Abstract:
OBJECTIVES:To compare methods and results among four health technology assessment organizations in different countries. METHODS:All assessment reports published between 1999 and 2001 by VATAP (United States), NICE (United Kingdom), CCOHTA (Canada), and AETS (Spain), were reviewed. Detailed information about the organization, the technology assessed, the methods used, and the recommendations made were collected. A descriptive analysis of the variables, as well as comparisons of means and proportions, was performed. RESULTS:Sixty-one reports assessing seventy-six technologies were published: nine (11.8 percent) by VATAP, thirty-nine (51.3 percent) by NICE, twenty (26.3 percent) by CCOHTA, and eight (10.5 percent) by AETS. A total of 64.5 percent of the technologies assessed were related to a high prevalence disease in the corresponding country. Most of the assessments addressed treatments (73.7 percent) and were mostly drugs (56.6 percent) and devices (23.7 percent). Most organizations used reviews of effectiveness and economic evaluations (64.5 percent), systematic reviews (21.1 percent), and original economic evaluations (36.7 percent). In 38.1 percent, the technology was recommended; the rest of the cases had no formal recommendations. CONCLUSIONS:Critical issues for future technology assessment efforts are making assessment processes more consistent, transparent, and evidence-based; formalizing the inclusion of economic and ethical considerations; and making more explicit the prioritization process for selecting technologies for assessment and reassessment.
journal_name
Int J Technol Assess Health Careauthors
García-Altés A,Ondategui-Parra S,Neumann PJdoi
10.1017/s0266462304001126subject
Has Abstractpub_date
2004-07-01 00:00:00pages
300-10issue
3eissn
0266-4623issn
1471-6348journal_volume
20pub_type
杂志文章,评审abstract:OBJECTIVES:The Weight Loss Maintenance Trial (WLM) was a multicenter, randomized trial comparing two weight loss maintenance interventions, a personal contact (PC) program with primarily telephone-based monthly contacts, and an Internet-based program (interactive technology, IT), to a self-directed control group, among...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S0266462309990018
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVES:We were interested in health coverage in women's magazines in the United States and how it compared with articles in medical journals, women's health interests, and women's greatest health risks. METHODS:We examined 12 issues of Good Housekeeping (GH) and Woman's Day (WD) and 63 issues of the New England Jo...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s0266462301104125
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVES:Ethical evaluation has become an important part of health technology assessment (HTA), but so far no generally accepted method for doing this exists. This article explains the eclectic approach developed at the Finnish HTA office. METHODS:Each HTA report is produced in cooperation with the methodological an...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S0266462307051501
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVES:The objective of this study is to analyze statistically the possible determinants and implications of including or not including recommendations in health technology assessments (HTAs). METHODS:A sample of 433 HTAs published by eleven leading institutions or agencies in nine countries was reviewed and analy...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S0266462306050963
更新日期:2006-04-01 00:00:00
abstract:BACKGROUND:Oncotype DX (ODX), a tumor gene profiling test, has been incorporated into clinical guidelines to aid in adjuvant chemotherapy decision making for early-stage, hormone receptor positive breast cancer patients. Despite United States (U.S.) guidelines, less than half of eligible women receive testing. Reasons ...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S026646231600060X
更新日期:2016-01-01 00:00:00
abstract::Health technology assessment (HTA) is increasingly used around the globe to inform resource allocation decisions. Furthermore, the importance of using explicit and transparent criteria for coverage decision making in line with health system values has been acknowledged. However, the values of a health system are often...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S0266462319000187
更新日期:2019-04-08 00:00:00
abstract:BACKGROUND:Many jurisdictions delivering health care, including Canada, have developed guidance for conducting economic evaluation, often in the service of larger health technology assessment (HTA) and reimbursement processes. Like any health intervention, personalized medical (PM) interventions have costs and conseque...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S0266462314000142
更新日期:2014-04-01 00:00:00
abstract::Physicians through the ages have practiced their trade with more or less regard to the effects of their treatment on their patients' sense of well-being, if not as much as on the disease itself. Until recently, however, little attempt has been made to measure the effect of disease upon quality of life and how this qua...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章,评审
doi:10.1017/s0266462300007455
更新日期:1989-01-01 00:00:00
abstract:OBJECTIVES:Although psychiatric comorbidity is relevant for a number of diseases, it is often ignored in technology assessment. This study examines the service use rate in mental healthcare facilities and related costs for stroke patients discharged from the University Hospital Maastricht between 1987 and 1995. METHOD...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s026646230210804x
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:Chronic wounds are frequent, affect quality of life, and increase care costs. Telemedicine provides potential for effective wound care management, especially for the monitoring of complex wounds at home. OBJECTIVES:The objective of the present study was to determine the clinical effects and costs of telemed...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S0266462318000685
更新日期:2018-01-01 00:00:00
abstract::Prior to the nationwide diffusion of a new technology, evidence must be assembled to demonstrate that a new technology is, in the terminology of WHO, appropriate. Not everything that is new in health technology is good; not all that is good is needed. It is by no means unethical to demand adequate assessment of new te...
