Conventional models of 'evidence' for clinical practice focus on the role of randomised controlled clinical trials and systematic reviews as technologies that promote a specific model of rigour and analytic accountability. The assumption that runs through the...
An Exploratory Review of Evaluations of Health Technology Assessment Agencies
Introduction In a time when the accountability for public expenditures is at a zenith and public funders are evaluating the effectiveness or impact of the programs and services they fund ñ it was thought opportune to examine evaluations conducted of HTA agencies with...
Doing mini–health technology assessments in hospitals: A new concept of decision support in health care?
The purpose of this project was to evaluate local decision support tools used in the Danish hospital sector from a theoretical and an empirical point of view. The use of local decision support was evaluated through questionnaires sent to all county health directors,...
Review of guidelines for good practice in decision-analytic modelling in health technology assessment
Abstract OBJECTIVES: To identify existing guidelines and develop a synthesised guideline plus accompanying checklist. In addition to provide guidance on key theoretical, methodological and practical issues and consider the implications of this research for what might...
Using usability heuristics to evaluate patient safety of medical devices
Abstract Objective. To modify the traditional heuristic evaluation method of assessing softwareusability so that it can be applied to medical devices and used to evaluate the patient safety of those devices through the identification and assessment of usability...
Health technology assessment: History and demand
Health technology assessment (HTA) – the provision to decision makers of information on the value of treatments and tests – has come of age in the last two decades. But it has deep roots in health care, with notable landmarks in (1) the mid eighteenth‐century...
Improving the efficiency and relevance of health technology assessent: the role of iterative decision analytic modelling
Abstract Decision making in health care involves two sets of related decisions: those concerning appropriate service provision on the basis of existing information; and those concerned with whether to fund additional research to reduce the uncertainty relating to the...
Polyethylene in knee arthroplasty: A review
Polyethylene (PE) has been used extensively in knee arthroplasty since the mid 20th century. Progress in material manufacturing and processing has led to newer polyethylenes over last few decades with different material properties. It has been established that PE wear...
Determining Value in Health Technology Assessment: Stay the Course or Tack Away?
The economic evaluation of new health technologies to assess whether the value of the expected health benefits warrants the proposed additional costs has become an essential step in making novel interventions available to patients. This assessment of value is...
Health Technology Assessment as Part of a Broader Process for Priority Setting and Resource Allocation
Over the last two decades, economic evaluation of health technologies has developed enormously, affirming its importance within the pursuit of efficiency in the management of health care systems. One concern that has been raised with health technology assessment (HTA)...
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