Implementation of Health Technology Assessment Work in a Hospital in Kazakhstan (original) (raw)
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PLOS ONE, 2017
In this paper, we test the hypothesis that health technology assessment units located in hospitals tend to be more optimistic toward technologies that are currently in use in their organization than technologies that are not. The data include 108 health technologies assessed in 87 full-scale health technology assessment reports produced by the four main local health technology assessment units in Quebec (Canada) on behalf of decision makers from the same facility. We found that 58 (53.7 percent) of the 108 technologies were currently in use within the hospital during their assessment. Based on the assessors' interpretation of the scientific evidence regarding the efficacy of the technologies, 67.3 percent of the technologies that were in use in the hospital during the evaluation were effective (56 percent for those that were not currently being used), but the difference is not statistically significant (chi-square 1.38; p = 0.24). Controlling for the efficacy judgment, the type of technologies (i.e. preventive, diagnostic, therapeutic or organizational), the number of technologies assessed in the report and the assessment unit, we found that the technologies that were currently in use in the facility during the evaluation were 62 percent more likely to be recommended favorably by the assessment unit than the technologies that were not currently being used (RR = 1.62; 95 percent CI = 1.06-1.88). This suggests that the local health technology units that were examined in the study tended to be more optimistic toward technologies that were currently in use in their hospital at the time of the evaluation.
Introduction: Health Technology Assessment (HTA) is a systematic multidisciplinary activity which assesses application of health technology. Surgical robots provides an improved 3D view of surgical area and a better manipulation of surgical arms as compared to conventional laparoscopic surgery. Objective of the study is to perform Cost benefit analysis of robotic surgery (RS). Originality: Original research work Materials and methods: A retrospective cross sectional study was done for a period of 2 months. 50 robotic and 40 open surgical cases were selected. Direct & indirect costs of care were estimated along with assessment of operational costs for RS. Statistical analysis was performed. Correlation of length of stay (LOS) was done with direct and indirect costs incurred. Results: Robotic surgery is a high end CapEx model but financially viable. A positive NPV was seen with ROI in the 5th year. Operational cost and material cost were found to be statistically higher for RS. Pharmacy cost and nursing cost showed a high degree of correlation with LOS in gynaecological oncology department. Reduced LOS, less pain and faster recovery are the major positive impact that harbinger the socioeconomic benefit. Surgeons too have greater visualization and dexterity. RS provides better patient care by shortening recovery period and post-operative care. Conclusion: HTA is ‘a bridge’ between evidence and policy-making. It guides decision-makers about appropriate use of technology and efficient allocation of resources. RS is an advanced approach which significantly improves patient care and provides more flexibility and precision to surgeons. Keywords: HTA, robot, decision-making
The Medical journal of Australia, 2007
To examine the methods used in health technology assessments (HTAs) produced for the Medical Services Advisory Committee (MSAC) reviewing the effectiveness of a technology or procedure. Data were extracted from the effectiveness section of HTA application assessment reports published between 1 January 1998 and 17 July 2006 and available on the MSAC website. Only HTAs of effectiveness interventions were examined, as the methods used to undertake such reviews are well established. Variables reflecting methods used in the HTAs to evaluate the effectiveness of health technologies or procedures. Of 56 MSAC HTA reports available, 31 met the inclusion criteria. Considerable variability was shown to exist between the various indicators of quality and the methodology used within the HTAs. Reports did not describe potential conflicts of interest of participants. The majority of reports (19/31) did not formally state the research question that the assessment was attempting to answer. Just over...
The Status of Health Technology Assessment Worldwide: Results of an International Survey
International Journal of Technology Assessment in Health Care, 1997
Health technology assessment (HTA) has increasingly become a valuable tool to examine effectiveness, quality of care, patient outcomes, and cost-effectiveness of health care technologies. In 1994 and 1995, a survey was conducted to document the scope of worldwide HTA activities; 103 organizations from 24 countries responded. This paper summarizes the results of this international survey, including a description of each country's program, types of technologies assessed, methodologies used, and dissemination approaches. Results for Canada, the United States, and European and other countries are presented separately.
