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IMPLEMENTING A NATIONAL EARLY AWARENESS AND ALERT SYSTEM FOR NEW AND EMERGING HEALTH TECHNOLOGIES IN ITALY: THE COTE PROJECT

Published online by Cambridge University Press:  14 September 2012

Antonio Migliore
Affiliation:
Agenas, Agenzia nazionale per i servizi sanitari regionali email: [email protected]
Maria Rosaria Perrini
Affiliation:
Agenzia Nazionale per i Servizi Sanitari Regionali
Tom Jefferson
Affiliation:
Agenzia Nazionale per i Servizi Sanitari Regionali
Marina Cerbo
Affiliation:
Agenzia Nazionale per i Servizi Sanitari Regionali

Abstract

Objectives: The aim of this study was to establish a national Early Awareness and Alert (EAA) system for the identification and assessment of new and emerging health technologies in Italy.

Methods: In 2008, Agenas, a public body supporting Regions and the Ministry of Health (MoH) in health services research, started a project named COTE (Observatory of New and Emerging Health Technologies) with the ultimate aim of implementing a national EAA system. The COTE project involved all stakeholders (MoH, Regions, Industry, Universities, technical government bodies, and Scientific Societies), in defining the key characteristics and methods of the EAA system. Agreement with stakeholders was reached using three separate workshops.

Results: During the workshops, participants shared and agreed methods for identification of new and emerging health technologies, prioritization, and assessment. The structure of the Horizon Scanning (HS) reports was discussed and defined. The main channels for dissemination of outputs were identified as the EuroScan database, and the stakeholders’ Web portals. During the final workshop, Agenas presented the first three HS reports produced at national level and proposed the establishment of a permanent national EAA system.

Conclusions: The COTE Project created the basis for a permanent national EAA system in Italy. An infrastructure to enable the stakeholders network to grow was created, methods to submit new and emerging health technologies for possible evaluation were established, methods for assessment of the technologies selected were defined, and the stakeholders involvement was delineated (in the identification, assessment, and dissemination stages).

Type
THEME: EARLY AWARENESS AND ALERT (EAA) METHODS AND SYSTEMS
Copyright
Copyright © Cambridge University Press 2012

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References

REFERENCES

1.Agenas. www.agenas.it/cote.html (accessed May 11, 2010).Google Scholar
2.Agenzia sanitaria e sociale regionale Emilia Romagna. http://asr.regione.emilia-romagna.it/wcm/asr/ric_inn/osserv_inn.htm (accessed May 11, 2010).Google Scholar
3.Cavallo, A, Cerbo, M, Jefferson, T, et al.Minimally invasive treatment for atrial fibrillation by high intensity ultrasound (HIFU) ablation. Rome: Agenzia nazionale per i servizi sanitari regionali (Agenas).; July 2009.Google Scholar
4.Cavallo, A, Cerbo, M, Jefferson, T, et al. Tele-home care system based on digital video broadcasting terrestrial technology. Rome: Agenzia nazionale per i servizi sanitari regionali (Agenas); June 2009.Google Scholar
5.Cavallo, A, Cerbo, M, Jefferson, T, et al. Transapical transcatheter aortic valve implantation. Rome: Agenzia nazionale per i servizi sanitari regionali (Agenas); April 2009.Google Scholar
6.Douw, K, Vondeling, H. Selection of new health technologies for assessment aimed at informing decision making: A survey among horizon scanning systems. Int J Technol Assess Health Care. 2006;22:177183.CrossRefGoogle ScholarPubMed
7.EuroScan European Information Network on New and Changing Health Technologies. Status report. January 2005. http://www.euroscan.bham.ac.uk/action.htm (accessed July 11, 2006).Google Scholar
8.Euroscan International Network. www.euroscan.org.uk (accessed May 11, 2010).Google Scholar
9.Joppi, R, Demattè, L, Menti, AM, et al.The Italian horizon scanning project. Eur J Clin Pharmacol. 2009;65:775777.CrossRefGoogle ScholarPubMed
10.Migliore, A, Ratti, M, Cerbo, M, Jefferson, T. Health technology assessment: Managing the introduction and use of medical devices in clinical practice in Italy. Expert Rev Med Devices. 2009;6:251257.CrossRefGoogle ScholarPubMed
12.Noorani, HZ, Husereau, DR, Boudreau, R, Skidmore, B. Priority setting for health technology assessments: A systematic review of current practical approaches. Int J Technol Assess Health Care. 2007;23:310315.CrossRefGoogle ScholarPubMed
13.Simpson, S, Hiller, J, Gutierrez-Ibarluzea, Iet al.A toolkit for the identification and assessment of new and emerging health technologies. 2009. Birmingham: EuroScan.Google Scholar
14.Simpson, SL, Packer, C, on behalf of EuroScan. A comparative analysis of early awareness and alert systems. Ann Acad Med Singapore, 2009;38 (Suppl):6, S71, P4.2.Google Scholar
15.Simpson, S, Packer, C, Carlsson, P, et al.Early identification and assessment of new and emerging health technologies: Actions, progress, and the future direction of an international collaboration-EuroScan. Int J Technol Assess Health Care. 2008;24:518525.CrossRefGoogle ScholarPubMed
16.Schuh, JCL. Medical device regulations and testing for toxicologic pathologists. Toxicol Pathol 2008;36:6369.CrossRefGoogle ScholarPubMed
17.Spencer, SA, Nicklin, SE, Wickramasinghe, YA, et al.An essential ‘health check’ for all medical devices. Clin Med. 2003;3:543545.CrossRefGoogle ScholarPubMed
18.Wild, C, Langer, T. Emerging health technologies: Informing and supporting health policy early. Health Policy. 2008;87:160171.CrossRefGoogle ScholarPubMed
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