journal_title:International journal of technology assessment in health care
pub_type: 临床试验,杂志文章
doi:10.1017/s0266462300003330
更新日期:1988-01-01 00:00:00
abstract::This review assesses the evidence regarding the effectiveness of bone density measurement (BDM) screening and related interventions--hormone replacement therapy (HRT) and intranasal salmon calcitonin (SCT[N])--in menopausal women to prevent fractures in later life. Data sources included systematic reviews of evidence ...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章,评审
doi:10.1017/s0266462300012228
更新日期:1998-04-01 00:00:00
abstract::This paper analyzes medical technology decision making in the United States and England in terms of the appropriateness of different decision-making models to the organization and delivery of medical care, and to the rationing of technology among and within hospitals. It examines the effect on the American hospital of...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s0266462300000519
更新日期:1987-01-01 00:00:00
abstract::Dental amalgam--a mixture of elemental mercury and a silver-dominated metal alloy--has been the most widely used dental filling material for well over a century. Alternative materials exist but are not well suited for some important applications, and all are more expensive than amalgam. The toxic effects of occupation...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s0266462300010576
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVES:The objectives of this study were to analyze the current structure of the Turkish pharmaceuticals market to explain the latest developments and to offer some insight into the likely policy issues that this sector will face. METHODS:Systematic searches of the relevant Turkish and English research literature ...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章,评审
doi:10.1017/S026646230605149X
更新日期:2006-10-01 00:00:00
abstract::Decision analysis is used to compare the cost and disability of alternative treatment strategies for asymptomatic mandibular third molars. The analysis shows that extracting only those third molars that remain impacted and become pathologically involved is always associated with less expected cost and disability than ...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s0266462300004177
更新日期:1990-01-01 00:00:00
abstract:OBJECTIVES:Clinical endpoints are defined as valid measures of clinical benefit or harm due to treatment, that describe the impact of treatment on how a patient feels, functions, and survives. The choice of endpoints and the manner in which they are reported have a major impact on the relative effectiveness assessment ...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S0266462314000592
更新日期:2014-11-01 00:00:00
abstract::A study was initiated to investigate the impact of information dissemination in Illinois upon the projected rise in the cesarean birth rate over the period from 1986 through 1988. The total cesarean birth rate in Illinois had not changed significantly during this period, whereas the rate of vaginal births after cesare...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s0266462300002397
更新日期:1992-10-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to evaluate the cost-effectiveness of alemtuzumab (CAMPATH-1H) compared with conventional chemotherapy in people with T-cell prolymphocytic leukemia (T-PLL). METHODS:We developed a decision-analytic model to assess the costs and benefits of alemtuzumab or conventional therapy based...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S0266462312000244
更新日期:2012-07-01 00:00:00
abstract:OBJECTIVES:Integration of ethics into health technology assessment (HTA) remains challenging for HTA practitioners. We conducted a systematic review on social and methodological issues related to ethical analysis in HTA. We examined: (1) reasons for integrating ethics (social needs); (2) obstacles to ethical integratio...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S0266462318000508
更新日期:2018-01-01 00:00:00
abstract::When there is a scarcity of resources (therapists, modalities), the physical therapist must make decisions about whom to treat and why. This paper discusses ethical dilemmas confronting the therapist and addresses solutions based on approaches of procedural justice and distributive justice. ...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s0266462300007881
更新日期:1992-01-01 00:00:00
abstract:OBJECTIVES:We conducted a meta-analysis of recently published randomized controlled trials (RCTs) to identify the most effective and safe etanercept dosing regimen and duration of therapy for the treatment of patients with ankylosing spondylitis (AS). METHODS:We systematically reviewed PubMed, Embase, Cochrane Library...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章,meta分析
doi:10.1017/S0266462317000150
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to evaluate the long-term cost-utility of liraglutide versus glimepiride as add-on therapy to metformin in patients with type 2 diabetes mellitus (T2DM), based on the results of clinical trial conducted in Asian population. METHODS:The validated UKPDS Outcomes Model was used to pro...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S0266462312000608
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to identify individuals with expertise in ethics analysis in Canada, who might contribute to health technology assessment (HTA); to gauge these individuals' familiarity with, and experience participating in, the production of HTA. METHODS:A contact list was developed using the Cana...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S0266462314000014
更新日期:2014-04-01 00:00:00
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journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S0266462320000239
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:One of the good practice principles for health technology assessment (HTA) is having a clear link between the assessment and decision making. The objective of the 2019 Latin American Policy Forum (LatamPF) of Health Technology Assessment International was to explore different models of connection between HTA ...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S0266462320000033
更新日期:2020-04-01 00:00:00
abstract::The purpose of this study was to identify the determinants of choice of surgical procedure (anterior colporrhaphy, colposuspension, or needle suspension) to treat stress incontinence in women. We used multilevel modeling of data on 271 patients in 18 hospitals in England in 1993-94. Patient-related factors included so...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s0266462300011417
更新日期:1998-07-01 00:00:00
abstract::This paper tests the null hypothesis of a zero effect of cesarean section rate on health outcome against the alternative of a positive effect. Using data from 59 hospitals in Sweden from 1988-92, we specify two separate linear regression models for health outcome, one with perinatal mortality, and the other with rate ...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s0266462399152127
更新日期:1999-01-01 00:00:00
abstract:OBJECTIVES:To identify and appraise existing evaluation frameworks for mobile medical applications (MMA) and determine their suitability for use in health technology assessment (HTA) of these technologies. METHODS:Systematic searches were conducted of seven bibliographic databases to identify literature published betw...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S026646231800051X
更新日期:2018-01-01 00:00:00
abstract::Genetic diagnostic techniques increasingly permit the detection of predisposition to illness long before the onset of the disease process itself. Medicine is on the verge of becoming a predictive science as well as a diagnostic and therapeutic one. Genetic diagnosis could have profound effects on many aspects of our h...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s0266462300008473
更新日期:1989-01-01 00:00:00