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International Journal of Technology Assessment in Health Care

Anna Zawada
In reference to the article A Decade of Health Technology Assessment in Poland by I. Lipska et al. (1), I would like to provide you with some comments and additional information on the changes in reimbursement policies in the Polish healthcare system currently taking place, which is likely to lead to increased number of health technology assessments (HTAs) of medical devices (MDs).
September 20, 2017: International Journal of Technology Assessment in Health Care
J Antonio García-Casal, Manuel Franco-Martín, M Victoria Perea-Bartolomé, J Miguel Toribio-Guzmán, Carlos García-Moja, Miguel Goñi-Imizcoz, Emese Csipke
OBJECTIVES: The reduction in cognitive decline depends on timely diagnosis. The aim of this systematic review was to analyze the current available information and communication technologies-based instruments for cognitive decline early screening and detection in terms of usability, validity, and reliability. METHODS: Electronic searches identified 1,785 articles of which thirty-four met the inclusion criteria and were grouped according to their main purpose into test batteries, measures of isolated tasks, behavioral measures, and diagnostic tools...
September 18, 2017: International Journal of Technology Assessment in Health Care
Anna R Gagliardi, Julie Takata, Ariel Ducey, Pascale Lehoux, Sue Ross, Patricia L Trbovich, Anthony Easty, Chaim M Bell, David R Urbach
OBJECTIVES: Medical devices are ubiquitous in modern medical care. However, little is known about the epidemiology of medical devices in the healthcare marketplace, including the rate at which medical devices are subject to recalls or other advisories. We sought to study the epidemiology of medical devices in Canada, focusing on device recalls. In Canada, a recall may signify a variety of events, ranging from relatively minor field safety notifications, to removal of a product from the marketplace...
September 18, 2017: International Journal of Technology Assessment in Health Care
Jessica Pace, Sallie-Anne Pearson, Wendy Lipworth
OBJECTIVES: In recent years, numerous frameworks have been developed to enhance the legitimacy of health technology assessment processes. Despite efforts to implement these "legitimacy frameworks," medicines funding decisions can still be perceived as lacking in legitimacy. We, therefore, sought to examine stakeholder views on factors that they think should be considered when making decisions about the funding of high-cost breast cancer therapies, focusing on those that are not included in current frameworks and processes...
September 12, 2017: International Journal of Technology Assessment in Health Care
Janne C Mewes, Lotte M G Steuten, Maarten J IJzerman, Wim H van Harten
OBJECTIVES: Multicomponent interventions (MCIs), consisting of at least two interventions, are common in rehabilitation and other healthcare fields. When the effectiveness of the MCI versus that of its single interventions is comparable or unknown, evidence of their expected incremental cost-effectiveness can be helpful in deciding which intervention to recommend. As such evidence often is unavailable this study proposes an approach to estimate what is more cost-effective; the MCI or the single intervention(s)...
September 11, 2017: International Journal of Technology Assessment in Health Care
Kristian Lampe, Petra Schnell-Inderst
The HTA Core Model (HTACM) of EUnetHTA and the INTEGRATE-HTA Model (IHTAM) both provide HTA experts with advanced guidance on how to assess health technologies. In this study, we examine the similarities and differences of the two models, identifying synergies and opportunities for future collaboration. We also consider how such an alignment of the HTACM and IHTAM might be done in practice and present some alternative practical approaches. Overall the two models share several similarities, primarily the perception of HTA as a multidisciplinary analysis that needs to be adjusted according to the properties of the technology under assessment...
September 6, 2017: International Journal of Technology Assessment in Health Care
Tara Sims, Andy Cranny, Cheryl Metcalf, Paul Chappell, Maggie Donovan-Hall
OBJECTIVES: The study aims to develop an understanding of the views of children and adolescents, parents, and professionals on upper limb prosthetic devices to develop and improve device design. Previous research has found that children are dissatisfied with prostheses but has relied heavily on parent proxy reports and quantitative measures (such as questionnaires) to explore their views. METHODS: Thirty-four participants (eight children aged 8-15 years with upper limb difference, nine parents, eight prosthetists, and nine occupational therapists) contributed to the development of new devices through the BRIDGE methodology of participatory design, using focus groups and interviews...
