Match!

Using health technology assessment to support evidence-based decision-making in Canada: an academic perspective

Published on Oct 1, 2011in Expert Review of Pharmacoeconomics & Outcomes Research1.828
· DOI :10.1586/erp.11.60
Feng Xie28
Estimated H-index: 28
(McMaster University),
James M. Bowen18
Estimated H-index: 18
(McMaster University)
+ 5 AuthorsRon Goeree46
Estimated H-index: 46
(McMaster University)
Abstract
Health technology assessment (HTA) adopts a multidisciplinary approach to comprehensively assess safety, efficacy, effectiveness, economic and organizational impact, and any potential social and ethical implications associated with adoption and diffusion of a technology in a healthcare system. Canada was one of the first pioneers in using HTA as a research tool to support evidence-based decision-making. This article describes the current application of HTA in Canada, with a focus on some federal and Ontario initiatives in which the authors have extensive knowledge and experience to illustrate how academic researchers conduct HTA in collaboration with decision makers. Some issues and challenges are also highlighted that will hopefully stimulate a broader discussion among HTA stakeholders to move HTA forward.
  • References (36)
  • Citations (4)
📖 Papers frequently viewed together
2017
7 Authors (Jipan Xie, ..., Cinzia Metallo)
1 Citations
2019
1 Author (Dávid Dankó)
6 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
References36
Newest
#1Nazila AssasiH-Index: 9
#2Gord BlackhouseH-Index: 27
Last. Ron GoereeH-Index: 46
view all 9 authors...
Atrial fibrillation (AF), which is the most common form of cardiac arrhythmia, is associated with high morbidity and mortality.1,2 Patients with AF are at a higher risk of clot formation and subsequent adverse hemodynamic events (such as stroke) because of the loss of atrial contractility, irregular ventricular rate of activity, and the loss of atrial appendage contractility and emptying.3 AF increases the risk of stroke four- to five-fold in all age groups and leads to 10% to 15% of all ischemi...
8 Citations
#1Benjamin J.W. ChowH-Index: 36
#2Michael R. FreemanH-Index: 63
Last. Ron GoereeH-Index: 46
view all 17 authors...
Background: Computed tomographic coronary angiography (CTCA) has gained clinical acceptance for the detection of obstructive coronary artery disease. Although single-center studies have demonstrated excellent accuracy, multicenter studies have yielded variable results.ThetruediagnosticaccuracyofCTCAinthe“real world” remains uncertain. We conducted a field evaluation comparing multidetector CTCA with invasive CA (ICA)tounderstandCTCA’sdiagnosticaccuracyinarealworld setting. Methods:A multicenter ...
38 CitationsSource
#1Leslie Levin (Ontario Ministry of Health and Long-Term Care)H-Index: 5
#2Ron Goeree (St. Joseph's Healthcare Hamilton)H-Index: 46
Last. David Henry MBChB (U of T: University of Toronto)H-Index: 76
view all 7 authors...
21 CitationsSource
#1C. Elizabeth McCarron (St. Joseph's Healthcare Hamilton)H-Index: 5
#2Eleanor Pullenayegum (St. Joseph's Healthcare Hamilton)H-Index: 23
Last. Jean-Eric Tarride (St. Joseph's Healthcare Hamilton)H-Index: 27
view all 5 authors...
Background Informing health care decision making may necessitate the synthesis of evidence from different study designs (e.g., randomised controlled trials, non-randomised/observational studies). Methods for synthesising different types of studies have been proposed, but their routine use requires development of approaches to adjust for potential biases, especially among non-randomised studies. The objective of this study was to extend a published Bayesian hierarchical model to adjust for bias d...
19 CitationsSource
#1Don Husereau (Canadian Agency for Drugs and Technologies in Health)H-Index: 20
#2Michel Boucher (Canadian Agency for Drugs and Technologies in Health)H-Index: 6
Last. Hussein Noorani (Canadian Agency for Drugs and Technologies in Health)H-Index: 5
view all 3 authors...
Objectives: The aim of this study was to describe a current practical approach of priority setting of health technology assessment (HTA) research that involves multi-criteria decision analysis and a deliberative process. Methods: Criteria related to HTA prioritization were identified and grouped through a systematic review and consultation with a selection committee. Criteria were scored through a pair-wise comparison approach. Criteria were pruned based on the average weights obtained from cons...
