the case of organ transplantation. Although few studies have been done on this subject, existing evidence is consistent with improved outcomes at higher volumes. Therefore, evidence supports policies that regionalize transplantation services.
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International Journal of Technology Assessment in Health Care, 1998
This article describes a 1-week training course in health technology assessment (HTA) presented i... more This article describes a 1-week training course in health technology assessment (HTA) presented in Malaysia by the Ministry of Health in 1996. Malaysia established an HTA unit in the Ministry of Health in 1995 and a National Health Technology Assessment Program in 1996. The purpose of the course was to develop HTA knowledge and skills in Malaysia, since these are largely lacking. The course consisted of didactic sessions and group work. Didactic sessions covered the principles of HTA. Group work was for the purpose of developing practical skills, and was based on reports from HTA agencies, published articles, and candidates for assessment suggested by course participants. Course participants were a mix of physicians, nurses, hospital administrators, and Ministry of Health officials. Experiences in this course may be helpful to others who wish to organize training courses in developing countries.
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International Journal of Technology Assessment in Health Care, 1989
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International Journal of Technology Assessment in Health Care, 1991
In-vitro fertilization (IVF) is a relatively recent approach to overcoming human fertility proble... more In-vitro fertilization (IVF) is a relatively recent approach to overcoming human fertility problems. This study explored factors in the diffusion of IVF in England and in the Netherlands. Many factors were common to the two countries. Governments in both countries have been passive, apparently wishing to avoid entering a controversial field. Technology assessment has played little part in the diffusion process in these two countries.
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International Journal of Technology Assessment in Health Care, 1998
This article is based on the report, Anticipating and Assessing Health Care Technology, written i... more This article is based on the report, Anticipating and Assessing Health Care Technology, written in the Netherlands between 1985-88. The project was carried out because of increasing concern in the Dutch Ministry of Health (STG, then WVC) about the costs and benefits of new technologies for health care. At that time, there were no established models for early identification, so the project was not only the most extensive such effort to that date, but had to develop its own methods. Overseen by a special commission, the project staff identified many future and emerging technologies in health care and assessed selected technologies. Although the actual information produced was quickly dated and the project was discontinued in 1988, it did stimulate the Ministry of Health to ask the Dutch Health Council (Gezondheidsraad) to continuously identify important new technologies. The reports also demonstrated the potential usefulness of such an effort to Dutch policy makers, and probably to those in other countries as well.
Bookmarks Related papers MentionsView impact
International Journal of Technology Assessment in Health Care, 1997
The issue of health benefits coverage—and its relation to health technology assessment (HTA)—has ... more The issue of health benefits coverage—and its relation to health technology assessment (HTA)—has gained increasing attention in recent years. Economic constraints on health care, as well as the rapid pace of technological change, have forced European countries to face difficult choices in providing such care. The active use of coverage decision making has been proposed as a tool to help rationalize health care, and HTA has been advocated as a necessary activity to improve coverage decisions.
Bookmarks Related papers MentionsView impact
Bookmarks Related papers MentionsView impact
Health Policy, 1994
Bookmarks Related papers MentionsView impact
International Journal of Technology Assessment in Health Care, Feb 1, 2002
Bookmarks Related papers MentionsView impact
World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales
Future and emerging health care technologies are increasingly high-impact events for society in t... more Future and emerging health care technologies are increasingly high-impact events for society in terms of the quality and costs of health care. They raise issues of efficacy, safety, resource allocation, ethics, impact on the organization and delivery of care, and broad social effects. This article describes an analysis of future and emerging health care technology, initiated by the government of the Netherlands and carried out formally from 1985 to 1988, and its potential usefulness in a policy and decision-making context. Using the results and experiences of this analysis, it is argued that rational health care planning and decision-making can be strengthened by paying more attention to the possible implications of emerging and future technology.
Bookmarks Related papers MentionsView impact
Lasers in Medical Science
ABSTRACT
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International journal of technology assessment in health care, 2002
Bookmarks Related papers MentionsView impact
International journal of technology assessment in health care, 2002
Bookmarks Related papers MentionsView impact
Theoretical medicine and bioethics, 2000
Health technology assessment (HTA) consists of the systematic study of the consequences of the in... more Health technology assessment (HTA) consists of the systematic study of the consequences of the introduction or continued use of the technology in a particular context, with the explicit objective to arrive at a judgment of the value or merit of the technology. Ideally, it is aimed at assessing all aspects of a given technology or group of technologies, including non-technical, e.g. socio-ethical, aspects. However, methods for assessing socio-ethical implications of health technology are relatively undeveloped and few mechanisms exist to take action based on the results of such evaluations. Still, the examples of cochlear inplants (CI) and other cases illustrate that HTA is not a matter of merely collecting the facts about a technology. The facts must be plausible and relevant from a particular framework, which is not always shared by different groups. It is here that socio-ethical aspects are encountered. If health technology assessment aims to enhance the accountability of the deci...
