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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
Abstract
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)
References12
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#1Devidas Menon (U of A: University of Alberta)H-Index: 28
#2Tania Stafinski (U of A: University of Alberta)H-Index: 20
For over 40 years, Canada has had a publicly funded, national health-care system designed to ensure residents receive “reasonable access” to “medically necessary” health-care services, regardless of their ability to pay [1]. However, unlike many of its European counterparts, Canada’s system is a decentralized one, comprised of 13 separate provincial and territorial health insurance plans. Guided by common values (e.g., equity and solidarity) and responsible for meeting basic standards of coverag...
40 CitationsSource
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Objective:Evaluation of models, techniques, outcomes, pitfalls, and applicability to the clinical setting of natural orifice translumenal endoscopic surgery (NOTES) for performing intra-abdominal surgery through a systematic review of the literature.Summary Background Data:NOTES has attracted much r
179 CitationsSource
#1Henry Z. Borowski (AHS: Alberta Health Services)H-Index: 1
#2Jon BrehautH-Index: 1
Last. David Hailey (U of C: University of Calgary)H-Index: 31
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Objectives: The objective of this study was to develop and implement a decision-making process for public funding of health services that links policy areas with health technology assessment and input from interested parties. Methods: Health authorities, assessment organizations, and healthcare professionals were consulted as a follow-up to recommendations of an expert panel established by the Alberta government. The methods involved formulation of an eight-stage, collaborative process that inco...
31 CitationsSource
#1Daniel J. RiskinH-Index: 6
#2Michael T. LongakerH-Index: 99
Last. Thomas M. KrummelH-Index: 39
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Objective:To describe the field of surgical innovation from a historical perspective, applying new findings from research in technology innovation.Background:While surgical innovation has a rich tradition, as a field of study it is embryonic. Only a handful of academic centers of surgical innovation
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Surgeons and patients seeking improved treatment often forget that a new technique is not necessarily a better one
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Technology in its broadest sense is now more important than ever in the practice of surgery in Canada. This technology can be as wide-reaching and universal to medical practice as the computerized medical record or digital radiography, or as specific as a new type of laparoscopic instrument or new stent for the management of coronary artery disease. The issues around new technology are, in my opinion, rather poorly understood, and to my knowledge, there is very little guidance on the most effect...
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#1Glenn Robert (University of Southampton)H-Index: 32
#2John Gabbay (University of Southampton)H-Index: 24
Last. Andrew Stevens (University of Birmingham)H-Index: 30
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The purpose of this survey was to assess potential information sources for identifying new health care technologies. A three-round Delphi study was conducted, involving 38 selected experts who suggested and assessed potential sources by applying agreed criteria. Twenty-six potential information sources were considered. Timeliness, time efficiency, and sensitivity were important criteria in determining which were the most important sources. The eight recommended sources were: pharmaceutical journ...
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#1Annetine C. GelijnsH-Index: 49
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What information and decisionmaking processes determine how and whether an experimental medical technology becomes accepted and used? Adopting New Medical Technology reviews the strengths and weaknesses of present coverage and adoption practices, highlights opportunities for improving both the decisionmaking processes and the underlying information base, and considers approaches to instituting a much-needed increase in financial support for evaluative research. Essays explore the nature of techn...
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#1Annetine C. Gelijns (NAS: National Academy of Sciences)H-Index: 49
#2A. Mark Fendrick (UPenn: University of Pennsylvania)H-Index: 3
The emergence of minimally invasive therapy (MIT), which provides alternatives to major open-surgery procedures, is affecting all aspects of medical care delivery. In the present environment of resource and cost constraint in health services, an uncommon consensus among patients, physicians, providers, and payers has evolved regarding the rapid acceptance of this area of medical intervention, an acceptance that, in turn, is stimulating further innovation. This paper discusses the dynamics of med...
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Objectives Society is confronted with the rapid emergence of innovation in science and technology. To manage this, horizon scanning is being adopted globally to identify, assess and prioritise innovations and trends at an early stage of their development. This enables decision-makers to be better informed and to prepare for change. The aim of this paper is to systematically identify and evaluate horizon scanning methodologies employed in the healthcare and biomedical fields. Methods A systematic...
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#1Yen-Yi Juo (UC: University of California)H-Index: 1
#2Aditya Mantha (UCI: University of California, Irvine)H-Index: 5
Last. Erik Dutson (UC: University of California)H-Index: 1
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Introduction Robotic-assisted procedures were frequently found to have similar outcomes and indications to their laparoscopic counterparts, yet significant variation existed in the acceptance of robotic-assisted technology between surgical specialties and procedures. We performed a retrospective cohort study investigating factors associated with the adoption of robotic assistance across the United States from 2008 to 2013.
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#2Isabella Cingolani (St Mary's Hospital)H-Index: 5
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Background Existing surgical innovation frameworks suffer from a unifying limitation, their qualitative nature. A rigorous approach to measuring surgical innovation is needed that extends beyond detecting simply publication, citation, and patent counts and instead uncovers an implementation-based value from the structure of the entire adoption cascades produced over time by diffusion processes. Based on the principles of evidence-based medicine and existing surgical regulatory frameworks, the su...
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#2Lea Austen (U of C: University of Calgary)
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The Surgery Strategic Clinical Network (SSCN) within Alberta Health Services (AHS) has implemented an “Evidence Decision Support Program (EDSP)” to help identify, prioritize, evaluate, and recommend new technologies for possible introduction into the health-care system, with specific focus on the hospital setting. The EDSP does not conduct health technology assessment (HTA) reports, but rather provides a model to make evidence-informed decision about whether and under what conditions innovations...
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#2Krzysztof LachH-Index: 2
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Abstract Health technology assessment (HTA) carried out for policy decision making has well-established principles unlike hospital-based HTA (HB-HTA), which differs from the former in the context characteristics and ways of operation. This study proposes principles for good practices in HB-HTA units. A framework for good practice criteria was built inspired by the EFQM excellence business model and information from six literature reviews, 107 face-to-face interviews, forty case studies, large-sc...
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Introduction Technological innovation in surgical science and healthcare is vital and calls for close collaboration between engineering and surgery. To meet this objective, BEST was designed as a free sustainable innovative teaching method for young professionals, combining surgery, engineering, and business in a multidisciplinary, high-quality, low-cost, and learning-by-doing philosophy.
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Background: Minimally Invasive Surgery has revolutionized the surgical practice for the last years but it presents specific training processes. At the same time, e-Learning platforms and multimedia contents are now having great success within teaching processes in different fields. Purpose: to determine perception of surgeons towards e-MIS: e-Learning and multimedia contents for minimally invasive surgery. Methods: A 19-item online survey was sent. Statistical and descriptive analyses were perfo...
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