journal

International Journal of Technology Assessment in Health Care

journal
https://read.qxmd.com/read/32419677/cost-effectiveness-evaluation-for-pricing-medicines-and-devices-a-new-value-based-price-adjustment-system-in-japan
#1
Takeru Shiroiwa
OBJECTIVES: In Japan, a new cost-effectiveness evaluation system for medicine and medical device pricing was employed in April 2019 after a trial implementation. This study describes the discussions held from April 2016 to March 2019 concerning the newly introduced system. METHODS: Using published government documents, discussions with stakeholders, and the minutes of the Chuikyo committee meetings, the following issues are addressed: (i) the results of the trial implementation and (ii) an overview of the newly introduced system...
May 18, 2020: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/32419676/development-of-a-health-technology-assessment-module-for-evaluating-mobile-medical-applications
#2
Magdalena Ruth Moshi, Rebecca Tooher, Tracy Merlin
OBJECTIVE: The aim of this study was to develop a module which could be used to facilitate the assessment of mobile medical applications (MMA) for regulatory and reimbursement purposes. METHODS: In-depth interviews were conducted with policymakers, healthcare practitioners, and application developers to determine possible pathways and impediments to MMA reimbursement. These findings were integrated with our previous research on MMA reimbursement and regulation to create a module that could be used with existing health technology assessment (HTA) methodological frameworks to guide the evaluation of MMAs...
May 18, 2020: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/32404223/evaluating-options-for-decision-making-on-costly-hospital-drugs-in-austria
#3
Sarah Wolf, Ingrid Zechmeister-Koss, Nicole Grössmann, Claudia Wild
OBJECTIVES: The aim of this study was to suggest options for a national and standardized process for the reimbursement of costly drugs provided in Austrian hospitals. METHODS: For answering the research questions, reimbursement processes of ten countries were investigated and the strengths and weaknesses of elaborated options of actions were analyzed, resulting in suggestions for solutions in the Austrian reimbursement processes for hospital drugs. RESULTS: Based on the information derived from the international analysis and the deliberation of the strengths and weaknesses on optional approaches, as well as, on the consideration of the existing reimbursement processes in Austria, three options to reorganize the current decentralized inpatient reimbursement process in Austria were suggested...
May 14, 2020: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/32398176/the-new-definition-of-health-technology-assessment-a-milestone-in-international-collaboration
#4
Brian O'Rourke, Wija Oortwijn, Tara Schuller
BACKGROUND: An international joint task group co-led by the International Network of Agencies for Health Technology Assessment (INAHTA) and Health Technology Assessment International (HTAi) has developed a new and internationally accepted definition of HTA. METHODS: The task group, consisting of representatives of leading HTA networks, societies and global organizations, developed guiding principles for the process and followed an established consultation plan with the broader HTA community to develop the definition...
May 13, 2020: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/32389130/sustainability-of-healthcare-systems-in-asia-exploring-the-roles-of-horizon-scanning-and-reassessment-in-the-health-technology-assessment-landscape
#5
Linda Mundy, Rebecca Trowman, Brendon Kearney
OBJECTIVES: The 2019 Health Technology Assessment International (HTAi) Asia Policy Forum (HAPF) discussed the role of horizon scanning (HS) and health technology reassessment (HTR) in supporting sustainable healthcare in Asia. METHODS: Discussions and presentations at the 2019 HAPF, informed by a literature review, results of a premeeting survey, and case studies of HTA agencies from the region form the basis of this paper. RESULTS: Five of the fourteen HTA agencies surveyed have established or are developing HS systems (HSSs), and six reported some experience with HTR...
