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HEALTH TECHNOLOGY ASSESSMENT: AN ORIENTATION

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

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HEALTH TECHNOLOGY ASSESSMENT: AN ORIENTATION

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  1. 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. JOHN’S, NEWFOUNDLAND AND LABRADOR

  2. 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. - Historical Notes WHY?

  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 90’s • Consolidation and expansion

  13. WHY? - Historical Notes

  14. WHY? - Historical Notes The 90’s 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 Createdin 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?

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  37. WHAT? • Decision-makers Academics • < 70’s Biomedical research • 40’s and 60’s National health care systems • 70’s Expansion of health research (public health; clinical epidemiology; health economics; health services and policy; outcomes) • 70’s Primary health care movement • 80’s Cochrane Collaboration • 80’s and 90’s Era of rationalisation~HTA • 90’s 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?

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