Hospital-Based Health Technology Assessment
2016
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.
Influence of Health Technology Assessment and Its Measurement
International journal of technology assessment in health care, 2016
The aim of this study was to obtain information on methods used to measure health technology assessment (HTA) influence, decisions that were influenced, and outcomes linked to HTA. Electronic databases were used to locate studies in which HTA influence had been demonstrated. Inclusion criteria were studies that reliably reported consideration by decision makers of HTA findings; comparative studies of technology use before and after HTA; and details of changes in policy, health outcomes, or research that could be credibly linked to an HTA. Fifty-one studies were selected for review. Settings were national (24), regional (12), both national and regional (3) hospitals (9), and multinational (3). The most common approach to appraisal of influence was review of policy or administrative decisions following HTA recommendations (51 percent). Eighteen studies (35 percent) reported interview or survey findings, thirteen (26 percent) reviewed administrative data, and six considered the influen...
International Journal of Environmental Research and Public Health
Hospital-based health technology assessment (HB-HTA) is a scientific approach to inform decisions on investments in health technologies across multiple medical specialties at a hospital level. HB-HTA is not currently practiced in Poland. This study aimed to assess the need for HTA in Polish hospitals, including perceived benefits and challenges of adoption of HB-HTA in Poland, expected demand for training in HB-HTA, and perception of incentives to foster HB-HTA adoption. Study data were gathered using the computer-assisted telephone interview (CATI) technique. Between June and August 2021, 50 interviews were conducted: 52% of respondents had over 10 years of experience, and 40% comprised the highest degree reference hospitals. A high or moderate need for HB-HTA was reported by 86% of managers. The ability to indicate valuable and affordable medical technologies was the main reported benefit of HB-HTA (90%). The main obstacle to the adoption of HB-HTA was the shortage of competent st...
Hospital-based health technology assessment in Brazil: current experiences and challenges
International Journal of Technology Assessment in Health Care, 2021
Hospital-based health technology assessment (HTA) guides decisions as to whether new healthcare products should be made available within hospital structures. Its extension to medical devices (MDs) makes it possible to analyse several relevant aspects of these healthcare products in addition to their clinical value, and such evaluations are of interest to national health authorities, other healthcare establishments and industry. The aim of this work was to formulate several recommendations for a blueprint for hospital-based HTA for MDs in France. Five themes based on the work of the European Adopting hospital-based HTA in the EU (AdHopHTA) project were defined. Each member of the roundtable was then allocated a documentation task based on their experience of the theme concerned, and a literature review was carried out. An inventory of hospital-based HTA was performed and six recommendations aiming to strengthen and improve this approach were put forward: (1) encouragement of the spread of the hospital-based HTA culture and participation in communications and the promotion of this approach to hospital decision-makers; (2) adaptation of hospital-based HTA to the needs of decision-makers, taking into account the financial timetable and strategic objectives of the healthcare establishment; (3) harmonisation of the dossiers requested from industry between healthcare establishments, based on a common core; (4) promotion of the sharing of hospitalbased HTA data under certain conditions, with data dissociable from the HTA report and the use of a validated methodology for the literature review; (5) creation of a composite indicator reflecting data production effort and the sharing of HTA activities, to be taken into account in the distribution of funds allocated for teaching, research and innovation missions considered of general interest; (6) the transmission of information directly from local to national level by pioneering centres. This work highlights the major issues at stake in hospital-based HTA and the need to valorise such activities in France.
Introduction to Health Technology Assessment
Journal of Cardiovascular Echography, 2012
The objective of this review is to introduce the readers of this journal to the knowledge of some basic aspects of Health Technology Assessment (HTA). HTA starts from the need of the ''political governance'' to provide adequate health services to the citizens' demand without overloading the budgets and with a correct resource management. HTA has become a determinant exigency for health care management which has acquired new economic and financial competence to respect the limited budgets. In the following paragraphs we introduce the general definition of HTA and then its further elaboration for each field application.