Theory and practice of the Health Technology Assessment in countries with a predominant public health service

IntroductionDecision making regarding national population-based prenatal and newborn screening policies is recognized to be highly challenging. This paper aims to describe the formalized collaboration that has been established between the Spanish National Public Health Screening Advisory Committee (PHSAC) and the Spanish Network of Health Technology Assessment (HTA) agencies to support the development of evidence- and consensus-based recommendations to support this process.MethodsIn-depth description and analysis of the strategic and methodological processes that have been implemented within the Spanish National Health System prenatal and newborn screening frameworks, with special emphasis on the role, actions, and responsibilities of HTA agencies.ResultsThe role of HTA agencies is threefold: (i) support the PHSAC by providing evidence on safety, effectiveness and cost/effectiveness of the screening tests/strategies, as well as contextualized information regarding costs, organizational, social, legal and ethical issues; (ii) collaborate with the PHSAC in the development of formal evidence- and consensus-based recommendations for defining population screening programs, when required; (iii) analyze real-world data that is generated by piloted programs. This paper will provide real-life examples of how these processes were implemented in practice, with a special focus on the development of the non-invasive prenatal testing (NIPT) policy. Recommendations for NIPT were developed by a multidisciplinary group based on the European network for Health Technology Assessment (EUnetHTA) rapid assessment report and the predictive models that were built using national statistics and other contextualized data.ConclusionsThe current work represents an innovative approach for prenatal and newborn screening policymaking, which are commonly difficult to evaluate due to the low quality of evidence and the confounding public health issues. The paper raises awareness regarding the importance of joint collaborations in areas where evidence is commonly insufficient for decision making.

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INTRODUCTION: HEALTH TECHNOLOGY ASSESSMENT AND THE EUROPEAN UNION

International Journal of Technology Assessment in Health Care ◽

10.1017/s0266462300101011 ◽

2000 ◽

Vol 16 (2) ◽

pp. 299-302 ◽

Cited By ~ 28

Author(s):

David Banta ◽

Wija Oortwijn

Keyword(s):

Public Health ◽

Decision Making ◽

European Union ◽

Health Technology Assessment ◽

European Commission ◽

Technology Assessment ◽

Health Technology ◽

The European Union ◽

European Level

Health technology assessment (HTA) has become increasingly important in the European Union as an aid to decision making. As agencies and programs have been established, there is increasing attention to coordination of HTA at the European level, especially considering the growing role of the European Union in public health in Europe. This series of papers describes and analyzes the situation with regard to HTA in the 15 members of the European Union, plus Switzerland. The final paper draws some conclusions, especially concerning the future involvement of the European Commission in HTA.

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Evaluations of Public Health Interventions produced by Health Technology Assessment Agencies: A mapping review and analysis by type and evidence content

Health Policy ◽

10.1016/j.healthpol.2021.05.009 ◽

2021 ◽

Author(s):

Pascale Renée Cyr ◽

Vageesh Jain ◽

Kalipso Chalkidou ◽

Trygve Ottersen ◽

Unni Gopinathan

Keyword(s):

Public Health ◽

Health Technology Assessment ◽

Technology Assessment ◽

Health Technology ◽

Health Interventions ◽

Public Health Interventions ◽

Mapping Review

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Improvement of the health technology management process of the public Health Service in Morelos using the Six Sigma methodology

2010 Annual International Conference of the IEEE Engineering in Medicine and Biology ◽

10.1109/iembs.2010.5627370 ◽

2010 ◽

Cited By ~ 2

Author(s):

A Becerril-Alquicira ◽

M R Ortiz-Posadas

Keyword(s):

Public Health ◽

Health Service ◽

Technology Management ◽

Six Sigma ◽

Public Health Service ◽

Health Technology ◽

Management Process ◽

The Public ◽

Six Sigma Methodology ◽

Health Technology Management

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OP123 Health Technology Assessment In Digital Health: A Rapid Approach To Assess Health Apps

International Journal of Technology Assessment in Health Care ◽

10.1017/s0266462317001842 ◽

2017 ◽

Vol 33 (S1) ◽

pp. 56-56

Author(s):

Bernice Dillon ◽

John Powell ◽

Mark Campbell ◽

Mark Salmon ◽

Mirella Marlow

Keyword(s):

