Redefining health technology assessment in Canada: Diversification of products and contextualization of findings

2004 ◽  
Vol 20 (3) ◽  
pp. 325-336 ◽  
Author(s):  
Pascale Lehoux ◽  
Stéphanie Tailliez ◽  
Jean-Louis Denis ◽  
Myriam Hivon
Keyword(s):  
Health Technology Assessment ◽  
Technology Assessment ◽  
Chief Executive Officers ◽  
Social Issues ◽  
Chief Executive ◽  
Health Technology ◽  
Scientific Journals ◽  
Informational Basis ◽  
Definition Of ◽  
Executive Officers

Objectives:While strategies for enhancing the dissemination and impact of Health Technology Assessment (HTA) are now being increasingly examined, the characteristics of HTA production have received less attention.Methods:This study presents the results of a content analysis of the HTA documents (n=187) produced by six Canadian agencies from 1995 to 2001, supplemented by interviews with chief executive officers and researchers (n=40). The goal of this analysis was to characterize the agencies' portfolios and to analyze the challenges these agencies face in responding to the increased demand for HTA.Results:On average, thirty HTA products were issued annually by the agencies. While the bulk of documents produced were full HTA reports (76 percent), two agencies showed significant diversification in their products. Three agencies in particular actively supported the publication of results in scientific journals. Three agencies showed evidence of adapting to different institutional environments by specializing in certain areas (drugs, health services). Overall, a significant portion of the agencies' HTAs contained data on costs (37 percent) and effectiveness (48 percent), whereas ethical and social issues were rarely addressed (17 percent). Most agencies addressed issues and outcomes that did not strictly fall under the typical definition of HTA but that increased the “contextualization” of their findings.Conclusions:Our discussion highlights four paradoxes and reflects further on challenges raised by the coordination of HTA within large countries and among European states. This study concludes that HTA is being redefined in Canada as HTA agencies offer a more contextualized informational basis, an approach that may prove more compatible with the increased demand for HTA.

CEO statements on racial inequity – (how) do they matter to shareholders?

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Pyemo Afego ◽  
Imhotep Alagidede
Keyword(s):  
Chief Executive Officers ◽  
Social Issues ◽  
Chief Executive ◽  
Future Research ◽  
Research Approach ◽  
Content Type ◽  
Racial Injustice ◽  
Communication Decisions ◽  
Executive Officers ◽  
The Impact

Purpose The purpose of this study is to explore how citizen protests against perceived acts of racial injustice impact on share prices of companies who weigh in on the protests. In particular, corporate statements that directly address the issues around the protests are identified and possible mechanisms underlying how these may impact shareholder value are discussed. Design/methodology/approach The authors first use a qualitative research approach of content and sentiment analysis to track how companies or their chief executive officers (CEOs) present their stance against racial injustice, as represented by their use of linguistic markers. Then, the authors use an event study methodology to assess the response from stock market participants. Findings The findings suggest that CEOs primarily convey their stance using language that is emotive and empathic. In addition, shareholders earn a significant abnormal return of 2.13%, on average, in the three days following the release of the statements. Research limitations/implications This study considered only US-listed companies. The sample size, also, is relatively small. Institutional and cultural differences across countries may also vary. Thus, future research could explore the extent to which the findings generalize to other contexts. Practical implications Results provide insights to top managers who communicate with various stakeholders on emotionally charged social issues. Findings also offer insights on the timing of trades for investors and arbitrageurs. Social implications Findings contribute to the understanding of corporate behaviour in times of social upheaval. Insights from the study may also be used to inform corporate communication decisions about important social issues. Originality/value This study brings into focus the role that affective appeal and moral emotion can play in evoking motivation for corporate activism, and the impact that this has on investor opinions’ formation process.

scholarly journals Announcing the New Definition of Health Technology Assessment

2020 ◽  
Vol 23 (6) ◽  
pp. 824-825
Author(s):  
Brian O’Rourke ◽  
Wija Oortwijn ◽  
Tara Schuller
Keyword(s):  
Health Technology Assessment ◽  
Technology Assessment ◽  
Health Technology ◽  
Definition Of Health ◽  
Definition Of

Evidence-Based Practice Center network and health technology assessment in the United States: Bridging the cultural gap

2006 ◽  
Vol 22 (1) ◽  
pp. 33-38 ◽  
Author(s):  
Antonio Sarría-Santamera ◽  
David B. Matchar ◽  
Emma V. Westermann-Clark ◽  
Meenal B. Patwardhan
Keyword(s):  
Health Technology Assessment ◽  
Technology Assessment ◽  
Evidence Based Practice ◽  
Health Technology ◽  
The United States ◽  
Healthcare Research ◽  
Evidence Based ◽  
Is Integration ◽  
Definition Of

Objectives:The purpose of this study was to identify the Evidence-Based Practice Center (EPC) network participants' perceptions of the characteristics of the EPC process and the relationship of the process to the success of EPC reports.Methods:Semistructured interviews were conducted with the three groups involved in the EPC: EPC staff, Agency for Healthcare Research and Quality (AHRQ) staff, and representatives of partner organizations.Results:The analysis of the coded transcripts revealed three related major themes, which form the conceptual basis for the interpretation presented here: the definition of a successful report, the determinants of a successful report, and the role of AHRQ in the process.Conclusions:A successful report is a report that is used. The ultimate success of the core health technology assessment objective, moving from research to policy, depends on balancing two values: excellence and relevance. Our findings are consistent with the “two communities thesis,” which postulates the existence of two camps that confer different values to excellence and relevance, with resulting tension. A promising model for approaching this tension is integration or collaboration, which requires linking researchers and policy makers, promoting productive dialogues about the formulation and timing of analysis, and early consideration of how the resulting analysis will be used. This effort suggests that actively blurring the frontiers between these two groups will enhance their interaction. Furthermore, enhancing the role of the AHRQ as scientific broker will maximize the potential of the EPC network.

