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INFLUENCE OF HEALTH TECHNOLOGY ASSESSMENT AND ITS MEASUREMENT

Published online by Cambridge University Press:  26 January 2017

David Hailey ,
Sophie Werkö ,
Måns Rosén ,
Karen Macpherson ,
Susan Myles ,
Verónica Gallegos Rivero ,
Cecilia Hipólito-Olivares ,
Sinikka Sihvo ,
Jasmine Pwu  and
Wen-Wen Yang
...Show all authors
David Hailey
Affiliation:
University of Wollongong and Australian Safety and Efficacy Register of New Interventional [email protected]
Sophie Werkö
Affiliation:
Swedish Council on Technology Assessment in Health Care
Måns Rosén
Affiliation:
Swedish Council on Technology Assessment in Health Care
Karen Macpherson
Affiliation:
Healthcare Improvement Scotland
Susan Myles
Affiliation:
Healthcare Improvement Scotland
Verónica Gallegos Rivero
Affiliation:
Centro Nacional de Excelencia Tecnologica en Salud
Cecilia Hipólito-Olivares
Affiliation:
Centro Nacional de Excelencia Tecnologica en Salud
Sinikka Sihvo
Affiliation:
Finnish Office for Health Technology Assessment
Jasmine Pwu
Affiliation:
Center for Drug Evaluation, Taiwan
Wen-Wen Yang
Affiliation:
Center for Drug Evaluation, Taiwan
Yong-Chen Chen
Affiliation:
Center for Drug Evaluation, Taiwan
Ana Perez Galán
Affiliation:
Ministry of Public Health, Uruguay
Alicia Aleman
Affiliation:
Ministry of Public Health, Uruguay
Elena Villamil
Affiliation:
Ministry of Public Health, Uruguay
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Abstract

Objectives: 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.

Methods: 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.

Results: 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 influence of primary studies. Of 142 decisions informed by HTA, the most common types were on routine clinical practice (67 percent of studies), coverage (63 percent), and program operation (37 percent). The most frequent indications of HTA influence were on decisions related to resource allocation (59 percent), change in practice pattern (31 percent), and incorporation of HTA details in reference material (18 percent). Few publications assessed the contribution of HTA to changing patient outcomes.

Conclusions: The literature on HTA influence remains limited, with little on longer term effects on practice and outcomes. The reviewed publications indicated how HTA is being used in different settings and approaches to measuring its influence that might be more widely applied, such as surveys and monitoring administrative data.

Keywords

InfluenceImpactDecision makingHealth technology assessment
Type
Assessments
Information
International Journal of Technology Assessment in Health Care , Volume 32 , Issue 6 , 2016 , pp. 376 - 384
Copyright
Copyright © Cambridge University Press 2017 

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