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International Journal of Technology Assessment in Health Care

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https://www.readbyqxmd.com/read/28720170/a-decade-of-health-technology-assessment-in-poland
#1
Iga Lipska, Neil McAuslane, Hubert Leufkens, Anke Hövels
OBJECTIVES: The objective of this study is to illustrate and provide a better understanding of the role of health technology assessment (HTA) processes in decision making for drug reimbursement in Poland and how this approach could be considered by other countries of limited resources. METHODS: We analyzed the evolution of the HTA system and processes in Poland over the past decade and current developments based on publicly available information. RESULTS: The role of HTA in drug-reimbursement process in Poland has increased substantially over the recent decade, starting in 2005 with the formation the Agency for Health Technology Assessment and Tariff System (AOTMiT)...
July 19, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28703092/pharmaceutical-benefits-advisory-committee-recommendations-in-australia
#2
Erika Turkstra, Emilie Bettington, Maria L Donohue, Merehau C Mervin
OBJECTIVES: The aim of this study was to examine submissions made to the Pharmaceutical Benefits Advisory Committee (PBAC) and assess whether the predicted financial impact was associated with a recommendation. The second objective was to assess whether the financial and utilization estimates for listing the proposed medicine were reliable. METHODS: Data were extracted from public summary documents of major submissions considered by the PBAC from 2012 to 2014. Information collected included whether submissions were accepted, rejected, or deferred; estimated use; and financial impact...
July 13, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28703090/implementing-health-technology-assessment-based-recommendations-in-finland-managed-uptake-of-medical-methods
#3
Sinikka Sihvo, Tuija Ikonen, Marjukka Mäkelä
OBJECTIVES: The Managed Uptake of Medical Methods Program (MUMM) started 10 years ago as a joint venture of the Finnish Office for Health Technology Assessment (Finohta) and the twenty hospital districts in Finland. The aim is to offer information on the effectiveness, safety, organizational effects, and costs of new medical methods to support decisions concerning their uptake in secondary care. In this article, we discuss the successes and challenges of implementing the MUMM program...
July 13, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28703087/drug-disinvestment-frameworks-components-challenges-and-solutions
#4
Mary Alison Maloney, Lisa Schwartz, Daria O'Reilly, Mitchel Levine
OBJECTIVES: Value assessments of marketed drug technologies have been developed through disinvestment frameworks. Components of these frameworks are varied and implementation challenges are prevalent. The objective of this systematic literature review was to describe disinvestment framework process components for drugs and to report on framework components, challenges, and solutions. METHODS: A systematic literature search was conducted using the terms: reassessment, reallocation, reinvestment, disinvestment, delist, decommission or obsolescence in MEDLINE, EMBASE, NLM PubMed, the Cochrane Library, and CINAHL from January 1, 2000, until November 14, 2015...
July 13, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28703084/case-study-on-an-ipilimumab-cost-containment-strategy-in-an-italian-hospital
#5
Alberto Russi, Vanna Chiarion-Sileni, Vera Damuzzo, Francesca Di Sarra, Jacopo Pigozzo, Angelo Claudio Palozzo
OBJECTIVES: Ipilimumab is the first licensed immune checkpoint inhibitor for treatment of melanoma. The promising results of the registration clinical study need confirmation in real practice and its clinical success comes together with a relevant budget impact due to the high price of this drug. The aim of this work is to describe a new model of economical sustainability of ipilimumab developed in an Italian reference center for melanoma treatment. METHODS: This retrospective, observational, and monocentric study was carried out at the Veneto Institute of Oncology...
July 13, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28679456/comparison-of-recently-used-phacoemulsification-systems-using-a-health-technology-assessment-method
#6
Jiannan Huang, Qi Wang, Caimin Zhao, Xiaohua Ying, Haidong Zou
OBJECTIVES: To compare the recently used phacoemulsification systems using a health technology assessment (HTA) model. METHODS: A self-administered questionnaire, which included questions to gauge on the opinions of the recently used phacoemulsification systems, was distributed to the chief cataract surgeons in the departments of ophthalmology of eighteen tertiary hospitals in Shanghai, China. A series of senile cataract patients undergoing phacoemulsification surgery were enrolled in the study...
July 6, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28669355/health-technology-disinvestment-worldwide-overview-of-programs-and-possible-determinants
#7
Massimiliano Orso, Chiara de Waure, Iosief Abraha, Carlo Nicastro, Francesco Cozzolino, Paolo Eusebi, Alessandro Montedori
OBJECTIVES: In the past decade, there has been a growing interest in health technology disinvestment. A disinvestment process should involve all relevant stakeholders to identify and deliver the most effective, safe, and cost-effective healthcare interventions. The aim of the present study was to describe the state of the art of health technology disinvestment around the world and to identify parameters that could be associated with the implementation of disinvestment programs. METHODS: A systematic review of the literature was performed from database inception to November 2014, together with the collection of original data on socio-economic indicators from forty countries...
