The role of surgeons in identifying emerging technologies for health technology assessment

Published on Apr 1, 2010in Canadian Journal of Surgery2.306
Tania Stafinski20
Estimated H-index: 20
Leigh-Ann Topfer6
Estimated H-index: 6
+ 1 AuthorsDevidas Menon28
Estimated H-index: 28
Contexte: L'evaluation des technologies de la sante (ETS) est un outil qui doit aider les responsables des politiques a choisir les technologies a financer. Toutefois, etant donne la proliferation de technologies nouvelles, il est impossible de soumettre chacune d'entre elles a une ETS avant qu'elle soit financee. C'est pourquoi on a etabli des processus d'« analyse prospective » pour determiner les technologies emergentes susceptibles d'avoir un effet important sur la pratique clinique. Meme si l'importance des medecins dans l'adoption de technologies nouvelles est bien reconnue, leur role dans l'analyse prospective au Canada a ete limite. Ce projet visait a faire l'essai d'une strategie de mobilisation des medecins, et en particulier des chirurgiens, dans des activites provinciales d'analyse prospective. Methodes: Nous avons invite 18 chirurgiens des 2 facultes de medecine de l'Alberta a un atelier d'analyse prospective afin de savoir ce qu'ils pensent des technologies emergentes qui devraient avoir une incidence sur la pratique de la chirurgie au cours des 5 prochaines annees et sur l'importance de diverses qualites ou caracteristiques des nouvelles technologies. Resultats: Sans egard a leur specialite, les chirurgiens ont retenu les progres concus pour ameliorer les techniques chirurgicales a effraction minimale actuelles comme la chirurgie endoscopique, robotique et guidee par imagerie. On a aussi degage plusieurs domaines non chirurgicaux, y compris la genetique moleculaire et la nanotechnologie. Parmi les 13 caracteristiques des technologies abordees, la securite et le risque, l'efficacite et la faisabilite ont ete jugees les plus importantes. Enfin, les chirurgiens participants se sont dits interesses a participer davantage aux initiatives locales d'ETS. Conclusion: En tant que promoteurs et utilisateurs de technologies de la sante, les chirurgiens representent une source d'information importante et accessible qui permet de definir des technologies emergentes a soumettre a une ETS. Une relation continue plus structuree entre le gouvernement, le secteur des ETS et les chirurgiens pourrait aider a optimiser l'utilisation des ressources consacrees aux ETS.
  • References (12)
  • Citations (13)
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