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HTA 101 INTRODUCTION TO HEALTH TECHNOLOGY ASSESSMENT

Published on Jan 1, 2004
Clifford S. Goodman1
Estimated H-index: 1
,
Falls Church1
Estimated H-index: 1
Abstract
  • References (290)
  • Citations (97)
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1 Author (David Banta)
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2004
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References290
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#1Gordon H. GuyattH-Index: 201
#2Drummond RennieH-Index: 61
Medical practice is constantly changing. The rate of change is accelerating, and physicians can be forgiven if they often find it dizzying. How can physicians learn about new information and innovations, and decide how (if at all) they should modify their practice? Possible sources include summaries from the medical literature (review articles, practice guidelines, consensus statements, editorials, and summary articles in "throwaway" journals); consultation with colleagues who have special exper...
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#1Kevin J. BozicH-Index: 55
#2Read G. Pierce (UCSF: University of California, San Francisco)H-Index: 6
Last. James H. HerndonH-Index: 43
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Health care technology (defined as all drugs, devices, and medical and surgical procedures used in medical care as well as the organizational and supportive systems within which such care is provided) is widely regarded as an important driver of escalating health care spending in the United States. Many new health care technologies are adopted and used in clinical practice with little or no evidence that their use is associated with improved patient outcomes. Orthopaedic surgeons are facing incr...
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#1Sean R. Tunis (AHRQ: Agency for Healthcare Research and Quality)H-Index: 1
#2Daniel StryerH-Index: 11
Last. Carolyn M. ClancyH-Index: 38
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Decision makers in health care are increasingly interested in using highquality scientific evidence to support clinical and health policy choices; however, the quality of available scientific evidence is often found to be inadequate. Reliable evidence is essential to improve health care quality and to support efficient use of limited resources. The widespread gaps in evidencebased knowledge suggest that systematic flaws exist in the production of scientific evidence, in part because there is no ...
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#1T.B. FergusonH-Index: 1
#2Eric D. PetersonH-Index: 19
Last. Laura P. CoombsH-Index: 18
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IN 1917 ERNEST CODMAN, MD, A Massachusetts surgeon, described his view of a quality evaluation system for medicine, in which clinicians assessed outcomes and the processes that led to those outcomes. The modern iteration of Codman’s quality system for medicine is continuous quality improvement (CQI). Adapted from industrial manufacturing principles in Japan and the United States, CQI in medicine is the repetitive cycle of process and outcomes measurement, design and implementation of interventio...
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A thin film formation apparatus for forming a thin film on a substrate is provided, which comprises: a reaction chamber; a gas introduction section for introducing a reactant gas into the reaction chamber; an evacuation section for exhausting the reactant gas from the reaction chamber; first and second planar electrodes provided in the reaction chamber; first and second support members which respectively support the first and second electrodes in parallel relation; a high frequency power source ...
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#1Elizabeth A. McGlynn (AN: RAND Corporation)H-Index: 51
#2Steven M. Asch (UCLA: University of California, Los Angeles)H-Index: 64
Last. Eve A. KerrH-Index: 18
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background We have little systematic information about the extent to which standard processes involved in health care — a key element of quality — are delivered in the United States. methods We telephoned a random sample of adults living in 12 metropolitan areas in the United States and asked them about selected health care experiences. We also received written consent to copy their medical records for the most recent two-year period and used this information to evaluate performance on 439 indic...
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#1Jacob Lalezari (UCSF: University of California, San Francisco)H-Index: 43
#2Keith Henry (HCMC: Hennepin County Medical Center)H-Index: 23
Last. Miklos Salgo (Hoffmann-La Roche)H-Index: 25
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Background The T-20 vs. Optimized Regimen Only Study 1 (TORO 1) was a randomized, open-label, phase 3 study of enfuvirtide (T-20), a human immunodeficiency virus type 1 (HIV-1) fusion inhibitor. Methods Patients from 48 sites in the United States, Canada, Mexico, and Brazil with at least six months of previous treatment with agents in three classes of antiretroviral drugs, resistance to drugs in these classes, or both, and with at least 5000 copies of HIV-1 RNA per milliliter of plasma were rand...
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#1Alfred P. Fishman (UPenn: University of Pennsylvania)H-Index: 48
#2Fernando J. Martinez (UM: University of Michigan)H-Index: 111
Last. Douglas E. Wood (UW: University of Washington)H-Index: 43
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#1Scott D. Ramsey (Fred Hutchinson Cancer Research Center)H-Index: 60
#2Kristin Berry (Fred Hutchinson Cancer Research Center)H-Index: 19
Last. Douglas E. Wood (UW: University of Washington)H-Index: 43
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BACKGROUND: The National Emphysema Treatment Trial, a randomized clinical trial comparing lung-volume-reduction surgery with medical therapy for severe emphysema, included a prospective economic analysis. METHODS: After pulmonary rehabilitation, 1218 patients at 17 medical centers were randomly assigned to lung-volume-reduction surgery or continued medical treatment. Costs for the use of medical care, medications, transportation, and time spent receiving treatment were derived from Medicare clai...