September 6, 2017: International Journal of Technology Assessment in Health Care
Zahra Ismail, Stuart J Peacock, Laurel Kovacic, Jeffrey S Hoch
OBJECTIVES: The Priorities and Evaluation Committee (PEC) funding recommendations for new cancer drugs in British Columbia, Canada have been based on both clinical and economic evidence. The British Columbia Ministry of Health makes funding decisions. We assessed the association between cost-effectiveness of cancer drugs considered from 1998 to 2008 and the subsequent funding decisions. METHODS: All proposals submitted to the PEC between 1998 and 2008 were reviewed, and the association between cost-effectiveness and funding decisions was examined by (i) using logistic regression to test the hypothesis that interventions with higher incremental cost-effectiveness ratios (ICERs) have a lower probability of receiving a positive funding decision and (ii) using parametric and nonparametric tests to determine if a statistically significant difference exists between the mean cost-effectiveness of funded versus not funded proposals...
September 5, 2017: International Journal of Technology Assessment in Health Care
Stephanie Polus, Lisa Pfadenhauer, Louise Brereton, Wojciech Leppert, Philip Wahlster, Ansgar Gerhardus, Eva Rehfuess
OBJECTIVES: The translation of research findings into policy and practice is crucially dependent on the applicability of such findings in a given decision-making context. We explored in a case study whether a generic consultation guide to assess the applicability of a health technology could be rapidly deployed and deliver useful insights. METHODS: A consultation guide based on the context and implementation for complex interventions (CICI) framework was developed and piloted to assess the applicability of reinforced home-based palliative care in three European countries...
September 5, 2017: International Journal of Technology Assessment in Health Care
Louise Brereton, Philip Wahlster, Kati Mozygemba, Kristin Bakke Lysdahl, Jake Burns, Stephanie Polus, Marcia Tummers, Pietro Refolo, Dario Sacchini, Wojciech Leppert, James Chilcott, Christine Ingleton, Clare Gardiner, Elizabeth Goyder
OBJECTIVES: Internationally, funders require stakeholder involvement throughout health technology assessment (HTA). We report successes, challenges, and lessons learned from extensive stakeholder involvement throughout a palliative care case study that demonstrates new concepts and methods for HTA. METHODS: A 5-step "INTEGRATE-HTA Model" developed within the INTEGRATE-HTA project guided the case study. Using convenience or purposive sampling or directly / indirectly identifying and approaching individuals / groups, stakeholders participated in qualitative research or consultation meetings...
September 4, 2017: International Journal of Technology Assessment in Health Care
Lidia García-Pérez, Renata Linertová, Alejandro Arvelo-Martín, Carolina Guerra-Marrero, Carlos Enrique Martínez-Alberto, Leticia Cuéllar-Pompa, Antonio Escobar, Pedro Serrano-Aguilar
OBJECTIVES: The methodological quality of an economic evaluation performed alongside a clinical trial can be underestimated if the paper does not report key methodological features. This study discusses methodological assessment issues on the example of a systematic review on cost-effectiveness of physiotherapy for knee osteoarthritis. METHODS: Six economic evaluation studies included in the systematic review and related clinical trials were assessed using the 10-question check-list by Drummond and the Physiotherapy Evidence Database (PEDro) scale...
August 31, 2017: International Journal of Technology Assessment in Health Care
Małgorzata Chruściel-Nogalska, Tomasz Smektała, Marcin Tutak, Katarzyna Sporniak-Tutak, Raphael Olszewski
OBJECTIVES: Technological development and the need for electronic health records management resulted in the need for a computer with dedicated, commercial software in daily dental practice. The alternative for commercial software may be open-source solutions. Therefore, this study reviewed the current literature on the availability and use of open-source software (OSS) in dentistry. METHODS: A comprehensive database search was performed on February 1, 2017. Only articles published in peer-reviewed journals with a focus on the use or description of OSS were retrieved...
August 31, 2017: International Journal of Technology Assessment in Health Care
Tatyana Benisheva-Dimitrova, Dobriana Sidjimova, Daniela Cherneva, Nikolay Kralimarkov
OBJECTIVES: The aim of this study was to investigate the analysis, discussion, and challenges of the price and reimbursement process of medicinal products in Bulgaria in the period 2000-15 and health technology assessment (HTA) role in these processes. METHODS: The dynamics of the reform, with respect to the healthcare and pharmaceutical sectors, are tracked by documentary review of regulations, articles, and reports in the European Union (EU), as well as analytical and historical analysis...