Ethical perspectives on health technology assessment

2004 ◽  
Vol 20 (1) ◽  
pp. 71-76 ◽  
Author(s):  
Henk ten Have
Keyword(s):  
Health Technology Assessment ◽  
Technology Assessment ◽  
Medical Technology ◽  
Health Technology ◽  
Minor Role ◽  
Engineering Model ◽  
Ethical Aspects ◽  
A Value ◽  
Definition Of ◽  
A Minor

This study analyses why ethical aspects play a minor role in health technology assessment (HTA) studies, even when comprehensive approaches of technology assessment are advocated. Technology is often regarded as a value-neutral tool. At the same time, bioethics is dominated by an engineering model. Ethical contributions to evaluation of medical technology should go beyond issues of application in clinical practice and focus also on the definition of problems, the demarcation of technical and nontechnical issues, and the morally problematic implications of technologies.

White-Collar Crime

Criminology ◽  
2009 ◽  
Author(s):  
Sally S. Simpson
Keyword(s):  
Criminal Law ◽  
Chief Executive Officers ◽  
White Collar Crime ◽  
Chief Executive ◽  
White Collar ◽  
Street Crime ◽  
White Collar Offenders ◽  
Definition Of ◽  
Executive Officers

The meaning and definition of white-collar crime is deeply contested. Most criminologists recognize that white-collar crime is different from traditional “street” crime. Disagreements center on the scope of the behavior and who, ultimately, is classified as a white-collar offender. Generally, white-collar crimes are offenses conducted by guile or concealment that involve “upper world” offenders. Broad definitions of white-collar crime can include harmful acts which are not illegal (deviance) to more narrow definitions that are tied exclusively to violations of criminal law. Depending on which definition is used, white-collar offenders may include governments, businesses, chief executive officers, professionals, welfare cheats, and individuals who illegally download software or purposefully underreport income on their taxes.

Defining capacity building in the context of HTA: a proposal by the HTAi Scientific Development and Capacity Building Committee

2019 ◽  
Vol 35 (5) ◽  
pp. 362-366 ◽  
Author(s):  
Franz Pichler ◽  
Wija Oortwijn ◽  
Alric Ruether ◽  
Rebecca Trowman
Keyword(s):  
Decision Making ◽  
Health Technology Assessment ◽  
Interest Groups ◽  
Capacity Building ◽  
Technology Assessment ◽  
Health Technology ◽  
Scientific Development ◽  
Multiple Stakeholders ◽  
Building Activities ◽  
Definition Of

AbstractObjectivesTo develop a definition of “capacity building” relevant to Health Technology Assessment international (HTAi).MethodsA review of capacity building activities undertaken by HTAi members, members of the International Network of Agencies for Health Technology Assessment (INAHTA), and regional HTA networks was compared against general literature on capacity building definitions and frameworks. The findings were reviewed by the HTAi Scientific Development and Capacity Building Committee. Furthermore, the Executive Committee and Interest Groups of HTAi provided input on the draft final paper.ResultsThe literature demonstrated the need for a definition of capacity building specific to HTA. In the context of HTAi, it was necessary for the definition to cover (i) the broadest range of HTA-related activities, (ii) multiple stakeholders involved in the HTA process, and (iii) the spectrum of activities that compose capacity building. We propose the following definition of HTA capacity building: The process by which individuals and organizations develop or strengthen abilities related to understanding, providing input to, conducting, or utilizing HTA for health policy and decision making, as well as, developing awareness and support in the environment within which HTA is being used.ConclusionA definition of HTA-related capacity building that was intended to provide clarity about what this term means to HTAi was developed. As HTA is context-dependent, a need for further work to develop an operationalization “menu” relevant to the specific needs in which HTA is being used was identified.

Commentary on the article “Key principles for the improved conduct of health technology assessments for resource allocation decisions”

2008 ◽  
Vol 24 (03) ◽  
pp. 366-367 ◽  
Author(s):  
Duncan Neuhauser
Keyword(s):  
Resource Allocation ◽  
Health Technology Assessment ◽  
Technology Assessment ◽  
Health Technology ◽  
To Come ◽  
Definition Of ◽  
Allocation Decisions ◽  
Resource Allocation Decisions

“Key principles for the improved conduct of health technology assessment for resource allocation decisions.” The title says it all. I am amazed that such a summary is even possible and that it defines this field so well. Perhaps this report will be cited for years to come as the best and central definition of HTA. A field like this can be defined in other ways.

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