OP107 The Stakeholder Involvement Strategy For Horizon Scanning In Korea

2018 ◽  
Vol 34 (S1) ◽  
pp. 40-40
Author(s):  
Jooyeon Park ◽  
Eunjung Park ◽  
Chaemin Shin

Introduction:As science advances the number of newly developed health technologies increases, but the lifecycles of health technologies becomes shorter. Thus, the importance of horizon scanning systems for identifying promising new health technologies and evaluating their potential impact is increasing. Engaging and collecting opinions from various stakeholders in this search process is very important. The purpose of this study was to develop a strategy for involving various stakeholders in all steps of the horizon scanning system in Korea.Methods:The horizon scanning system consists of five steps: identification, filtration, prioritization, assessment, and dissemination. We identified the stakeholders to be considered at each stage, and examined who would be involved and how. In addition, we planned how to synthesize and apply stakeholder opinions and to test the feasibility of these methods by using them in a horizon scanning system.Results:In the identification stage, developers, health professionals, and consumers suggested new and emerging health technologies to investigate. In the filtration stage, the person in charge of licensing judged the technologies based on appropriateness, innovativeness, and potential of market entry. In the prioritization phase, experts from eight to ten related fields (clinical, health technology and drugs, policy, methodology, patient organizations, etc.) participated and judged the technologies according to seven criteria (burden of disease, clinical impact, innovativeness, economic impact, acceptability, social impact, and evidence). In the assessment stage, between one and four clinical and methodological experts assessed the potential impact of the selected promising health technologies using seven evaluation items (unmet needs, improved patient health, health equity, change in medical behaviors, acceptability with respect to the patient and clinical condition, change in medical costs, and social, ethical, political, and cultural aspects). Before its dissemination, the final report was delivered to relevant industries for feedback (with particular emphasis on accuracy of data on the technology).Conclusions:There are many stakeholders in the horizon scanning system for new and emerging health technologies, depending on the healthcare system, policy, environment, etc. This study confirmed that stakeholder opinions on new technologies can vary. In addition, standards of social value judgment may change over time. It is therefore very important for horizon scanning systems to engage various stakeholders, collect their opinions, and make rational scientific decisions.

Author(s):  
Pablo Cazenave ◽  
Katina Tiñacos ◽  
Ming Gao ◽  
Richard Kania ◽  
Rick Wang

New technologies for in-ditch non-destructive evaluation were lately developed and are becoming of mainstream use in the evaluation of external corrosion features for both In-Line-Inspection performance evaluation and pipeline integrity assessment. However, doubt was cast about the reliability and repeatability of these new technologies (hardware and processing software) when compared with those used in the traditional external-corrosion in-ditch measurement and the reliability of the pipeline integrity assessment calculations (PBurst) embedded in their software when compared with industry-wide accepted calculation methods. Therefore, the primary objective of this study is to evaluate the variation and repeatability of the measurements produced by these new technologies in corrosion feature profiling and associated PBurst calculations. Two new 3D scanning systems were used for the evaluation of two pipe samples removed from service which contain complex external corrosion features in laboratory. The reliability of the 3D scanning system in measuring corrosion profiles was evaluated against traditional profile gage data. In addition, the associated burst pressures reported by the systems were compared with results obtained using industry-widely used calculation methods. Also, consistencies, errors and gaps in results were identified. In this paper, the approach used for this study is described first, the evaluation results are then presented and finally the findings and their implications are discussed.


2012 ◽  
Vol 28 (4) ◽  
pp. 452-459 ◽  
Author(s):  
Leonora Varela-Lema ◽  
Jeanette Punal-Riobóo ◽  
Beatriz Casal Acción ◽  
Alberto Ruano-Ravina ◽  
Marisa López García

Background and Objectives:Horizon scanning systems need to handle a wide range of sources to identify new or emerging health technologies. The objective of this study is to develop a validated Medline bibliographic search strategy (PubMed search engine) to systematically identify new or emerging health technologies.Methods:The proposed Medline search strategy combines free text terms commonly used in article titles to denote innovation within index terms that make reference to the specific fields of interest. Efficacy was assessed by running the search over a period of 1 year (2009) and analyzing its retrieval performance (number and characteristics). For comparison purposes, all article abstracts published during 2009 in six preselected key research journals and eight high impact surgery journals were scanned. Sensitivity was defined as the proportion of relevant new or emerging technologies published in key journals that would be identified in the search strategy within the first 2 years of publication.Results:The search yielded 6,228 abstracts of potentially new or emerging technologies. Of these, 459 were classified as new or emerging (383 truly new or emerging and 76 new indications). The scanning of 12,061 journal abstracts identified 35 relevant new or emerging technologies. Of these, twenty-nine were located within the Medline search strategy during the first 2 years of publication (sensitivity = 83 percent).Conclusions:The current search strategy, validated against key journals, has demonstrated to be effective for horizon scanning. Even though it can require adaptations depending on the scope of the horizon scanning system, it could serve to simplify and standardize scanning processes.


