The Iterative Use of Economic Evaluation as Part of the Process of Health Technology Assessment

1997 ◽  
Vol 2 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Mark Sculpher ◽  
Michael Drummond ◽  
Martin Buxton
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Economic Evaluation ◽  
Health Technology Assessment ◽  
Technology Assessment ◽  
Stage Iv ◽  
Health Technology ◽  
Routine Clinical Practice ◽  
Assessment Process ◽  
Health Technology Assessment Process

The Economic evaluation of health care technologies has a key role within the new National Health Service health technology assessment process. There has, however, been little discussion of the best way of combining economic and clinical research. Economic evaluation should be iterative, generating progressively firmer estimates of cost-effectiveness and helping to maximise the efficiency of health care R&D. Here, four stages of economic analysis are suggested, starting with stage I when the basic clinical science is complete, and finishing with stage IV analysis to generalise the results of earlier studies to routine clinical practice.

VP47 Health Technology Assessment Of Intensive Care Ventilators For Pediatric Patients

2017 ◽  
Vol 33 (S1) ◽  
pp. 168-169
Author(s):  
Francesco Faggiano ◽  
Martina Andellini ◽  
Federico Nocchi ◽  
Carlo Capussotto ◽  
Francesca Sabusco ◽  
...  
Keyword(s):  
Intensive Care ◽  
Economic Evaluation ◽  
Health Technology Assessment ◽  
Technology Assessment ◽  
Scientific Evidence ◽  
Clinical Effectiveness ◽  
Health Technology ◽  
Assessment Process ◽  
Context Analysis ◽  
Analytic Hierarchy

INTRODUCTION:The purpose of the study was to evaluate different type and manufacturers of intensive care ventilators in order to support the healthcare decision-making process about the choice to adopt the best available technology for ventilation of pediatric patient in intensive care units at Bambino Gesù Children's Hospital.METHODS:The technology assessment process was developed by using a new methodology, the Decision-oriented Health Technology Assessment (HTA) (DoHTA), a new implementation of the European Network for Health Technology Assessment (EUnetHTA) CoreModel, integrating the Analytic Hierarchy Process (1). A literature review was carried out to gather evidence on safety and overall effectiveness of different kind of intensive care ventilators, with several ventilation modalities and strategies. The synthesis of scientific evidence, and results of the specific context analysis resulted in the definition of components of the decisional hierarchy structure, consisting in detailed characteristics of the technology's performances covering the aspects on feasibility, safety, efficacy, costs, and organizational and technical characteristics of the technology. A subgroup of these indicators has been included in a checklist form for the evaluation of different type and manufacturers of intensive care ventilators, each of which was tested in three independent runs performed in three different departments. In addition, an economic evaluation was also carried out.RESULTS:Preliminary DoHTA results showed that the domains with the highest impacts within the evaluation are safety and clinical effectiveness (34.8 percent and 25.7 percent, respectively) followed by organizational aspects, technical characteristics of technology and costs and economic evaluation. The final objective is to define the alternatives’ ranking through a comparison between alternative technologies’ performances.CONCLUSIONS:The technology assessment project allowed to identify strengths and limits of the most recent intensive care ventilator’ models in the specific contexts of use by involving all health professionals interested, and eventually identify the best option for the hospital.

scholarly journals ASSESSING THE IMPACTS OF CITIZEN DELIBERATIONS ON THE HEALTH TECHNOLOGY PROCESS – ERRATUM

2013 ◽  
Vol 29 (4) ◽  
pp. 466-466
Author(s):  
J. Abelson ◽  
Y. Bombard ◽  
F. Gauvin ◽  
D. Simeonov ◽  
S. Boesveld
Keyword(s):  
Health Technology Assessment ◽  
Technology Assessment ◽  
Health Technology ◽  
Assessment Process ◽  
Original Publication ◽  
Technology Process ◽  
Health Technology Assessment Process

In the original publication of ‘Assessing the Impacts of Citizen Deliberations on the Health Technology Process’ the title was published incorrectly. The correct title should be: Assessing the Impacts of Citizen Deliberations on the Health Technology Assessment Process. The publisher regrets this error.

