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Horizon scanning of new and emerging medical technology in Australia: its relevance to Medical Services Advisory Committee health technology assessments and public funding.

Published on Jul 1, 2009in International Journal of Technology Assessment in Health Care1.42
· DOI :10.1017/S0266462309990031
Sue P. O'Malley4
Estimated H-index: 4
(Macquarie University),
Ernest Jordan11
Estimated H-index: 11
(Macquarie University)
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Abstract
Objectives: In 1998, a formal process using full health technology assessments (HTAs) was implemented to determine the suitability for public subsidy of new and emerging medical technologies in the Australian private healthcare sector. This process is overseen by the Medical Services Advisory Committee (MSAC). In 2004, horizon scanning was introduced in Australia with the stated objective of identifying new and emerging medical technologies into the public healthcare sector, with consideration to the publicly subsidized private healthcare sector. How well horizon scanning works in identifying new and emerging technologies suitable for government subsidized funding in the private healthcare sector is examined in this study. Methods: A descriptive evaluation of the impact of horizon scanning as an early alert and awareness system identifying new and emerging technologies before these technologies are submitted to MSAC for a full HTA. All MSAC HTAs commenced after the introduction of horizon scanning in 2004 were cross-checked with the list of Prioritizing Summaries or Horizon Scanning Reports to determine whether a prior Prioritizing Summary or Horizon Scanning Report had been carried out. Results: Of the forty-three technologies that were the subject of a full MSAC HTAs in the time period examined, only eleven had been the subject of either a Prioritizing Summary or Horizon Scanning Report. As a result of a full MSAC HTA, twelve of the technologies that were not the subject of a Prioritizing Summary or Horizon Scanning Report were given positive recommendations for public funding. Conclusions: Horizon scanning was set up to scan the introduction of new and emerging medical technologies into the public healthcare sector, with consideration to the publicly subsidized private healthcare sector. Based on the number of new and emerging technologies that have been the subject of a full MSAC HTA without first being subjected to either a Prioritizing Summary or Horizon Scanning Report, horizon scanning in Australia does not function as an “early alert and awareness system” for funding in the publicly subsidized private healthcare sector in Australia.
  • References (3)
  • Citations (18)
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References3
Newest
Kieran Murphy1
Estimated H-index: 1
(University of Birmingham),
Claire Packer11
Estimated H-index: 11
(University of Birmingham)
+ 1 AuthorsSue Simpson13
Estimated H-index: 13
(University of Birmingham)
Objectives: The aim of this study was to define an effective early warning system, to identify and rank the characteristics of an effective early warning system for emerging health technologies, and to evaluate current early warning systems against these characteristics. Methods: An iterative Delphi-type process with the thirteen members of the International Information Network on New and Changing Health Technologies (EuroScan). We synthesized key characteristics that network members had graded....
Published on May 10, 2006in Australia and New Zealand Health Policy
Sue P O'Malley1
Estimated H-index: 1
Background In 1998 a formal process using the criteria of safety, effectiveness and cost-effectiveness (evidence based medicine) on the introduction and use of new medical procedures was implemented in Australia. As part of this process an expert panel, the Medical Services Advisory Committee (MSAC) was set up. This paper examines the effectiveness of this process based on the original criteria, that is, evidence based medicine.
Karla Douw6
Estimated H-index: 6
(University of Southern Denmark),
Hindrik Vondeling14
Estimated H-index: 14
(University of Southern Denmark)
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 a...
Cited By18
Newest
Published on Jan 1, 2018
Monique Ischi1
Estimated H-index: 1
,
Johannes Rath8
Estimated H-index: 8
Abstract Most research ethic review procedures refer to the principles of safety and security only as sub-criteria of other ethical principles such as the protection of human subjects in research, thereby ignoring the public good aspect of safety and security. In addition, Research Ethics Review Committees (RECs) are usually dominated by philosophers, ethicists, medical doctors, and lawyers with limited practical backgrounds in safety and security risk management. This gap of knowledge restricts...
