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Establishing a comprehensive continuum from an evidentiary base to policy development for health technologies: the Ontario experience
Levin, Leslie; Goeree, Ron; Sikich, Nancy; Jorgensen, Birthe; Brouwers, Melissa C; Easty, Tony; Zahn, Catherine.
Afiliação
  • Levin, Leslie; Ministry of Health and Long-Term Care. Canada
  • Goeree, Ron; McMaster University. Canada
  • Sikich, Nancy; Ministry of Health and Long-Term Care. Canada
  • Jorgensen, Birthe; Ministry of Health and Long-Term Care. Canada
  • Brouwers, Melissa C; McMaster University. Canada
  • Easty, Tony; University of Toronto. Canada
  • Zahn, Catherine; University Health Network. Canada
Int. J. Technol. Assess. Hlth. Care ; 23(3): 299-309, 2007. ilus, tab
Artigo em Inglês | CidSaúde - Cidades saudáveis | ID: cid-57110
Biblioteca responsável: BR67.1
Localização: BR67.1
ABSTRACT

Objectives:

The aim of this study was to describe a comprehensive continuum that has developed in Ontario between government and key stakeholder groups, including hospitals, physicians, academic intitutions, clinical epidemiologists, health economists, industry and bioethicists to achieve evidence-based recommendations for policy development.

Methods:

The various components of the comprehensive model that has evolved to develop an evidentiary platform for policy development are summarized, and the flow between these components is described.

Results:

The development of the Ontario Health Technology Advisory Committee (OHTAC) and associated programs demonstrate the need to go beyond the traditional steps taken within most health technology assessment paradigms. These components include pragmatic postmaketing studies, human factors, and safety analyses, and formalized interactions with a broad spectrum of potential end-users of each technology, experts, and industry. These components, takne together with and expanded systematic review to include a range of economic analyses, and societal impacts augment the traditional systematic review processes. This approach has been found to be important in assisting decision making and has resulted in an 81 percent conversion from evidence to policy consideration for eighty-three technologies that had been assessed at the time this article was submitted.

Conclusions:

The comprehensive model, centered around OHTAC, has added important new dimensions to health policy by improving its relevance to decision makers and providing an accountable and transparent basis for government to invest appropriately in health technologies. This study could also form a basis for further research into appropriate methodologies and outcome measurements as they relate to each component of this approach.(AU)
Assuntos
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Coleções: Bases de dados temática Contexto em Saúde: ODS3 - Saúde e Bem-Estar Tema em saúde: Meta 3.8 Atingir a cobertura universal de saúde Base de dados: CidSaúde - Cidades saudáveis Assunto principal: Formulação de Políticas / Avaliação da Tecnologia Biomédica / Tecnologia Biomédica / Política de Saúde Tipo de estudo: Guia de prática clínica / Avaliação de tecnologias de saúde País/Região como assunto: América do Norte Idioma: Inglês Revista: Int. J. Technol. Assess. Hlth. Care Ano de publicação: 2007 Tipo de documento: Artigo Instituição/País de afiliação: McMaster University/Canada / Ministry of Health and Long-Term Care/Canada / University Health Network/Canada / University of Toronto/Canada
Buscar no Google
Coleções: Bases de dados temática Contexto em Saúde: ODS3 - Saúde e Bem-Estar Tema em saúde: Meta 3.8 Atingir a cobertura universal de saúde Base de dados: CidSaúde - Cidades saudáveis Assunto principal: Formulação de Políticas / Avaliação da Tecnologia Biomédica / Tecnologia Biomédica / Política de Saúde Tipo de estudo: Guia de prática clínica / Avaliação de tecnologias de saúde País/Região como assunto: América do Norte Idioma: Inglês Revista: Int. J. Technol. Assess. Hlth. Care Ano de publicação: 2007 Tipo de documento: Artigo Instituição/País de afiliação: McMaster University/Canada / Ministry of Health and Long-Term Care/Canada / University Health Network/Canada / University of Toronto/Canada
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