LOOKING BACK ON 5 YEARS OF HORIZON SCANNING IN ONCOLOGY

2016 ◽  
Vol 32 (1-2) ◽  
pp. 54-60 ◽  
Author(s):  
Anna Nachtnebel ◽  
Johanna Breuer ◽  
Wolfgang Willenbacher ◽  
Anna Bucsics ◽  
Peter Krippl ◽  
...  

Objectives: The regularly structured adaptation of health technology assessment (HTA) programs is of utmost importance to sustain the relevance of the products for stakeholders and to justify investment of scarce financial resources. This study describes internal adjustments and external measures taken to ensure the Horizon Scanning Programme in Oncology (HSO) is current.Methods: Formal evaluation methods comprising a survey, a download, an environmental analysis, and a Web site questionnaire were used to evaluate user satisfaction.Results: The evaluation showed that users were satisfied with HSO outputs in terms of timeliness, topics selected, and depth of information provided. Discussion of these findings with an expert panel led to changes such as an improved dissemination strategy and the introduction of an additional output, that is, the publication of a league table of emerging oncology drugs. The rather high level of international usage and the environmental analysis highlighted a considerable overlap in topics assessed and, thus, the potential for international collaboration. As a consequence, thirteen reports were jointly published based on eleven “calls for collaboration.” To further facilitate collaboration and the usability of reports for other agencies, HSO reports will be adjusted according to tools developed at a European level.Conclusions: Evaluation of the impact of HTA programs allows the tailoring of outputs to fit the needs of the target population. However, within a fast developing HTA community, estimates of impact will increasingly be determined by international collaborative efforts. Refined methods and a broader definition of impact are needed to ultimately capture the efficiency of national HTA programs.

2009 ◽  
Vol 27 (24) ◽  
pp. 4014-4020 ◽  
Author(s):  
Elizabeth Goss ◽  
Michael P. Link ◽  
Suanna S. Bruinooge ◽  
Theodore S. Lawrence ◽  
Joel E. Tepper ◽  
...  

Purpose The American Society of Clinical Oncology (ASCO) Cancer Research Committee designed a qualitative research project to assess the attitudes of cancer researchers and compliance officials regarding compliance with the US Privacy Rule and to identify potential strategies for eliminating perceived or real barriers to achieving compliance. Methods A team of three interviewers asked 27 individuals (13 investigators and 14 compliance officials) from 13 institutions to describe the anticipated approach of their institutions to Privacy Rule compliance in three hypothetical research studies. Results The interviews revealed that although researchers and compliance officials share the view that patients' cancer diagnoses should enjoy a high level of privacy protection, there are significant tensions between the two groups related to the proper standards for compliance necessary to protect patients. The disagreements are seen most clearly with regard to the appropriate definition of a “future research use” of protected health information in biospecimen and data repositories and the standards for a waiver of authorization for disclosure and use of such data. Conclusion ASCO believes that disagreements related to compliance and the resulting delays in certain projects and abandonment of others might be eased by additional institutional training programs and consultation on Privacy Rule issues during study design. ASCO also proposes the development of best practices documents to guide 1) creation of data repositories, 2) disclosure and use of data from such repositories, and 3) the design of survivorship and genetics studies.


2019 ◽  
Vol 8 (1) ◽  
pp. 17
Author(s):  
Azar Kazemi ◽  
Hosna Salmani ◽  
Alireza Shakibafard ◽  
Farhad Fatehi

Introduction: The popularity of mobile phone applications (Apps) and wearable devices for medical and health purposes is on the rise, but not all the mobile health (mHealth) innovative solutions that hit the news every day will sustain and have an impact on the health of people. The aim of this news-based horizon scanning study was to explore and identify new and emerging mobile technologies that are likely to impact the future of health and medical care.Methods: We conducted a systematic search on top ranking technology websites, according to Alexa Ranking, to identify health-related mobile-based technologies. We followed the EuroScan guide for horizon scanning, which recommends four steps: identification, filtering, prioritization, evaluation and conclusion. Technologies of interest were mHealth technologies regardless of their maturity level. The impact of technologies was assessed and scored in four areas: user, technology, safety, and cost.Results: Five hundred news articles were identified through the electronic search. After screening, 106 mHealth innovative technologies were included in this study. We categorized the included technologies into three groups: mobile apps (n=37), smart-connected devices (n=19), and wearables (n=50). mHealth technologies were most frequently developed for preventive health services, mental health services and rehabilitation services. There was no remarkable difference between the technology groups in terms of safety and adverse effects, but the groups were significantly different in terms of the target population, technology, and cost.Conclusion: An increasing number of solutions based on mobile technology is being developed by both public and private sectors but a low proportion of them undergo proper scientific evaluations. Despite the commercial availability of many innovative mobile apps, wearables, and smart connected devices, few of them have been actually used in clinics, hospitals, and health centers. There is a clear need for changes in healthcare service models to unlock the full potential of these innovative technologies.