Published on Jan 1, 2016
Guy J. Maddern66
Estimated H-index: 66
(University of Adelaide)
Health technology assessment within the Australian hospital system has not been introduced in any systematic or consistent fashion. The Australian health insurance system is complex, with almost half of the population carrying private health insurance and the other half being managed by the public health system. This is further complicated by an overlap between payments made for private work by the public insurer as a contribution towards procedures conducted, with supplementation coming either ...
Published on Nov 1, 2014in Drug Design Development and Therapy3.21
Oriana Ciani13
Estimated H-index: 13
,
Claudio Jommi10
Estimated H-index: 10
The use of health technology assessment (HTA) to inform policy-making is established in most developed countries. Compared to licensing agencies, HTA agencies have different interests and, therefore, different evidence requirements. Criteria for coverage or reimbursement decisions on pharmaceutical compounds vary; however, it is common to include, as part of the HTA, a comparative effectiveness evaluation. This type of clinical data might go beyond that required for market authorization, thus cr...
Katarzyna Markiewicz2
Estimated H-index: 2
(UT: University of Twente),
Janine Astrid van Til14
Estimated H-index: 14
(UT: University of Twente),
Maarten Joost IJzerman39
Estimated H-index: 39
(UT: University of Twente)
Objectives:Theaimofthisstudywastogetanoverviewofcurrenttheoryandpracticeinearlyassessmentsofmedicaldevices,andtoidentifyaimsandusesofearlyassessmentmethodsusedinpractice.Methods:AsystematicliteraturereviewwasconductedinSeptember2013,usingcomputerizeddatabases(PubMed,ScienceDirect,andScopus),andreferenceslistsearch.Selectedarticleswerecategorizedbasedontheirtype,objective,andmaintargetaudience.Themethodsusedintheapplicationstudieswereextractedandmappedthroughouttheearlystagesofdevelopmentandforth...
Published on Nov 24, 2013 in SOCO (Soft Computing)
Marco A. Palomino5
Estimated H-index: 5
(University of Exeter),
Tim Taylor13
Estimated H-index: 13
(University of Exeter),
Richard Owen26
Estimated H-index: 26
(University of Exeter)
Business intelligence systems exploit futures and foresight techniques to assist decision makers in complex and rapidly changing environments. Such systems combine elements of text and data mining, forecasting and optimisation. We are particularly interested in the development of horizon scanning applications, which involve the systematic search for incipient trends, opportunities, challenges and constraints that might affect the probability of achieving management goals. In this paper, we compa...
Published on Sep 1, 2013 in FedCSIS (Federated Conference on Computer Science and Information Systems)
Marco A. Palomino5
Estimated H-index: 5
(University of Exeter),
Tim Taylor13
Estimated H-index: 13
(University of Exeter)
+ 3 AuthorsMichael H. Depledge61
Estimated H-index: 61
(University of Exeter)
Horizon scanning is being increasingly regarded as an instrument to support strategic decision making. It requires the systematic examination of information to identify potential threats, emerging issues and opportunities to improve resilience and decrease risk exposure. Horizon scanning can use the Web to augment the acquisition of information, though this involves a search for novel and emerging issues without knowing them beforehand. To optimise such a search, we propose the use of relevance ...
Published on Jan 1, 2013
Marco A. Palomino5
Estimated H-index: 5
,
Tim Taylor13
Estimated H-index: 13
+ 3 AuthorsMichael H. Depledge61
Estimated H-index: 61
Published on Aug 24, 2012in Foresight
Marco A. Palomino5
Estimated H-index: 5
(University of Westminster),
Sarah Bardsley1
Estimated H-index: 1
(EA: Environment Agency)
+ 7 AuthorsRichard Owen26
Estimated H-index: 26
Purpose – In this review, the aim is first to define horizon scanning and then outline the general approach currently employed by many organisations using web‐based resources. It then aims to discuss the benefits and drivers of horizon scanning, to identify some organisations currently undertaking activities in the field, and explain in detail how the web‐based horizon scanning approach is implemented. The aim is then to conclude with a discussion of good practice and areas for further research....
View next paperThe need for environmental horizon scanning