2019 ◽  
Vol 24 (6) ◽  
pp. 1268-1280 ◽  
Author(s):  
Michele Marangi ◽  
Jelena Ivanovic ◽  
Giuseppa Pistritto

2015 ◽  
Vol 31 (6) ◽  
pp. 380-389 ◽  
Author(s):  
Ji Yun Tark ◽  
Ji-young Jeong ◽  
Min Lee ◽  
Eunjung Park ◽  
Jooyeon Park ◽  
...  

Objectives: The aim of this study was to predict the potential impact of the introduction of implantation of polyurethane scaffold for the treatment of partial meniscal lesions in the South Korean healthcare system.Methods: The horizon scanning process was used to select a target technology and assess its potential impacts on patients and the Korean healthcare system. We identified and filtered research-phase health technologies that are not listed yet in Korean, but appear promising. After a process of prioritization, we chose the implantation of polyurethane scaffolds as a target technology. Then, through the procedures of assessment and peer review, we analyzed current evidence and its predicted potential impacts.Results: There were eight studies included in the review: one prospective cohort and seven case-series studies. Six revealed significant improvements in function and pain relief. Of the six studies, which reported safety endpoints, four stated no major postoperative complications related to scaffold, and two reported adverse events and serious adverse events such as pain, joint swelling, et cetera. We also included the potential impact of this technology based on the experts’ consultation. They all agreed that it would satisfy the diverse needs of patients and fulfill clinical needs. However, the majority of related clinical studies were based on short-term follow-up observations without any validation process involving comparison with control groups.Conclusions: Through a horizon scanning activity, we found that the implantation of polyurethane scaffolds is a promising technology to resolve articular cartilage defects; however, long-term evidence with comparison groups for safety and effectiveness is required.


2020 ◽  
Vol 36 (4) ◽  
pp. 304-310
Author(s):  
Wan Qing Wong ◽  
Liang Lin ◽  
Hong Ju ◽  
Kwong Ng

ObjectivesTo alert policy makers early about emerging health technologies that could significantly impact the healthcare system at the clinical, financial and organizational levels, the Agency for Care Effectiveness (ACE) in Singapore established a horizon scanning system (HSS) in 2019. This paper describes the development of the ACE HSS and showcases its application with cell and gene therapy products as the first example.MethodsA literature review of existing HSS methods, including the processes of the EuroScan International Network and other overseas horizon scanning agencies, was done to inform the development of our horizon scanning framework. The framework was first applied to the new and emerging cell and gene therapies.ResultsIdentification sources, filtration and prioritization criteria, and horizon scanning outputs for the HSS were developed in alignment to international best practices, with recommendations for technology uptake represented by a traffic light system. For the first horizon scanning exercise on cell and gene therapies, forty therapies passed the filtration step, of which eight were prioritized for further assessment. The few early reports developed were used to inform and prepare the healthcare system for their potential introduction, particularly in terms of the need to develop health and funding policies.ConclusionsEarly assessment of prioritized topics has provided support for strategic efforts within the Ministry of Health. Given that ACE's horizon scanning program is still in its infancy, the framework will continue to evolve to ensure relevance to our stakeholders so that it remains fit for purpose for our healthcare system.


2006 ◽  
Vol 22 (2) ◽  
pp. 177-183 ◽  
Author(s):  
Karla Douw ◽  
Hindrik Vondeling

Objectives:Uncertainty is pervasive in decision making on new health technologies; therefore, some countries have put systems in place to support decision makers with timely information. An important, but as yet undocumented, determinant of the potential value for decision making of these so-called horizon scanning systems (HSSs) is how the most significant health technologies are selected.Methods:All thirteen member organizations of EuroScan, a collaborative network for HSSs, were surveyed and interviewed on how they prioritize technologies for assessment.Results:The majority of HSSs directly serves a customer. Some customers actively request early assessments of new health technologies, thereby diminishing the need for priority setting for the HSSs. All systems express a concern to miss an important technology and/or to select an unimportant technology. Almost all HSSs use explicit selection criteria, but these criteria hardly ever are operationalized. The number of criteria used varies, but costs and health benefit of the technology are always taken into account. The process of reaching a final decision is implicit, undocumented in all but one system, and is based on agreement by consensus.Conclusions:The process of making the final decision on which technologies to assess can be improved by applying existing criteria more consistently and transparently. Current practice does not safeguard against missing an important technology. This finding is probably most important to act upon for systems with customers that do not actively request assessment of specific technologies.


