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Selection of new health technologies for assessment aimed at informing decision making: A survey among horizon scanning systems.

Published on Apr 1, 2006in International Journal of Technology Assessment in Health Care1.42
· DOI :10.1017/S0266462306050999
Karla Douw6
Estimated H-index: 6
(University of Southern Denmark),
Hindrik Vondeling14
Estimated H-index: 14
(University of Southern Denmark)
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Abstract
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.
  • References (16)
  • Citations (46)
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References16
Newest
Eva Draborg7
Estimated H-index: 7
(University of Southern Denmark),
Dorte Gyrd-Hansen29
Estimated H-index: 29
(University of Southern Denmark)
Objectives: Health Technology Assessment (HTA) as a method for producing evidence in the health-care sector has been used for more than 25 years but has grown in extent during the past years. The objective of this study is to explore a possible evolution in these HTAs, in type of assessed technologies, in type of assessors, and in its methods. Methods: A structured literature review was conducted of 433 HTA reports from the period 1989 to 2002 by eleven leading HTA institutions worldwide. The re...
Published on Sep 1, 2005in British Journal of Cancer5.42
Giovanni Apolone50
Estimated H-index: 50
,
Roberta Joppi16
Estimated H-index: 16
+ 1 AuthorsSilvio Garattini60
Estimated H-index: 60
Despite important progress in understanding the molecular factors underlying the development of cancer and the improvement in response rates with new drugs, long-term survival is still disappointing for most common solid tumours. This might be because very little of the modest gain for patients is the result of the new compounds discovered and marketed recently. An assessment of the regulatory agencies' performance may suggest improvements. The present analysis summarizes and evaluates the type ...
Sue Simpson13
Estimated H-index: 13
(University of Birmingham),
Chris Hyde49
Estimated H-index: 49
(University of Birmingham)
+ 2 AuthorsAndrew Stevens30
Estimated H-index: 30
(University of Birmingham)
Objectives: Early warning systems are an integral part of many health technology assessment programs. Despite this finding, to date, there have been no quantitative evaluations of the accuracy of predictions made by thesesystems. We report a study evaluating the accuracy of predictions made by the main United Kingdom early warning system. Methods: As prediction of impact is analogous to diagnosis, a method normally applied to determine the accuracy of diagnostic tests was used. The sensitivity, ...
Karla Douw6
Estimated H-index: 6
,
Hindrik Vondeling14
Estimated H-index: 14
(University of Southern Denmark)
+ 2 AuthorsHelga Sigmund6
Estimated H-index: 6
Objectives: To explore and test methods for the operation of a national Early Warning System (EWS) in Denmark and to support decision making by the Danish Centre for Evaluation and Health Technology Assessment on this issue. Methods: On the basis of literature reviews, information from members of EuroScan, and supported by clinical experts and stakeholders, existing methods were adapted and new methods were developed as part of a feasibility study. Results: Approximately 200 technologies in 30 s...
Per Carlsson28
Estimated H-index: 28
(Linköping University)
This article describes the development of health technology assessment (HTA) in Sweden, its influence on decision making, and its link with priority setting. Sweden has a well established governmental HTA body, the Swedish Council on Technology Assessment in Health Care (SBU), and an increasing number of regional/local HTA organizations. HTA has had an impact on clinical practice and is used to some extent in policy decisions. Several initiatives have now been taken to develop processes for open...
Published on Dec 1, 2002in Health Policy2.08
Wija Oortwijn13
Estimated H-index: 13
,
Hindrik Vondeling14
Estimated H-index: 14
(University of Southern Denmark)
+ 2 AuthorsL.M. Bouter138
Estimated H-index: 138
(VU: VU University Amsterdam)
The resources for health technology assessment fall short of that needed to evaluate all health technologies. Therefore, priorities have to be set. In The Netherlands, the Health Care Insurance Board tried to address this issue by developing a more explicit priority setting procedure for the Fund for Investigative Medicine, which is the most important health technology assessment programme in The Netherlands. The procedure provides one of the first examples of the application of theoretical prin...
Published on Jan 1, 2002in EMBO Reports8.38
Vicki Brower8
Estimated H-index: 8
Regulatory approval of drugs can be an obstacle course and is a process that frequently comes under fire for being too rapid or too lax. Critics often complain that pharmaceuticals are approved too slowly by a process that is too costly and byzantine, which has fatal effects for patients when life‐saving anti‐cancer and anti‐HIV drugs are involved. The US Food and Drug Administration (FDA), the agency responsible for approving new drugs, has reacted to long standing criticism by streamlining som...
Published on Nov 1, 2001in The Lancet59.10
Douglas K. Martin38
Estimated H-index: 38
(U of T: University of Toronto),
Joseph L. Pater46
Estimated H-index: 46
(Queen's University),
Peter Singer78
Estimated H-index: 78
(U of T: University of Toronto)
Summary Background Frameworks for legitimate and fair priority setting emphasise the importance of the rationales for priority setting decisions. However, priority setting rationales, in particular for new cancer drugs, are not well described. We describe the rationales used by a committee making funding decisions for new cancer drugs. Methods We did a qualitative case study of a priority setting committee (Cancer Care Ontario Policy Advisory Committee for the New Drug Funding Program) by analys...
Published on Nov 25, 2000in BMJ27.60
Peter Singer78
Estimated H-index: 78
,
Douglas K. Martin38
Estimated H-index: 38
+ 1 AuthorsLaura M. Purdy6
Estimated H-index: 6
Objective To describe priority setting for new technologies in medicine. Design Qualitative study using case studies and grounded theory. Setting Two committees advising on priorities for new technologies in cancer and cardiac care in Ontario, Canada. Participants The two committees and their 26 members. Main outcome measures Accounts of priority setting decision making gathered by reviewing documents. interviewing members, and observing meetings. Results Six interrelated domains were identified...
