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Time-trends in health technology assessments: An analysis of developments in composition of international health technology assessments from 1989 to 2002

Published online by Cambridge University Press:  25 October 2005

Eva Draborg  and
Dorte Gyrd-Hansen
Eva Draborg
Affiliation:
University of Southern Denmark
Dorte Gyrd-Hansen
Affiliation:
University of Southern Denmark
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Abstract

Objectives: Health Technology Assessment (HTA) as a method for producing evidence in the health-care sector has been used for more than 25 years but has grown in extent during the past years. The objective of this study is to explore a possible evolution in these HTAs, in type of assessed technologies, in type of assessors, and in its methods.

Methods: A structured literature review was conducted of 433 HTA reports from the period 1989 to 2002 by eleven leading HTA institutions worldwide. The review focused on the methodology used, the assessors, and the assessed technologies and was designed to elucidate general time-trends in the practical application of HTA.

Results: The study shows that literature reviews are still the most often used method of assessment and accounts for a relatively stable fraction of assessments. The fraction of economic evaluations shows a slightly decreasing trend in contrast to randomized controlled trials and modeling/evaluations, which are applied more frequently. The data also demonstrate a more frequent use of external partners as assessors and a shift between devices and pharmaceuticals as assessed technologies.

Conclusions: The study shows an increase in the number of HTAs but no major developments in assessment methods used and, therefore, no widespread spillover from the development in research methods in general to the field of HTA methodology.

Keywords

HTA methodsType of technologyAssessorsInternational time-trend
Type
GENERAL ESSAYS
Information
International Journal of Technology Assessment in Health Care , Volume 21 , Issue 4 , October 2005 , pp. 492 - 498
Copyright
© 2005 Cambridge University Press

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References

Banta D. 2003 The development of health technology assessment. Health Policy. 63: 121– 132.Google Scholar
Banta HD, Luce BR. 1993. Health care technology and its assessment. An international perspective. Oxford: Oxford University Press;
Banta HD, Perry S. 1997 A history of ISTAHC. A personal perspective on its first 10 years. Int J Technol Assess Health Care. 13: 430– 453.Google Scholar
Velasco M, Perleth M, Drummoud M, et al. 2002 Best practice in undertaking and reporting health technology assessments. Int J Technol Assess Health Care. 18: 361– 422.Google Scholar
Chan L, Topfer L-A. 2000 Health technology assessment on the Net: A guide to Internet sources of information. Edmonton: Alberta Heritage Foundation for Medical Research & Institute of Health Economics; August.
Draborg E, Gyrd-Hansen D, Poulsen PB, Horder M. An international comparison of the definition and the practical application of health technology assessment. Int J Technol Assess Health Care. 21: 89– 95.
García-Alté A, Ondategui-Parra S, Heumann PJ. 2004 Cross-national comparison of technology assessment processes. Int J Technol Assess Health Care. 20: 300–310.Google Scholar
Goodman CS, Ahn R. 1999 Methodological approaches of health technology assessment. Int J Med Inform. 56: 97– 105.Google Scholar
Hailey D. 2003 Toward transparency in health technology assessment. A checklist for HTA reports. Int J Technol Assess Health Care. 19: 1– 7.Google Scholar
http://www.inahta.or.
http://www.istahc.or.
http://nhscrd.york.ac.u.
Jonsson E. 2002 Development of health technology assessment in Europe. A personal perspective. Int J Technol Assess Health Care. 18: 171– 183.Google Scholar
Jonsson E, Banta D. 1999 Management of health technologies: An international view. BMJ. 319: 1– 3.Google Scholar
Jonsson E, Banta HD, Henshall C, Sampietro-Colom L. 2002 Summary report of the ECHTA/ECAHI Project. European Collaboration for Health Technology Assessment/Assessment of Health Interventions. Int J Technol Assess Health Care. 18: 218– 237.Google Scholar
Liberati A, et al. 1997 EUR-ASSESS Project subgroup report on methodology. Int J Technol Assess Health Care. 13: 186– 219.Google Scholar
Maynard A, McDaid D. 2003 Evaluating health interventions: Exploiting the potential. Health Policy. 63: 215– 226.Google Scholar
Mears R, Taylor R, Littlejohns P, Dillon A. 2000. Review of International Health Technology Assessments (IHTA). Project Report. London: National Institute of Clinical Excellence;
Menon D, Marshall D. 1996; The internationalization of health technology assessment. Int J Technol Assess Health Care. 12: 45– 51.Google Scholar
Menon D, Topfer L-A. 2000 Health technology assessment in Canada. A decade in review. Int J Technol Assess Health Care. 16: 896– 902.Google Scholar
Milne R, Clegg A, Stevens A. 2003 HTA responses and the classic HTA report. J Public Health Med. 25: 102– 106.Google Scholar
Office of Technology Assessment (OTA). 1982 Strategies for medical technology assessment. Washington DC: US Government Printing Office;
Perleth M, Jakubowski E, Busse R. 2001 What is ‘best practice’ in health care? State of the art and perspectives in improving the effectiveness and efficiency of the European health care systems. Health Policy. 56: 235– 250.Google Scholar
Perry S, Gardner E, Thamer M. 1997 The status of health technology assessment worldwide. Results of an international survey. Int J Technol Assess Health Care. 13: 81– 98.Google Scholar
Poulsen PB. 1999. Health technology assessment and diffusion of health technology. Odense: Odense University Press;
Sassi F. 2000 The European way to health technology assessment. Lessons from an evaluation of EUR-ASSESS. Int J Technol Assess Health Care. 16: 282– 290.Google Scholar