July 3, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28662733/health-technology-assessment-in-serbia
#8
Dragana Atanasijevic, Vladimir Zah
OBJECTIVES: This study provides an overview of the Republic of Serbia healthcare system and describes the process of developing and conducting health technology assessment (HTA). METHODS: The authors performed pragmatic, nonsystematic literature review based on available statistical data, legislation, and studies. RESULTS: Healthcare law creates conditions that allow implementation of the principle "value for money." The institutions directly vested in the implementation of HTA are the National Health Insurance Fund (NHIF) and the Ministry of Health (MoH)...
June 30, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28655367/exploring-patent-activity-and-its-potential-association-with-healthcare-outcomes-a-case-study-of-ostomy-products-in-sweden
#9
Paul Samuel Calara, Rikard Althin, Gary Inglese, Thomas Nichols
OBJECTIVES: The aim of this study was to evaluate whether ostomy industry patent activity (PA) is associated with patient outcomes and healthcare costs. METHODS: Two groups of ostomy pouch users based on manufacturer PA (low or high) were compared in terms of ostomy-related wear patterns, adverse events, and healthcare expenditure. Using Swedish registry data, all patients with newly formed stomas were divided between each group and were followed during a 2-year period (2011-12)...
June 28, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28655365/grade-evidence-to-decision-etd-framework-for-coverage-decisions
#10
Elena Parmelli, Laura Amato, Andrew D Oxman, Pablo Alonso-Coello, Massimo Brunetti, Jenny Moberg, Francesco Nonino, Silvia Pregno, Carlo Saitto, Holger J Schünemann, Marina Davoli
OBJECTIVES: Coverage decisions are decisions by third party payers about whether and how much to pay for technologies or services, and under what conditions. Given their complexity, a systematic and transparent approach is needed. The DECIDE (Developing and Evaluating Communication Strategies to Support Informed Decisions and Practice Based on Evidence) Project, a GRADE (Grading of Recommendations Assessment, Development and Evaluation) Working Group initiative funded by the European Union, has developed GRADE Evidence to Decision (EtD) framework for different types of decisions, including coverage ones...
June 28, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28641608/hospital-based-health-technology-assessment-in-brazil-an-overview-of-the-initial-experiences
#11
Claudia Cristina de Aguiar Pereira, Renata Dos Santos Rabello, Flávia Tavares Silva Elias
OBJECTIVES: Hospital-based health technology assessment (HTA) has become increasingly important in Brazil due to its strategic importance to promote adoption, incorporation, dissemination, and disinvestment of technologies. A strategy to foster hospital-based HTA was implemented in 2009 by creating hospital-based HTA nuclei (NATS) at university hospitals and other strategic hospitals. METHODS: Between 2011 and 2012, we interviewed board members in twenty-three NATS located in all geographic regions of Brazil to assess their general characteristics, scientific output, and challenges...
June 23, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28641592/conceptualizations-of-the-societal-perspective-within-economic-evaluations-a-systematic-review
#12
Ruben M W A Drost, Ingeborg M van der Putten, Dirk Ruwaard, Silvia M A A Evers, Aggie T G Paulus
OBJECTIVES: The aim of this study was to investigate how the societal perspective is conceptualized in economic evaluations and to assess how intersectoral costs and benefits (ICBs), that is, the costs and benefits pertaining to sectors outside the healthcare sector, impact their results. METHODS: Based on a search in July 2015 using PubMed, Embase, CINAHL, and PsychINFO, a systematic literature review was performed for economic evaluations which were conducted from a societal perspective...
June 23, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28641588/health-technology-performance-assessment-real-world-evidence-for-public-healthcare-sustainability
#13
Augusto Afonso Guerra-Júnior, Lívia Lovato Pires de Lemos, Brian Godman, Marion Bennie, Cláudia Garcia Serpa Osorio-de-Castro, Juliana Alvares, Aine Heaney, Carlos Alberto Vassallo, Björn Wettermark, Gaizka Benguria-Arrate, Iñaki Gutierrez-Ibarluzea, Vania Cristina Canuto Santos, Clarice Alegre Petramale, Fransciso de Assis Acurcio
OBJECTIVES: Health technology financing is often based on randomized controlled trials (RCTs), which are often the same ones used for licensing. Because they are designed to show the best possible results, typically Phase III studies are conducted under ideal and highly controlled conditions. Consequently, it is not surprising that technologies do not always perform in real life in the same way as controlled conditions. Because financing (and price paid) decisions can be made with overestimated results, health authorities need to ask whether health systems achieve the results they expect when they choose to pay for a technology...