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#1G. Andrew D. Briggs (University of Oxford)H-Index: 86
#2Taane G. Clark (University of Oxford)H-Index: 57
Last. Philip Clarke (University of Oxford)H-Index: 35
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When collecting patient-level resource use data for statistical analysis, for some patients and in some categories of resource use, the required count will not be observed. Although this problem must arise in most reported economic evaluations containing patient-level data, it is rare for authors to detail how the problem was overcome. Statistical packages may default to handling missing data through a so-called 'complete case analysis', while some recent cost-analyses have appeared to favour an...
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#1Cristina Rais (ELTE: Eötvös Loránd University)
#2Zoltán Kaló (ELTE: Eötvös Loránd University)H-Index: 18
Last. Vlad Negulescu (UMFCD: Carol Davila University of Medicine and Pharmacy)
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Abstract Health Technology Assessment (HTA) is a complex methodology increasingly used worldwide to make transparent and evidence-based reimbursement decisions for health technologies. This study aims to describe the present environment and future prospects of HTA implementation in Romania based on the opinion of a wide range of national stakeholders. A survey was conducted using a questionnaire already applied previously to design HTA roadmaps for middle-income countries. Survey responses were ...
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#1Ambica Parmar (Sunnybrook Health Sciences Centre)
#2Kelvin K. Chan (Sunnybrook Health Sciences Centre)H-Index: 25
Cancer care is currently experiencing rapid development in novel therapeutics, with an associated rise in treatment costs. These changes not only create a critical challenge for therapeutic decision-making but also highlight the need to prioritize therapies of high clinical and economic value. Health technology assessment methodology is a novel approach that could help guide value-based decision-making.
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#1Yiannis Nikolaidis (UoM: University of Macedonia)H-Index: 8
#2George Efthymiadis (UoM: University of Macedonia)H-Index: 1
Last. Pantelis Angelidis (UoWM: University of Western Macedonia)H-Index: 8
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The use of technology advancements and telemedicine has definitely contributed to reducing the communication gap between patients and doctors. Lately, a telemedicine program is applied in Greece aiming at the improvement of primary health services offered to Greek citizens, especially of remote and rural areas. The program is supported by the Greek National Health Service, while it is fully funded and run by Vodafone Greece. Vodafone offers doctors of 100 remote areas of continental Greece and G...
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This paper explores the characteristics of health technology assessment (HTA) systems and practices in Asia. Representatives from nine countries were surveyed to understand each step of the HTA pathway. The analysis finds that although there are similarities in the processes of HTA and its application to inform decision making, there is variation in the number of topics assessed and the stakeholders involved in each step of the process. There is limited availability of resources and technical ca...
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#1Lars Bondemark (Malmö University)H-Index: 29
#2Jenny Kallunki (Malmö University)H-Index: 1
Last. Liselotte Paulsson (Malmö University)H-Index: 3
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Abstract Background and aim Class II malocclusion is one of the most common malocclusions in young children and a great deal of research on this topic has been undertaken. Despite this, there are still knowledge gaps on whether it is effective to treat these malocclusions early or what type of treatment should be performed. The aim of this article was to systematically review and update the quality of evidence for various treatment modalities considering Class II malocclusion correction before 1...
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#1Stephen Mac (U of T: University of Toronto)H-Index: 2
#2Sara R. da Silva (U of T: University of Toronto)H-Index: 7
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Introduction While Lyme disease (LD) is mostly treatable, misdiagnosed or untreated LD can result in debilitating sequelae and excessive healthcare usage. The objective of this review was to characterize the body of literature on the economic burden of Lyme disease (LD) and the cost-effectiveness of LD interventions, such as antibiotic treatment and vaccination. Methods We followed Joanna Briggs Institute scoping review methodologies. We systematically searched terms related to LD, economic eval...
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#1Flávio Mauricio Garcia Pezzolla (UFSC: Universidade Federal de Santa Catarina)
#2Priscila Sousa de Avelar (UFSC: Universidade Federal de Santa Catarina)H-Index: 1
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This paper presents a study to assist of a Decision Support Systems and Clinical Engineering Health Technology Management. The methodology is based on methodological guideline for the evaluation of medical equipment addressing its main domains (Clinical, Admissibility, Technical, Operational and Economic) in order to verify the incorporation of Hyperbaric Chambers in comparison to the outsourcing service for the injuries treatment diabetes carriers in Santa Catarina, Brazil. The HBOT application...
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