May 11, 2020: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/32383420/evaluation-of-the-impact-of-patient-involvement-in-health-technology-assessments-a-scoping-review
#6
Robert J Mason, Karlee M Searle, Yvonne Bombard, Amanda Rahmadian, Alexandra Chambers, Helen Mai, Marjorie Morrison, Kelvin K W Chan, Katarzyna J Jerzak
OBJECTIVES: While involving patients in health technology assessment (HTA) has become increasingly common and important around the world, little is known about the optimal methods of evaluating patients' involvement (PI) in HTA. This scoping review was undertaken to provide an overview of currently available methods for the evaluation of PI, specifically the impact of PI on HTA recommendations. METHODS: A literature search was conducted using nine databases as well as a grey literature search of the websites of 26 organizations related to the conduct, practice or research of HTA to identify articles, reports and abstracts related to the evaluation of PI impact in HTA...
May 8, 2020: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/32375904/exploration-of-the-visibility-of-patient-input-in-final-recommendation-documentation-for-three-health-technology-assessment-bodies
#7
Janet L Wale, Melissa Sullivan
Health technology assessment (HTA) recommendations informed by patient concerns are seen to ensure democracy and legitimacy. We explored how written and oral patient involvement in two HTAs was reported on in publicly available final recommendations and discussion summaries of appraisal committees from three HTA bodies. We aimed to gain insights into how patient input was utilized by appraisal committees to better understand the goals of patient involvement and how these are being achieved. In each of the three HTA bodies, templated submission questionnaires provide a formal process for seeking written patient group input...
May 7, 2020: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/32340647/physicians-perception-toward-non-invasive-prenatal-testing-through-the-eye-of-the-rogers-diffusion-of-innovation-theory-in-china
#8
Yan Wei, Lizheng Shi, Jian Ming, Luyang He, Yan Xu, Yingyao Chen
OBJECTIVE: Physicians' attitudes and adoption behavior toward the delivery of prenatal tests take vital significance for its influence on their professional practice and patient acceptance. This study aimed to identify how physicians have perceived the diffusion of non-invasive prenatal testing (NIPT) in China. METHODS: A cross-sectional study was conducted from July 2016 to October 2016 in Shanghai, and Fujian and Sichuan Provinces in China. Physicians working on prenatal screening completed a self-report questionnaire...
April 28, 2020: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/32340631/using-qalys-versus-dalys-to-measure-cost-effectiveness-how-much-does-it-matter
#9
Xue Feng, David D Kim, Joshua T Cohen, Peter J Neumann, Daniel A Ollendorf
OBJECTIVES: Quality-adjusted life-years (QALYs) and disability-adjusted life-years (DALYs) are commonly used in cost-effectiveness analysis (CEA) to measure health benefits. We sought to quantify and explain differences between QALY- and DALY-based cost-effectiveness ratios, and explore whether using one versus the other would materially affect conclusions about an intervention's cost-effectiveness. METHODS: We identified CEAs using both QALYs and DALYs from the Tufts Medical Center CEA Registry and Global Health CEA Registry, with a supplemental search to ensure comprehensive literature coverage...
April 28, 2020: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/32317039/the-fourth-edition-of-the-european-network-for-health-technology-assessment-forum-highlights-and-outcomes
#10
Giovanni Tafuri, Chantal Bélorgey, Carlo Favaretti, Edith Frénoy, Flora Giorgio, Marcus Guardian, Ansgar Hebborn, François Houÿez, Jessica Imbert, Denis Lacombe, Jordi Llinares Garcia, Zoe Garrett, Elena Petelos, Ingvil Saeterdal, Ad Schuurman, Anna Lefevre Skjöldebrand, Valentina Strammiello, Daniel Widmer, Anne Willemsen, Niklas Hedberg
The European Network for Health Technology Assessment (EUnetHTA) organizes an annual Forum with stakeholders to receive feedback on its activities, processes, and outputs produced. The fourth edition of the EUnetHTA Forum brought together representatives of HTA bodies, patient organizations, healthcare professionals (HCPs), academia, payers, regulators, and industry. The aim of this paper is to provide an overview of the highlights presented at the 2019 EUnetHTA Forum, reporting the main items and themes discussed in the plenary panel and breakout sessions...