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Läkartidningen, Jan 9, 1990
Bookmarks Related papers MentionsView impact
NATO ASI Series, 1996
Bookmarks Related papers MentionsView impact
Lasers in Medical Science, 1990
Bookmarks Related papers MentionsView impact
Journal of Community Health, 1978
Bookmarks Related papers MentionsView impact
International Journal of Technology Assessment in Health Care, 2013
The translation of best evidence into practice has become an important purpose of policy making i... more The translation of best evidence into practice has become an important purpose of policy making in health care. In Brazil, a country of continental dimensions with widespread regional and social inequalities, the dissemination and use of the best-evidence in policy making is a critical issue for the healthcare system. The main purpose of this study is to describe an evidence-based public health policy with special emphasis on guidelines creation for high-cost medicines. We also describe how that strategy was diffused to the judiciary system and to other parts of the healthcare system. We present an 11-year follow-up of a national project for creating and updating guidelines for high-cost medicines in Brazil. A total of 109 national guidelines were published (new or updated versions) for 66 selected diseases, the first such effort in Brazilian history. The project influenced the Brazilian legislature, which has recently established a Federal Law requiring national guidelines for any new technology listed for payment by the Brazilian public healthcare system. We were able to involve many different stakeholders in a partnership between academia and policy makers, which made possible the widespread dissemination of the clinical practice guidelines. Problems and constraints were also encountered. This evolving public health strategy might be useful for other developing countries.
Bookmarks Related papers MentionsView impact
International Journal of Technology Assessment in Health Care, 2000
The French healthcare system combines freedom of medical practice with nationwide social security... more The French healthcare system combines freedom of medical practice with nationwide social security. It is compulsory for every legal resident. A range of public and private institutions provide care, and patients have free access to physicians. The health coverage system is characterized by solidarity and universal responsibility. Although the French system is highly regulated, funding of health-related expenses is a chronic social problem. Since the 1996 healthcare reform, the national objective for reimbursed healthcare expenditures is voted by the parliament, and the annual increase of hospital funding is controlled at the regional level. An agency for hospitals has been established in every region, and it quantifies needs indexes for future equipment and beds. However, establishing appropriate reference ratios based on objective assessment is difficult. The idea of basing policy and practice decisions on objective assessment grew for years, until the National Agency for the Development of Medical Evaluation was established in 1989. The 1996 healthcare reform expanded this agency to encompass hospital accreditation and renamed it the National Agency for Accreditation and Evaluation in Health. In March 1999, the National Agency for Health Products was established. It controls the safety of medical products and evaluates products' medical benefits before reimbursement decisions. Health technology assessment is now related to virtually every health policy process in France, and its role increases continually.
Bookmarks Related papers MentionsView impact
International Journal of Technology Assessment in Health Care, 1992
In general, technically demanding medical procedures are associated with better outcomes when the... more In general, technically demanding medical procedures are associated with better outcomes when they are carried out in institutions and by physicians with higher volumes of practice. This paper examines the evidence for a volume-outcome relationship in the case of organ transplantation. Although few studies have been done on this subject, existing evidence is consistent with improved outcomes at higher volumes. Therefore, evidence supports policies that regionalize transplantation services.
Bookmarks Related papers MentionsView impact
International Journal of Technology Assessment in Health Care, 1998
This article describes a 1-week training course in health technology assessment (HTA) presented i... more This article describes a 1-week training course in health technology assessment (HTA) presented in Malaysia by the Ministry of Health in 1996. Malaysia established an HTA unit in the Ministry of Health in 1995 and a National Health Technology Assessment Program in 1996. The purpose of the course was to develop HTA knowledge and skills in Malaysia, since these are largely lacking. The course consisted of didactic sessions and group work. Didactic sessions covered the principles of HTA. Group work was for the purpose of developing practical skills, and was based on reports from HTA agencies, published articles, and candidates for assessment suggested by course participants. Course participants were a mix of physicians, nurses, hospital administrators, and Ministry of Health officials. Experiences in this course may be helpful to others who wish to organize training courses in developing countries.
Bookmarks Related papers MentionsView impact
International Journal of Technology Assessment in Health Care, 1989
Bookmarks Related papers MentionsView impact
International Journal of Technology Assessment in Health Care, 1991
In-vitro fertilization (IVF) is a relatively recent approach to overcoming human fertility proble... more In-vitro fertilization (IVF) is a relatively recent approach to overcoming human fertility problems. This study explored factors in the diffusion of IVF in England and in the Netherlands. Many factors were common to the two countries. Governments in both countries have been passive, apparently wishing to avoid entering a controversial field. Technology assessment has played little part in the diffusion process in these two countries.
Bookmarks Related papers MentionsView impact
International Journal of Technology Assessment in Health Care, 1998
This article is based on the report, Anticipating and Assessing Health Care Technology, written i... more This article is based on the report, Anticipating and Assessing Health Care Technology, written in the Netherlands between 1985-88. The project was carried out because of increasing concern in the Dutch Ministry of Health (STG, then WVC) about the costs and benefits of new technologies for health care. At that time, there were no established models for early identification, so the project was not only the most extensive such effort to that date, but had to develop its own methods. Overseen by a special commission, the project staff identified many future and emerging technologies in health care and assessed selected technologies. Although the actual information produced was quickly dated and the project was discontinued in 1988, it did stimulate the Ministry of Health to ask the Dutch Health Council (Gezondheidsraad) to continuously identify important new technologies. The reports also demonstrated the potential usefulness of such an effort to Dutch policy makers, and probably to those in other countries as well.
Bookmarks Related papers MentionsView impact