43 CitationsSource
#1Bryan R. LuceH-Index: 28
#2Michael DrummondH-Index: 72
Last. Sean D. SullivanH-Index: 65
view all 7 authors...
17 CitationsSource
#1Ron Goeree (St. Joseph's Healthcare Hamilton)H-Index: 46
#2K Chandra (St. Joseph's Healthcare Hamilton)H-Index: 5
Last. Robert Hopkins (St. Joseph's Healthcare Hamilton)H-Index: 18
view all 8 authors...
4 CitationsSource
#1Bryan R. LuceH-Index: 28
#2Michael DrummondH-Index: 72
Last. Sean D. SullivanH-Index: 65
view all 7 authors...
Context: The terms evidence-based medicine (EBM), health technology assessment (HTA), comparative effectiveness research (CER), and other related terms lack clarity and so could lead to miscommunication, confusion, and poor decision making. The objective of this article is to clarify their definitions and the relationships among key terms and concepts. Methods: This article used the relevant methods and policy literature as well as the websites of organizations engaged in evidence-based activiti...
84 CitationsSource
12 CitationsSource
#1Finn Børlum Kristensen (University of Southern Denmark)H-Index: 12
#2Marjukka Mäkelä (National Institute for Health and Welfare)H-Index: 31
Last. Julia Chamova (National Board of Health)H-Index: 1
view all 13 authors...
Objectives: The European network on Health Technology Assessment (EUnetHTA) aimed to produce tangible and practical results to be used in the various phases of health technology assessment and to establish a framework and processes to support this. This article presents the background, objectives, and organization of EUnetHTA, which involved a total of sixty-four partner organizations. Methods: Establishing an effective and sustainable structure for a transnational network involved many manageri...
55 CitationsSource
Cited By4
Newest
#1Rebecca Addo (UTS: University of Technology, Sydney)H-Index: 2
Last. Stephen GoodallH-Index: 20
view all 4 authors...
Abstract Although health technology assessment (HTA) is intended to provide policymakers with objective information, the likelihood that a health decision-maker (HDM) will use this information is associated with their knowledge, role and perception of the HTA process. In Ghana, policymakers are working towards formalising the use of HTA, but HDM knowledge of and attitude towards HTA are not known. Between March and May 2016, we conducted in-depth interviews and used inductive thematic analysis t...
Source
#1Mónica Duarte Oliveira (University of Lisbon)H-Index: 15
#2Inês Mataloto (University of Lisbon)
Last. Panos Kanavos (LSE: London School of Economics and Political Science)H-Index: 34
view all 3 authors...
Background Multi-criteria decision analysis (MCDA) concepts, models and tools have been used increasingly in health technology assessment (HTA), with several studies pointing out practical and theoretical issues related to its use. This study provides a critical review of published studies on MCDA in the context of HTA by assessing their methodological quality and summarising methodological challenges.
Source
#1Maggie MacNeil (UW: University of Waterloo)H-Index: 1
#2Melissa Koch (UW: University of Waterloo)H-Index: 1
Last. Paul Stolee (UW: University of Waterloo)H-Index: 34
view all 6 authors...
Abstract Objectives:Health care innovation and technologies can improve patient outcomes, but policies and regulations established to protect the public interest may become barriers to improvement of health care delivery. We conducted a scoping review to identify policy and regulatory barriers to, and facilitators of, successful innovation and adoption of health technologies (excluding pharmaceutical and information technologies) in Canada. Methods:The review followed Arksey and O’Malley’s metho...
1 CitationsSource
#1Annie Leung (McGill University)
#2Jeremie Abitbol (McGill University)H-Index: 7
Last. Walter H. Gotlieb (McGill University)H-Index: 36
view all 9 authors...
Abstract Objective To analyze the changes in the composition of the gynecologic oncology inpatient ward following the implementation of a robotic surgery program and its impact on inpatient resource utilization and costs. Methods Retrospective review of the medical charts of patients admitted onto the gynecologic oncology ward the year prior to and five years after the implementation of robotics. The following variables were collected: patient characteristics, hospitalization details (reason for...
Source
#1Suo-Wei WuH-Index: 1
#2Tong ChenH-Index: 1
Last. Jing-Chen SongH-Index: 1
view all 9 authors...
1 CitationsSource