Cited By46
Newest
Published on Jun 1, 2018in World Futures Review
Andy Hines11
Estimated H-index: 11
(UH: University of Houston),
David N. Bengston16
Estimated H-index: 16
(USFS: United States Forest Service)
+ 1 AuthorsAdam Cowart (UH: University of Houston)
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...
Published on Jan 1, 2018
Barbara Holland (Brooklyn Public Library)
Published on Nov 1, 2017in European Journal of Operational Research3.81
Graham Willis1
Estimated H-index: 1
,
Siôn Cave1
Estimated H-index: 1
,
Martin Kunc14
Estimated H-index: 14
(Warw.: University of Warwick)
This paper presents a description of the development and use of a framework for strategic workforce planning for healthcare at the national level. The framework is called the Robust Workforce Planning Framework, and was developed by the Centre for Workforce Intelligence. The Centre for Workforce Intelligence was a national organisation that delivered workforce planning advice, and was active from July 2010 until March 2016. The Centre was a key contributor to the planning of future workforce req...
Published on Oct 10, 2017in Gesundheitswesen0.84
Laura Krabbe1
Estimated H-index: 1
,
Barbara Buchberger8
Estimated H-index: 8
Hintergrund Entscheidungstrager im Gesundheitswesen handeln in einem Umfeld, in dem Erwartungen steigen, neue nutzenbringende Technologien so schnell wie moglich verfugbar zu machen, Patienten vor gefahrlichen oder unwirksamen Technologien zu schutzen und im Zuge dessen die Diffusion einer Technologie zu be- oder entschleunigen. Horizon Scanning (HS) ist ein Prozess, um fruhzeitig einflussreiche neue und aufstrebende Technologien zu identifizieren und uber deren potenzielle Auswirkungen auf das ...
Published on Jan 1, 2016in Cadernos De Saude Publica1.17
Aline do Nascimento2
Estimated H-index: 2
(UFRJ: Federal University of Rio de Janeiro),
Ávila Teixeira Vidal1
Estimated H-index: 1
,
Rosimary Terezinha de Almeida8
Estimated H-index: 8
(UFRJ: Federal University of Rio de Janeiro)
Filtration and prioritization are two basics steps in horizon scanning systems. This article aimed to map stakeholders' preferences in the Brazilian Unified National Health System (SUS) regarding filtration and prioritization criteria. Two filtration criteria (time horizon and innovation) and eight prioritization criteria (relevance to epidemiology, health policies, and clinical practice; potential impact on SUS budget, healthcare providers' costs, and mortality; safety; and legal, ethical, and ...
Mohammadreza Mobinizadeh3
Estimated H-index: 3
(IAU: Islamic Azad University),
Pouran Raeissi5
Estimated H-index: 5
(IUMS: Iran University of Medical Sciences)
+ 2 AuthorsSeyed Jamaleddin Tabibi2
Estimated H-index: 2
(IAU: Islamic Azad University)
Background: In the recent years, using health technologies to diagnose and treat diseases has had a considerable and accelerated growth. The proper use of these technologies may considerably help in the diagnosis and treatment of different diseases. On the other hand, unlimited and unrestricted entry of these technologies may result in induced demand by service providers. The aim of this study was to determine the appropriate criteria used in health technologies priority-setting models in the wo...
Anna Nachtnebel5
Estimated H-index: 5
,
Johanna Breuer9
Estimated H-index: 9
+ 3 AuthorsC. Wild16
Estimated H-index: 16
The regularly structured adaptation of health technology assessment (HTA) programs is of utmost importance to sustain the relevance of the products for stakeholders and to justify investment of scarce financial resources. This study describes internal adjustments and external measures taken to ensure the Horizon Scanning Programme in Oncology (HSO) is current.Formal evaluation methods comprising a survey, a download, an environmental analysis, and a Web site questionnaire were used to evaluate u...
Lazaros Andronis10
Estimated H-index: 10
(University of Birmingham)
In the last two decades, growing demand for studies assessing healthcare interventions, coupled with the acknowledgment that limited public funds for research ought to be allocated efficiently, has led to increasing calls for the use of analytic approaches for research prioritization. Two main approaches have been proposed - 'value of information' and 'prospective payback of research' - but neither of them is used formally in the prioritization process. This article discusses possible barriers t...
Claire Packer11
Estimated H-index: 11
,
Sue Simpson13
Estimated H-index: 13
(University of Birmingham),
Rosimary Terezinha de Almeida8
Estimated H-index: 8
(UFRJ: Federal University of Rio de Janeiro)
Objectives: The EuroScan International Network is a global network of publicly funded early awareness and alert (EAA) systems for health technologies. We describe the EuroScan member agency systems and methods, and highlight the potential for increased collaboration. Methods: EuroScan members completed postal questionnaires supplemented with telephone interviews in 2012 to elicit additional information and check equivalence of responses. Information was updated between March and May 2013. Result...
Published on Jan 1, 2015
Lars Gerhold4
Estimated H-index: 4
,
Elmar Schüll2
Estimated H-index: 2
+ 5 AuthorsAndreas Weßner (TUK: Kaiserslautern University of Technology)
Die zweite Gruppe beinhaltet Standards, die sich aus der Unterscheidung gegenuber anderen Formen der Beschaftigung mit der Zukunft ergeben und die die Befassung mit der Zukunft zur Zukunfts-Forschung machen.
View next paperEffective early warning systems for new and emerging health technologies: Developing an evaluation framework and an assessment of current systems