June 23, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28595667/experiences-in-adapting-european-network-for-health-technology-assessment-rapid-reviews-to-inform-local-decision-making
#14
Karen Macpherson, Lorna Thompson
OBJECTIVES: The Scottish Health Technologies Group (SHTG) produces rapid reviews on nonmedicine technologies to inform advice for decision making in the National Health Service in Scotland (NHSScotland). This study describes our experiences and lessons learned in adapting for NHSScotland two rapid Relative Effectiveness Assessments (REAs) produced as part of the European Network for Health Technology Assessment (EUnetHTA) project to test collaborative preparation and then local adaptation...
June 9, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28595663/visions-of-stakeholders-about-instutionalization-of-health-technology-assessment-in-chile-a-qualitative-study
#15
Constanza Paz Lavín, Rafael Alaniz, Manuel Espinoza
OBJECTIVES: The aim of this study was to explore and describe the viewpoints and beliefs with respect to a health technology assessment (HTA) process and its institutionalization in a sample of stakeholder representatives in Chile. METHODS: A qualitative study with a descriptive design, based on the model of discourse analysis, was performed. Eighteen semi-structured interviews were conducted on nineteen Chilean representatives of stakeholders in HTA. The data analysis was based on a process of open coding that allows the contrasting of the interviewees' visions...
June 9, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28595660/health-technology-assessment-in-turkey
#16
Rabia Kahveci, Esra Meltem Koç, Emine Özer Küçük
OBJECTIVES: The healthcare transformation program in Turkey has shown its success with improvements in important health indicators, increased access to healthcare services and expansion of coverage to all citizens. Turkey has been relatively able to bear the burdens associated with this due to rapid economic growth. The need for health technology assessment (HTA) was believed as a result of the expansion of coverage, pressure of new technologies, and increased expenditures. This study outlines the background and current formalization of HTA and shares the current use of HTA in decision making, while summarizing the transformation of the Turkish healthcare system for developing a high-quality, equal, and accessible care system...
June 9, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28587686/societal-perspective-on-cost-drivers-for-health-technology-assessment-in-sindh-pakistan
#17
Asif Raza Khowaja, Craig Mitton, Rahat Qureshi, Stirling Bryan, Laura A Magee, Peter von Dadelszen, Zulfiqar A Bhutta
BACKGROUND: Understanding cost-drivers and estimating societal costs are important challenges for economic evaluation of health technologies in low- and middle-income countries (LMICs). This study assessed community experiences of health resource usage and perceived cost-drivers from a societal perspective to inform the design of an economic model for the Community Level Interventions for Pre-eclampsia (CLIP) trials. METHODS: Qualitative research was undertaken alongside the CLIP trial in two districts of Sindh province, Pakistan...
June 7, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28583223/assessment-of-universal-newborn-hearing-screening-and-intervention-in-shanghai-china
#18
Xiuzhi Chen, Min Yuan, Jun Lu, Qi Zhang, Mei Sun, Fengshui Chang
OBJECTIVES: The aim of this study was to evaluate the universal newborn hearing screening (UNHS) and intervention program in Shanghai, China. METHODS: This study included the quantitative analyses of the UNHS-Shanghai database in 2002-12 and qualitative assessment of the program. The Otoacoustic Emissions and the Automated Auditory Brainstem Evoked Responses tests were conducted in screening. The costs and benefits were calculated based on the number of participants in each stage...
June 6, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28580892/harmonizing-health-technology-assessment-practices-in-university-hospitals-to-what-extent-is-the-mini-hta-model-suitable-in-the-french-context
#19
Nicolas Martelli, Capucine Devaux, Hélène van den Brink, Mathilde Billaux, Judith Pineau, Patrice Prognon, Isabelle Borget
BACKGROUND: The number of new medical devices for individual use that are launched annually exceeds the assessment capacity of the French national health technology assessment (HTA) agency. This has resulted in hospitals, and particularly university hospitals (UHs), developing hospital-based HTA initiatives to support their decisions for purchasing innovative devices. However, the methodologies used in such hospitals have no common basis. The aim of this study was to assess a mini-HTA model as a potential solution to harmonize HTA methodology in French UHs...
June 5, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28578752/technology-assessment-in-hospitals-lessons-learned-from-an-empirical-experiment
#20
Emanuela Foglia, Emanuele Lettieri, Lucrezia Ferrario, Emanuele Porazzi, Elisabetta Garagiola, Roberta Pagani, Marzia Bonfanti, Valentina Lazzarotti, Raffaella Manzini, Cristina Masella, Davide Croce
OBJECTIVES: Hospital Based Health Technology Assessment (HBHTA) practices, to inform decision making at the hospital level, emerged as urgent priority for policy makers, hospital managers, and professionals. The present study crystallized the results achieved by the testing of an original framework for HBHTA, developed within Lombardy Region: the IMPlementation of A Quick hospital-based HTA (IMPAQHTA). The study tested: (i) the HBHTA framework efficiency, (ii) feasibility, (iii) the tool utility and completeness, considering dimensions and sub-dimensions...
June 5, 2017: International Journal of Technology Assessment in Health Care
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