2019 ◽  
Vol 161 (1) ◽  
pp. 6-17 ◽  
Author(s):  
Debara L. Tucci ◽  
Edward D. McCoul ◽  
Richard M. Rosenfeld ◽  
David E. Tunkel ◽  
Pete S. Batra ◽  
...  

ObjectiveTo develop a clinical consensus statement on the use of balloon dilation of the eustachian tube (BDET).MethodsAn expert panel of otolaryngologists was assembled with nominated representatives of general otolaryngology and relevant subspecialty societies. The target population was adults 18 years or older who are candidates for BDET because of obstructive eustachian tube dysfunction (OETD) in 1 or both ears for 3 months or longer that significantly affects quality of life or functional health status. A modified Delphi method was used to distill expert opinion into clinical statements that met a standardized definition of consensus.ResultsAfter 3 iterative Delphi method surveys, 28 statements met the predefined criteria for consensus, while 28 statements did not. The clinical statements were grouped into 3 categories for the purposes of presentation and discussion: (1) patient criteria, (2) perioperative considerations, and (3) outcomes.ConclusionThis panel reached consensus on several statements that clarify diagnosis and perioperative management of OETD. Lack of consensus on other statements likely reflects knowledge gaps regarding the role of BDET in managing OETD. Expert panel consensus may provide helpful information for the otolaryngologist considering the use of BDET for the management of patients with OETD.


2020 ◽  
Vol 13 (1) ◽  
pp. 90
Author(s):  
Majd Al-Hawamdeh ◽  
Shaker Alkshali

This study aimed to test the impact of information technology on Information systems effectiveness in Jordanian Telecom Companies. The study adopted a five-dimensional scale to measure information technology (people, hardware, software, databases, and networks), while the information systems' effectiveness was measured through four dimensions: end-user satisfaction, system usage, system security and suitability of the system for management levels. To achieve study aims, a descriptive-analytical method was used. The study was conducted on a sample of (152) managers working in these companies. This study found that there is a high-level average for information technology dimensions and Information Systems effectiveness dimensions. Also, the results showed a significant impact of information technology dimensions (people, software, databases, and networks) except hardware on effectiveness information systems. It was also evident that there a significant impact of information technology on Information systems effectiveness dimensions (end-user satisfaction, system usage, system security and suitability of the system for management levels).


2020 ◽  
Vol 11 (3) ◽  
pp. 683-692
Author(s):  
Giovanni SILENO

This short paper aims to unpack some of the assumptions underlying the “Policy and Investment Recommendation for Trustworthy AI” provided by the High-Level Expert Group on Artificial Intelligence (AI) appointed by the European Commission. It elaborates in particular on three aspects: on the technical-legal dimensions of trustworthy AI; on what we mean by AI; and on the impact of AI. The consequent analysis results in the identification, amongst others, of three recurrent simplifications, respectively concerning the definition of AI (sub-symbolic systems instead of “intelligent” informational processing systems), the interface between AI and institutions (neatly separated instead of continuity) and a plausible technological evolution (expecting a plateau instead of a potentially near-disruptive innovation).


2019 ◽  
Vol 10 (3) ◽  
pp. 709-723 ◽  
Author(s):  
Hardius Usman ◽  
Nurdin Sobari ◽  
Lia Estika Sari

Purpose This study aims to identify the terminology that is in accordance with the reality of Muslim tourism market, especially from the perspective of Sharia motivation, between Halal tourism and Islamic tourism; provide information on the special needs of Muslim travelers based on the dominant motivational differences; and find the impact of Sharia motivation and the special needs of Muslim tourists to their satisfaction. Design/methodology/approach The target population in this study is Muslim traveler at least 18 years old who has been traveling throughout Indonesia. Paired sample t-Test, multivariate analysis of variance and the multiple linier regression are applied for data analysis. Findings This study finds that Sharia motivation is less dominant in encouraging Muslims to travel; Sharia motivation has no impact on the importance of Sharia transportation, generic transportation and generic activities; and the dominance of Sharia motivation does not affect Muslim tourist satisfaction. However, the dominance of Sharia motivation has an influence on the importance of Sharia accommodation and Sharia activities, where both variables have positive effect on satisfaction. In the end, this study concludes that it is better to use the concept of Halal tourism than Islamic tourism. Originality/value This paper investigates the term of Halal tourism and Islamic tourism that are still ambiguous; even some researchers consider that the definition of both is similar.