2018 ◽  
Vol 10 (2) ◽  
pp. 136-151 ◽  
Author(s):  
Andy Hines ◽  
David N. Bengston ◽  
Michael J. Dockry ◽  
Adam Cowart

Managers and policy makers are continually working toward a desired future within a context of rapid and turbulent change. To be effective in this context, they must look ahead to anticipate emerging trends, issues, opportunities, and threats. Horizon scanning is a foresight method that can help managers and policy makers develop and maintain a broad and externally focused forward view to anticipate and align decisions with both emerging (near-term) and long-term futures. This article reports on the design and early stage development and implementation of a horizon scanning system established for the U.S. Forest Service (USFS), Strategic Foresight Group, and developed cooperatively with the University of Houston Foresight Program. The goal of the project is to develop an ongoing horizon scanning system as an input to developing environmental foresight: insight into future environmental challenges and opportunities, and the ability to apply that insight to prepare for a sustainable future. In addition, the horizon scanning system is supported by volunteers from within the Forest Service. By including participants from throughout the Forest Service, the project seeks to foster a culture of foresight within the organization, and eventually to develop a more forward looking organizational structure for the USFS and other natural resource management agencies. Lessons learned from the experience to date are shared as well as future challenges for keeping the horizon scanning system in good working order—current, relevant, and consistent.


2009 ◽  
Vol 25 (S2) ◽  
pp. 48-55 ◽  
Author(s):  
Claudia Wild ◽  
Sue Simpson ◽  
Karla Douw ◽  
Sabine Geiger-Gritsch ◽  
Stefan Mathis ◽  
...  

Objectives: EUnetHTA WP 7 (Strand B) aimed to promote sharing information on new and emerging technologies. The task was to develop a prototype of a newsletter and pilot the processes of production.Methods: The EuroScan database served as information source on pertinent technologies. To prioritize, a set of criteria for scoring the potential impact and for selecting the technologies for articles was applied and a pilot newsletter was produced.Results: Being objective and transparent about the content of a newsletter required a method for prioritizing health technologies. Using significance criteria, members of the prioritization panel selected twelve technologies for articles of different length and depth. Potential recipients, surveyed on relevance, content, timeliness, and readability responded mostly positive, but requested more information on cost effectiveness and criticized timeliness.Conclusions: Dissemination of an EU-wide newsletter would be feasible, but time-consuming. Although a newsletter appears to fulfill a need for information on emerging and new health technologies, it is not considered the right tool to avoid duplication of effort in the present international constellation of horizon scanning for new health technologies. Other options will be pursued as part of future collaborative actions, for example, a core set of early awareness information, or an on-demand electronic information system.


2019 ◽  
pp. 5
Author(s):  
Andy Hines ◽  
David N. Bengston ◽  
Michael J. Dockry ◽  
Adam Cowart

Author(s):  
Kelley Tipton ◽  
Jennifer De Lurio ◽  
Eileen Erinoff ◽  
Randy Hulshizer ◽  
Diane Robertson ◽  
...  

Abstract Objective The Patient-Centered Outcomes Research Institute (PCORI) horizon scanning system is an early warning system for healthcare interventions in development that could disrupt standard care. We report preliminary findings from the patient engagement process. Methods The system involves broadly scanning many resources to identify and monitor interventions up to 3 years before anticipated entry into U.S. health care. Topic profiles are written on included interventions with late-phase trial data and circulated with a structured review form for stakeholder comment to determine disruption potential. Stakeholders include patients and caregivers recruited from credible community sources. They view an orientation video, comment on topic profiles, and take a survey about their experience. Results As of March 2020, 312 monitored topics (some of which were archived) were derived from 3,500 information leads; 121 met the criteria for topic profile development and stakeholder comment. We invited fifty-four patients and caregivers to participate; thirty-nine reviewed at least one report. Their perspectives informed analyst nominations for fourteen topics in two 2019 High Potential Disruption Reports. Thirty-four patient stakeholders completed the user-experience survey. Most agreed (68 percent) or somewhat agreed (26 percent) that they were confident they could provide useful comments. Ninety-four percent would recommend others to participate. Conclusions The system has successfully engaged patients and caregivers, who contributed unique and important perspectives that informed the selection of topics deemed to have high potential to disrupt clinical care. Most participants would recommend others to participate in this process. More research is needed to inform optimal patient and caregiver stakeholder recruitment and engagement methods and reduce barriers to participation.


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