August 23, 2017: International Journal of Technology Assessment in Health Care
Farideh Mohtasham, Reza Majdzadeh, Ensiyeh Jamshidi
BACKGROUND: Hospitals with health technology assessment (HTA) programs have reported its positive effects on the management of resources and costs. This study aimed to identify the barriers faced by hospital-based HTA (HBHTA) in Iran by inductive content analysis of stakeholders' and decision-makers' points of view. METHODS: The key individuals and organizations that could provide rich, relevant, and diverse data in response to the research question were purposively selected for the interviews and focus group discussion...
August 17, 2017: International Journal of Technology Assessment in Health Care
Mirjana Huic, Romana Tandara Hacek, Ivan Svajger
OBJECTIVES: The aim of this study was to provide a brief, 7-year history of health technology assessment (HTA) implementation in Croatia through national and international activities. METHODS: We used retrospective descriptive analysis of key documents related to the legal framework, process of decision making, and HTA. Analysis of the Agency's plan for and experience with the implementation of a transparent HTA process in Croatia was performed by addressing seven key components of the HTA implementation scorecard framework...
August 14, 2017: International Journal of Technology Assessment in Health Care
Kristin Bakke Lysdahl, Kati Mozygemba, Jacob Burns, Jan Benedikt Brönneke, James B Chilcott, Sue Ward, Bjørn Hofmann
OBJECTIVES: Despite recent development of health technology assessment (HTA) methods, there are still methodological gaps for the assessment of complex health technologies. The INTEGRATE-HTA guidance for effectiveness, economic, ethical, socio-cultural, and legal aspects, deals with challenges when assessing complex technologies, such as heterogeneous study designs, multiple stakeholder perspectives, and unpredictable outcomes. The objective of this article is to outline this guidance and describe the added value of integrating these assessment aspects...
August 7, 2017: International Journal of Technology Assessment in Health Care
Chara Kani, Vasilios Kourafalos, Panagiota Litsa
OBJECTIVES: The aim of this study was to describe the current regulatory environment in Greece to evaluate the potential introduction of health technology assessment (HTA) for medicinal products for human use. METHODS: Data sources consist of national legislation on pricing and reimbursement of health technologies to identify the potential need of establishing HTA and its relevant structure. RESULTS: The pricing procedure regarding medicinal products for human use is based on an external reference pricing mechanism which considers the average of the three lowest Euorpean Union prices...
July 31, 2017: International Journal of Technology Assessment in Health Care
David Pérez-Cruzado, Antonio Ignacio Cuesta-Vargas
Several studies have been carried out regarding different interventions in an effort to improve levels of physical activity in people with an intellectual disability (ID). Studies have been carried out regarding physical activity interventions (1), educational interventions (2), and multimodal interventions (3). New technologies are currently being used to carry out changes in daily habits and to promote health in different pathologies but not in people with an ID (4;5). Due to the poor maintenance of physical activity that we have found in people with ID, the objective of the present study is to determine the maintenance of levels of physical activity, quality of life, self-efficacy, and social support in this population through an intervention with an application in their smartphones...
July 31, 2017: International Journal of Technology Assessment in Health Care
Alicia Aleman, Ana Perez Galan
OBJECTIVES: The impact of health technology assessment (HTA) in the judicialization of the right of health has not been deeply studied in Latin American countries. The purpose of this study is to review the process of judicialization of the access to high cost drugs in Uruguay and assess the impact HTAs have had on this process. METHODS: The methodology used for this study included a comprehensive literature search in electronic databases, local journals, internal documents developed in the Ministry of Health, as well as conducting interviews with key informants...
July 31, 2017: International Journal of Technology Assessment in Health Care
Philip Wahlster, Louise Brereton, Jacob Burns, Björn Hofmann, Kati Mozygemba, Wija Oortwijn, Lisa Pfadenhauer, Stephanie Polus, Eva Rehfuess, Imke Schilling, Gert Jan van der Wilt, Ansgar Gerhardus
OBJECTIVES: Current health technology assessment (HTA) is not well equipped to assess complex technologies as insufficient attention is being paid to the diversity in patient characteristics and preferences, context, and implementation. Strategies to integrate these and several other aspects, such as ethical considerations, in a comprehensive assessment are missing. The aim of the European research project INTEGRATE-HTA was to develop a model for an integrated HTA of complex technologies...
July 31, 2017: International Journal of Technology Assessment in Health Care
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