OP484 Analysis Of Horizon Scanning Outputs For The National Institute for Health and Care Excellence Health Technology Assessment Process

2020 ◽  
Vol 36 (S1) ◽  
pp. 10-11
Author(s):  
Sarah Khalid Khan ◽  
Sonia Garcia Gonzalez Moral ◽  
Dapo Ogunbayo ◽  
Dawn Craig
Keyword(s):  
Health Technology Assessment ◽  
Technology Assessment ◽  
Influencing Factor ◽  
Health Technology ◽  
Assessment Process ◽  
The European Union ◽  
Time Duration ◽  
Horizon Scanning ◽  
Time Period ◽  
Health Technology Assessment Process

IntroductionThe National Institute for Health Research (NIHR) Innovation Observatory (NIHRIO) is the national Horizon Scanning (HS) organization in England, and the National Institute for Health and Care Excellence (NICE) is its key health technology assessment (HTA) stakeholder. NIHRIO has a remit to notify NICE of innovative technologies with a time horizon of three years prior to regulatory approval in the European Union (EU)/United Kingdom (UK). The notification process produces an initial ‘filtration form’ followed by a ‘technology briefing’ produced 17–20 months prior to licence for those technologies that NICE will consider for appraisal. Since April 2017, NIHRIO has produced ~400 technology briefings. We present an analysis of how this has fed into the NICE HTA process so far.MethodsThe analysis mapped NIHRIO's technology briefings (April 2017 – June 2020) with relevant NICE technology appraisal/highly specialized technologies (TA/HST) guidance during the time period. The analysis followed the timeline of technologies from identification during the horizon scanning process to filtration to briefing submission to NICE and entering the TA/HST process to outcome/recommendation given by NICE.ResultsUntil June 2020, 496 technology briefings entered the NICE TA/HST scoping process. Forty per cent are in progress, four per cent have had a TA/HST recommendation and three per cent that entered the NICE TA/HST scoping process did not complete it. On average it took less time from briefing submission to NICE recommendation for cancer indications. The time from discovery to NICE recommendation ranged from 115 months to 22 months.ConclusionsHS for TA/HST is a lengthy process from identification to final recommendation and there is considerable variation in time duration from identification to briefing submission to NICE recommendation. Average time taken from briefing submission to NICE recommendation is shorter for cancer indications and repurposed medicines. A full TA/HST may not be recommended for all technology briefings, rather they may update existing guidance or find different routes of evaluation. Technologies that enter the TA/HST scoping process might be terminated, suspended or discontinued for several reasons which may include lack of company engagement, change in development or regulatory plans by the company. Timely notification is key in achieving TA/HST recommendation at the time of market authorization but not the only influencing factor.

Health technology assessment process of a cardiovascular medical device in four different settings

2017 ◽  
Vol 6 (7) ◽  
pp. 591-600
Author(s):  
Antonio Olry de Labry Lima ◽  
Jaime Espín Balbino ◽  
Alexandre Lemgruber ◽  
Araceli Caro Martínez ◽  
Leticia García-Mochón ◽  
...  
Keyword(s):  
Health Technology Assessment ◽  
Medical Device ◽  
Technology Assessment ◽  
Health Technology ◽  
Assessment Process ◽  
Health Technology Assessment Process

The WellPoint Outcomes Based FormularySM: enhancing the health technology assessment process

2005 ◽  
Vol 8 (1-4) ◽  
pp. 13-25 ◽  
Author(s):  
Brian Sweet ◽  
Celynda G Tadlock ◽  
William Waugh ◽  
Andrea Hess ◽  
Ann Nguyen
Keyword(s):  
Health Technology Assessment ◽  
Technology Assessment ◽  
Health Technology ◽  
Assessment Process ◽  
Health Technology Assessment Process
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