Health Service ◽

Cost Saving ◽

Health Technology Assessment ◽

Economic Impact ◽

Technology Assessment ◽

Real World ◽

Rapid Assessment ◽

Health Technology ◽

Health Apps ◽

Evidence Summary

INTRODUCTION:The Health Technology Assessment (HTA) of mobile health applications involves significant challenges including rapid product development cycles, sparse evidence and uncertainty over the economic impact. However apps also provide unique opportunities, such as their potential reach and use of real-world data, which will facilitate their contribution to healthcare delivery. The National Institute for Health and Care Excellence (NICE), alongside other agencies, has been piloting the development of a health app assessment programme. This presentation reports the results of a study about the development of the Health App Briefing (HAB) which is designed as the output from a rapid assessment of the effectiveness and cost-saving potential of apps to inform decision makers in the United Kingdom National Health Service.METHODS:The HAB is built on the success of the NICE Medtech Innovation Briefings programme because many of the HTA challenges are similar to those found with medical devices. HAB development is grounded in four principles: rapid assessment; transparent process; independence from industry or the health service and input from commentators. The content includes an evidence summary for effectiveness including comments from specialist experts and users; a summary of information relating to the cost saving potential and a summary of other user benefits (including issues of access and usability). Novel features are the presentation of a rating of the potential value of the app to the health system and working with commissioners of the app to obtain real-world information for a case study about the economic impact.RESULTS:The development of four HABs along with a review of the learning from the piloting process will be presented. The review will include stakeholder feedback from a workshop.CONCLUSIONS:We believe the evaluation of this work presented here will be of interest to other HTA agencies around the world that are deciding how to approach the issues surrounding the assessment of health apps.

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1.K. Regular workshop: Fighting cardiovascular diseases: the contribution of EUPHA Sections to an evidence-based approachOrganised by: EUPHA Sections on Health Technology Assessment, Public Health Economics, Public Health Epidemiology, Food and Nutrition, Health Promotion

European Journal of Public Health ◽

10.1093/eurpub/ckv167.042 ◽

2015 ◽

Keyword(s):

Public Health ◽

Health Promotion ◽

Cardiovascular Diseases ◽

Health Economics ◽

Health Technology Assessment ◽

Technology Assessment ◽

Health Technology ◽

Evidence Based ◽

Food And Nutrition ◽

Public Health Epidemiology

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Mobile technology to give a resource-based knowledge management advantage to community health nurses in an emerging economies context

Journal of Knowledge Management ◽

10.1108/jkm-01-2020-0018 ◽

2020 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Judith Fletcher-Brown ◽

Diane Carter ◽

Vijay Pereira ◽

Rajesh Chandwani

Keyword(s):

Public Health ◽

Breast Cancer ◽

Health Care ◽

Knowledge Management ◽

Health Service ◽

Emerging Economies ◽

Public Health Service ◽

Health Technology ◽

Content Type ◽

Knowledge Resource

Purpose Knowledge is a key success factor in achieving competitive advantage. The purpose of this paper is to examine how mobile health technology facilitates knowledge management (KM) practices to enhance a public health service in an emerging economies context. Specifically, the acceptance of a knowledge-resource application by community health workers (CHWs) to deliver breast cancer health care in India, where resources are depleted, is explored. Design/methodology/approach Fieldwork activity conducted 20 semi-structured interviews with frontline CHWs, which were analysed using an interpretive inductive approach. Findings The application generates knowledge as a resource that signals quality health care and yields a positive reputation for the public health service. The CHW’s acceptance of technology enables knowledge generation and knowledge capture. The design facilitates knowledge codification and knowledge transfer of breast cancer information to standardise quality patient care. Practical implications KM insights are provided for the implementation of mobile health technology for frontline health-care professionals in an emerging economies context. The knowledge-resource application can deliver breast cancer care, in localised areas with the potential for wider contexts. The outcomes are valuable for policymakers, health service managers and KM practitioners in an emerging economies context. Social implications The legacy of the mobile heath technology is the normalisation of breast cancer discourse and the technical up-skilling of CHWs. Originality/value First, this paper contributes three propositions to KM scholarship, in a public health care, emerging economies context. Second, via an interdisciplinary theoretical lens (signalling theory and technology acceptance model), this paper offers a novel conceptualisation to illustrate how a knowledge-resource application can shape an organisation’s KM to form a resource-based competitive advantage.

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