April 22, 2020: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/32317032/-v%C3%A3-nculo-entre-la-evaluaci%C3%A3-n-de-tecnolog%C3%A3-as-sanitarias-y-la-toma-de-decisi%C3%A3-n-para-la-asignaci%C3%A3-n-de-recursos-sanitarios-en-latino-am%C3%A3-rica
#11
Andrés Pichon-Riviere, Federico Augustovski, Sebastián García Martí, Verónica Alfie, Laura Sampietro-Colom
OBJETIVOS: Un vínculo claro entre la evaluación y la toma de decisión constituye un principio de buena práctica en evaluación de tecnologías sanitarias (ETESA) reconocido a nivel internacional. El objetivo del Foro de Políticas en Latino-América (LatamPF) 2019 de Health Technology Assessment International fue explorar los diferentes modelos que vinculan la ETESA y la toma de decisión y discutir su potencial aplicabilidad en Latino-América. MÉTODOS: Este manuscrito está basado en un documento base y en el trabajo deliberativo realizado por los miembros (54 participantes, 12 países) que asistieron al LatamPF, a través de la metodología design thinking...
April 22, 2020: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/32312345/myocardial-infarction-economic-health-and-social-impacts-on-informal-caregivers
#12
Hugo Rabier, Hassan Serrier, Anne-Marie Schott, Nathan Mewton, Jennifer Margier, Marine Barral, Jessica Dalaudiere, Asma Fares, Gwen Grguric, Pascale Guerre, Christell Julien, Marie Viprey, Michel Ovize, Norbert Nighoghossian, Antoine Duclos, Cyrille Colin
OBJECTIVES: The aim of the study was to measure the economic impact of informal care (IC) on caregivers assisting myocardial infarction (MI) survivors in France. Health and social impacts were also described. METHODS: Data from the prospective 2008 Health and Disabilities Households Survey (Enquête Handicap-Santé), carried out among the French general population, were used to obtain information about patients with MI and their informal caregivers. To estimate the approximate monetary value of IC, three methods were used: the proxy good method, opportunity cost method (OCM), and contingent valuation method (CVM)...
April 21, 2020: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/32312340/the-link-between-health-technology-assessment-and-decision-making-for-the-allocation-of-health-resources-in-latin-america
#13
Andrés Pichon-Riviere, Federico Augustovski, Sebastián García Martí, Verónica Alfie, Laura Sampietro-Colom
OBJECTIVE: One of the good practice principles for health technology assessment (HTA) is having a clear link between the assessment and decision making. The objective of the 2019 Latin American Policy Forum (LatamPF) of Health Technology Assessment International was to explore different models of connection between HTA and decision making and to discuss the potential applicability of such models in Latin America. METHODS: This paper is based on a background document and the deliberations of the members of the LatamPF (fifty-four participants from twelve countries) where a design-thinking methodology was used...
April 21, 2020: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/32312339/the-learning-curve-in-transcatheter-aortic-valve-implantation-clinical-studies-a-systematic-review
#14
Anne-Pauline Thivilliers, Rémi Ladarré, Océane Merabti, Caroline François, Sarah Fontenay, Hélène van den Brink, Judith Pineau, Patrice Prognon, Isabelle Borget, Nicolas Martelli
BACKGROUND: Transcatheter aortic-valve implantation (TAVI) has become an essential alternative to surgical aortic-valve replacement in the treatment of symptomatic severe aortic stenosis, and this procedure requires technical expertise. The aim of this study was to identify prospective studies on TAVI from the past 10 years, and then to analyze the quality of information reported about the learning curve. MATERIALS AND METHODS: A systematic review of articles published between 2007 and 2017 was performed using PubMed and the EMBASE database...
April 21, 2020: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/32297588/health-technology-assessment-frameworks-for-ehealth-a-systematic-review
#15
Christiaan Vis, Leah Bührmann, Heleen Riper, Hans C Ossebaard
OBJECTIVES: Traditionally, health technology assessment (HTA) focuses on assessing the impact of pharmaceutical technologies on health and care. Resources are scarce and policy makers aim to achieve effective, accessible health care. eHealth innovations are increasingly more integrated in all healthcare domains. However, how eHealth is assessed prior to its implementation in care practices is unclear. To support evidence-informed policy making, this study aimed to identify frameworks and methods for assessing eHealth's impact on health care...