2019 ◽  
Vol 9 (2) ◽  
pp. 212
Author(s):  
Aktham Al-Sarayreh ◽  
Al-Shatnawi Amal ◽  
Al-Madhoun Rasha ◽  
Al-Faqeeh Nawal ◽  
Mousa Ayoub ◽  
...  

The aim of this study is to identify (TQM) implementation, and its effect on employee job performance level at Abu Sheikha Exchange Company. Typical descriptive studies are concerned with the assessment of demographic information, support senior management of the work procedures, expectations and needs and wishes of customers, expectations and needs and wishes of employees, continuous improvement, work procedures and engaging staff in decision-making.The research design is chosen for the current study is the survey research: The target population of this study which consists of all employees in Abu Sheikha Exchange Company.  Sample of (133) employees, a questionnaire is developed to measurement of variables study; TQM implementation variable (reliability coefficient 0.937), and employee job performance variable (reliability coefficient 0.71).The conclusion of the study shows that the senior management support was in Average level, but the senior management adopts a strategic plan to achieve quality in all areas of the company in high level, Customers’ needs and expectations was in High Level, and the result shows that one of the priorities of the company's employees is to satisfy the needs and desires of the customers.


Author(s):  
Iryna Lukianenko

The subject of the study is a set of theoretical and methodological foundations, as well as econometric tools for substantiating the representation of the shadow economy as a negative factor for the development of the Ukrainian economy. The purpose of the study is to empirically analyze the peculiarities of the impact of the main factors and risks on the level of the shadow sector in Ukraine and other countries in the world, as well as to determine the strategic directions for further reducing of shadow part of Ukrainian economy with the use of the developed econometric toolkit. Such general scientific methods of analysis and synthesis as methods of comparative analysis, generalization, systematization, and grouping of data, methods of graphic and scenario analysis, as well as econometric tools, in particular methods and models of panel (longitudinal) data wereused in the process of research. Results. A significant amount of the shadow sector in Ukraine poses additional threats to the effective functioning of the economy and its economic development, especially in conditions of political and economic instability. The conducted statistical and empirical analysis confirmed the hypothesis that during a deep economic crisis, the shadow economy may not only be a consequence but also a cause of a growing fall in gross domestic product and, in turn, can aggravate a crisis that is also characteristic of the Ukrainian economy. Even though in recent years there has been a tendency of reducing the shadow level of the Ukrainian economy, it is still a considerable amount, which threatens the financial and economic security of the state and requires the formation of a scientifically grounded strategy for its lowering. The current situation requires not only an adequate definition of the sources of the shadow economy, mechanisms and development, the relationship with the formal economy but also the definition of the main factors affecting its level, as well as quantitative assessment of such impact using economic and mathematical methods of research. The empirical analysis of the impact of the main financial and economic indicators on the level of the shadow economy on the basis of panel data tools for a sample of more than 31 countries of the world allowed to identify not only the main macroeconomic factors affecting the shadow economy, taking into account the specifics of each individual state, but also significantly increase the number of observations and thus increase the accuracy of calculations in the conditions of limited information in a time dimension. Besides, the presentation of countries of different groups in the sample allows, for example, to measure how the country's entry into the European Union affects the level of the shadow economy and whether it affects it overall. According to the modeling results, the clustering of the countries was carried out depending on the level of the shadow sector and the initial conditions for the tendency to shadow. The hypothesis is that the shadow economy of Ukraine exists and even develops in favorable terms that are accompanied by low rates of social and economic development, the imperfection of the legislative and the judicial system, the complexity of opening and doing business, a rather high level of tax rates and a significant spread of corruption. Moreover, a scenario analysis based on the developed model showed that, in the wake of the economic crisis, the shadow economy of Ukraine would tend to increase, which will further deepen the economic downturn in the country in the medium term. Accordingly, the definition of strategic directions for lowering the part of the shadow economy in Ukraine becomes one of the priority tasks of its economic policy. The results of the study can be used by public authorities to form economic policies and strategic directions aimed at ensuring a gradual reduction of the shadow economy in Ukraine, enhancing its financial security and economic development. Conclusions. The presence of the shadow sector is characteristic for almost all countries in the world, but under current conditions of economic development, a significant part of shadow economy becomes an obstacle to the development of a robust corporate sector, the establishment of a functioning market economy and economic growth. The statistical and empirical comparative analysis of the factors influencing the level of shadowing of the economy of different countries confirms the fact that due to imperfect economic, social and legal reforms, many of them still have a high level of the shadow economy, including Ukraine, which negatively affects the level of its economic development. Moreover,  according to the optimistic scenario based on the developed econometric model of panel data, the positive dynamics of the gradual reduction of the level of shadow economy to 30.2% of the country's GDP in 2022 were obtained.  Despite that fact, according to more realistic assumptions, the growth of the shadow sector is somewhat probable to the level that far exceeds its current value. Accordingly, the definition of strategic directions for further reducing of shadow part of the Ukrainian economy is one of the critical tasks of its economic policy. At the same time, as statistical and empirical studies have shown, the effectiveness of the policy of deterrence should increase as a result of the implementation of elaborate measures aimed, in particular, at reducing the impact of factors that increase the level of the shadow economy in the country; increase of expenses from attraction to shadow activity and riskiness for its participants; raising public awareness about the harmful effects of shadow economy; growth of personal income and living standards of the population, etc.


