HEALTH TECHNOLOGY ASSESSMENT: AN ORIENTATION

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HEALTH TECHNOLOGY ASSESSMENT AN ORIENTATION

• RENALDO BATTISTA, M.D., Sc.D., F.R.C.P.(C),
• PROFESSOR AND DIRECTOR,
• DEPARTMENT OF HEALTH ADMINISTRATION,
• UNIVERSITY OF MONTREAL,
• CANADA RESEARCH CHAIR IN HEALTH TECHNOLOGY
  ASSESSMENT
• OCTOBER 27-28, 2005
• ST. JOHNS, NEWFOUNDLAND AND LABRADOR

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SUMMARY

• Why?
• What?
• How?
• And then what?

3
WHY?

• Health System (WHO 2000)
• All the activities whose primary purpose is to
  promote, restore or maintain health.
• www.who.int/en/

4
WHY?
5
WHY?
6
WHY?
- Historical Notes
7

WHY?
- Historical Notes
8

WHY?
- Historical Notes
9

WHY?
- Historical Notes
10

WHY?
- Historical Notes
11

WHY?
- Historical Notes
12

WHY?
- Historical Notes
The 90s Consolidation and expansion
13

WHY?
- Historical Notes
14

WHY?
- Historical Notes
The 90s
Consolidation and expansion
Europe
FinOHTA
Finland
(
1995
)
?

ANDEM
France
(
1990
)
?

ANAES
Then
HAS
(2005)
Now
AETSA
Spain
(
1996
)
?

CAHTA
(
)
1994
OSTEBA
(
)
1991
SWISS
-
TA
(
)
?
Switzerland
1992

NCCHTA
(
)
United Kingdom
1993
?

NICE
(
)
1999
15

WHY?
- Historical Notes
16

INAHTA in 2005 regroups 41 member agencies in
21 countries
17

WHY?
- Historical Notes
18

WHY?
- Historical Notes
19

HEALTH TECHNOLOGY ASSESSMENT INTERNATIONAL
Created in June 2003
Health technology assessment (HTA) plays an
essential role in modern health care by
supporting effective decision making in health
care policy and practice. There is a vibrant and
growing community around the world of those who
undertake and use HTA. HTAi's mission is to
support their work in promoting the introduction
of effective innovations and effective use of
resources in health care.
20

THE HTA CANADIAN SCENE

• CCOHTA
• AETMIS (Quebec)
• AHFMAR (Alberta)
• OHTAC (Ontario)

• ICES (Ontario)

• Canadian Cochrane Network and Centre
• Health Services Research Centres
• TAU of MUCH
• IHE

21

THE CANADIAN HEALTH TECHNOLOGY STRATEGY
22

WHAT?
23

WHAT?
24

WHAT?
25

WHAT?
26

WHAT?
RN Battista et al., 1998
27

WHAT?
28

WHAT?
29

WHAT?
30

WHAT?
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WHAT?
32

WHAT?
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WHAT?
34

WHAT?
35

WHAT?
36

WHAT?
37

WHAT?
Decision-makers
Academics

• lt 70s Biomedical research

• 40s and 60s National health care systems

• 70s Expansion of health research (public health
  clinical epidemiology health economics health
  services and policy outcomes)

• 70s Primary health care movement

• 80s Cochrane Collaboration

• 80s and 90s Era of rationalisationHTA

• 90s Evidence-based medicine

38

WHAT?
39

HOW?

• Needs assessment
• Priority setting
• Evaluation
• Knowledge translation

40

HOW?
41

HOW?
42

HOW?
43

HOW?
44

HOW?
45

HOW?
46

HOW?
INAHTA
41 member organizations in 21 countries
47

HOW?
48

HOW?
49

HOW?
50

AND THEN WHAT?
51

AND THEN WHAT?
52

AND THEN WHAT?
53

AND THEN WHAT?
54

AND THEN WHAT?
55

CONCLUSION
56

CONCLUSION
57

CONCLUSION
The Ulysses Project International Masters
Program in HTA M
McGill University(Quebec, Canada) Université de
Montréal(Quebec, Canada) University of
Ottawa(Ontario, Canada) University of
Toronto(Ontario, Canada)
Universitat de Barcelona (Catalonia,
Spain) Università Cattolica del Sacro
Cuore(Roma, Italy) International University
of Catalonia(Catalonia, Spain)
58

CONCLUSION
59

CONCLUSION