April 16, 2020: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/32160939/burning-issues-in-health-technology-assessment-and-policy-making-what-s-keeping-senior-health-technology-assessment-users-and-producers-up-at-night
#16
Rebecca Trowman, Daniel A Ollendorf, Laura Sampietro-Colom
A key working session, held as part of the Health Technology Assessment international (HTAi) Global Policy Forum meeting asks members to share "What's Keeping Me Up At Night." Members-senior thought leaders from health technology assessment (HTA) agencies, payer organizations, industry, and the HTAi Board-share without fear or favor the thorny issues related to HTA that are challenging them now or likely to do so in the near future. This article contains a reflection on the discussions at this session over the last 2 years and focuses on the recurrent and repeated themes: internal and external stakeholder involvement in HTA processes; globalization of HTA and the future of HTA (namely innovative technologies, tide of data and the "war for talent")...
March 12, 2020: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/32151291/home-based-telerehabilitation-software-systems-for-remote-supervising-a-systematic-review
#17
Mohammad Hosseiniravandi, Amir H Kahlaee, Hesam Karim, Leila Ghamkhar, Reza Safdari
OBJECTIVES: In the past decade, with the ever-increasing growth of information and communication technologies, telerehabilitation, especially home-based rehabilitation (HBR), has been widely considered by researchers. Many software systems are developed to address HBR programs, which includes various functionalities. The aim of this study is to review the functional features of these systems designed for remote supervising of HBR programs. METHODS: Scopus, PubMed, EMBASE, ISI Web of Science, Cochrane Library, IEEE Xplore Digital Library, and ProQuest databases were searched for English-language articles published between January 2008 and February 2018 to retrieve studies reported an home-based telerehabilitation software system aiming to remotely supervise HBR program...
March 10, 2020: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/32151290/defining-the-role-of-the-public-in-health-technology-assessment-hta-and-hta-informed-decision-making-processes
#18
Jackie Street, Tania Stafinski, Edilene Lopes, Devidas Menon
OBJECTIVES: The terminology used to describe community participation in Health Technology Assessment (HTA) is contested and frequently confusing. The terms patients, consumers, public, lay members, customers, users, citizens, and others have been variously used, sometimes interchangeably. Clarity in the use of terms and goals for including the different groups is needed to mitigate existing inconsistencies in the application of patient and public involvement (PPI) across HTA processes around the world...
March 10, 2020: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/32114996/angiotensin-ii-for-the-treatment-of-distributive-shock-in-the-intensive-care-unit-a-us-cost-effectiveness-analysis
#19
Laurence W Busse, Gina Nicholson, Robert J Nordyke, Cho-Han Lee, Feng Zeng, Timothy E Albertson
BACKGROUND: Patients with distributive shock who are unresponsive to traditional vasopressors are commonly considered to have severe distributive shock and are at high mortality risk. Here, we assess the cost-effectiveness of adding angiotensin II to the standard of care (SOC) for severe distributive shock in the US critical care setting from a US payer perspective. METHODS: Short-term mortality outcomes were based on 28-day survival rates from the ATHOS-3 study...
March 2, 2020: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/32114993/efficiency-of-telemedicine-for-acute-stroke-a-cost-effectiveness-analysis-from-a-french-pilot-study
#20
Laure Wallut, Christine Peyron, Marie Hervieu-Bègue, Guy-Victor Osseby, Maurice Giroud, Nicolas Legris, Catherine Quantin, Yannick Béjot, Catherine Lejeune
OBJECTIVES: Telestroke is an effective way to improve care and health outcomes for stroke patients. This study evaluates the cost-effectiveness of a French telestroke network. METHODS: A decision analysis model was built using population-based data. We compared short-term clinical outcomes and costs for the management of acute ischemic stroke patients before and after the implementation of a telestroke network from the point of view of the national health insurance system...
March 2, 2020: International Journal of Technology Assessment in Health Care
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