2017 ◽  
Vol 56 (2) ◽  
pp. 82-90 ◽  
Author(s):  
Brigita Skela-Savič ◽  
Rhoda Macrae ◽  
Manuel Lillo-Crespo ◽  
Kevin D Rooney

Abstract Introduction There is a limited body of research in the field of healthcare improvement science (HIS). Quality improvement and ‘change making’ should become an intrinsic part of everyone’s job, every day in all parts of the healthcare system. The lack of theoretical grounding may partly explain the minimal transfer of health research into health policy. Methods This article seeks to present the development of the definition for healthcare improvement science. A consensus method approach was adopted with a two-stage Delphi process, expert panel and consensus group techniques. A total of 18 participants were involved in the expert panel and consensus group, and 153 answers were analysed as a part of the Delphi survey. Participants were researchers, educators and healthcare professionals from Scotland, Slovenia, Spain, Italy, England, Poland, and Romania. Results A high level of consensus was achieved for the broad definition in the 2nd Delphi iteration (86%). The final definition was agreed on by the consensus group: ‘Healthcare improvement science is the generation of knowledge to cultivate change and deliver person-centred care that is safe, effective, efficient, equitable and timely. It improves patient outcomes, health system performance and population health.’ Conclusions The process of developing a consensus definition revealed different understandings of healthcare improvement science between the participants. Having a shared consensus definition of healthcare improvement science is an important step forward, bringing about a common understanding in order to advance the professional education and practice of healthcare improvement science.


2020 ◽  
Vol 2020 (7) ◽  
pp. 39-47
Author(s):  
Vladimir Liferenko

The work purpose is the development of suggestions on the improvement of labor conditions for passenger car conductors. In the paper there is shown information on conductor health, diseases connected with the vibration high level impact. On the basis of the experience of CC SA “TIV” for the solution of the problem specified there are introduced suggestions on changes of the standard base regulating the fulfillment of noise metering and vibration metering test. The expediency of the changes offered is also substantiated with the potential of modern instrument-ware. The absence of the necessity for the definition of vibration indices at a motion speed up to 80 km/h is shown. A possibility to obtain objective data on vibration processes in a car during measures with the 20 km/h intervals is called into question. A regularity connecting the frequencies of dominating vibration with the speed of a car motion is determined. There are given specific recommendations on the adjustment of procedures to obtain reliable information on noise and vibration perceived by passengers and service personnel. It is emphasized that maximum noise levels arise at maximum vibration levels therefore there is drawn a conclusion on the expediency of the synchronization of these tests. On the basis of the material presented in the work the following conclusions are drawn: in the resent years are not observed improvements in conductor morbidity rates connected with the impact of vibration higher levels; on the consequences of vibration impact upon passengers it is possible to judge by a health state of conductors; the introduction of the changes offered will result also in time saving and cost decrease of test fulfillment.


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