Equity-oriented toolkit for health technology assessment and knowledge translation: application to scaling up of training and education for health workers

Ueffing, Erin; Tugwell, Peter; Roberts, Janet Hatcher; Walker, Peter; Hamel, Nadia; Welch, Vivian

doi:10.1186/1478-4491-7-67

Cited by 12 publications

(28 citation statements)

References 20 publications

(22 reference statements)

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“… WHO CHOICE cost-effectiveness analysis tool [13] KNOW ESSENTIALS tool using thirteen criteria related to context-specific HTA and prioritization of these criteria [8] Weighting of Multi-Criteria Decision Analysis criteria on the basis of corresponding HTA report [14] Adaptation of Mini-HTA or hospital-based HTA tool for the decision-making related to medical devices purchased in a hospital setting [15] Equity-oriented toolkit for HTA, containing four elements: burden of illness, community effectiveness, economic evaluation and knowledge translation [16] Mapping system using Analytic Hierarch Process (AHP) methods between different diseases and their matching technologies to minimize technology underutilization [17]…”

Section: Resultsmentioning

confidence: 99%

“…Equity-oriented toolkit for HTA, containing four elements: burden of illness, community effectiveness, economic evaluation and knowledge translation [16]…”

Section: Resultsmentioning

confidence: 99%

“…Four studies proposed novel tools for HTA [8, 15–17] and the other two used current HTA approaches originally developed for high-income settings [13, 14]. One study specified their target population to be in SSA countries [15], the others focused on “resource-poor” settings [13, 14, 16, 17] and settings without formal HTA [8]. However, all studies included in the review can be applied in the SSA setting.…”

Section: Resultsmentioning

confidence: 99%

“…However, all studies included in the review can be applied in the SSA setting. From the proposed tools, two were stand-alone [8, 16] and the other two were support tools [15, 17]. The support tools served as decision support in the purchase and acquisition of cardiovascular disorder equipment [17] and the scaling up of training and education of health workers [16].…”

Section: Resultsmentioning

confidence: 99%

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A systematic review of Health Technology Assessment tools in sub-Saharan Africa: methodological issues and implications

Kriza

Hanass-Hancock

Odame

et al. 2014

Health Res Policy Sys

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BackgroundHealth technology assessment (HTA) is mostly used in the context of high- and middle-income countries. Many “resource-poor” settings, which have the greatest need for critical assessment of health technology, have a limited basis for making evidence-based choices. This can lead to inappropriate use of technologies, a problem that could be addressed by HTA that enables the efficient use of resources, which is especially crucial in such settings. There is a lack of clarity about which HTA tools should be used in these settings. This research aims to provide an overview of proposed HTA tools for “resource-poor” settings with a specific focus on sub-Saharan Africa (SSA).MethodologyA systematic review was conducted using basic steps from the PRISMA guidelines. Studies that described HTA tools applicable for “resource-limited” settings were identified and critically appraised. Only papers published between 2003 and 2013 were included. The identified tools were assessed according to a checklist with methodological criteria.ResultsSix appropriate tools that are applicable in the SSA setting and cover methodological robustness and ease of use were included in the review. Several tools fulfil these criteria, such as the KNOW ESSENTIALS tool, Mini-HTA tool, and Multi-Criteria Decision Analysis but their application in the SSA context remains limited. The WHO CHOICE method is a standardized decision making tool for choosing interventions but is limited to their cost-effectiveness. Most evaluation of health technology in SSA focuses on priority setting. There is a lack of HTA tools that can be used for the systematic assessment of technology in the SSA context.ConclusionsAn appropriate HTA tool for “resource-constrained” settings, and especially SSA, should address all important criteria of decision making. By combining the two most promising tools, KNOW ESSENTIALS and Multi-Criteria Decision Analysis, appropriate analysis of evidence with a robust and flexible methodology could be applied for the SSA setting.

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Section: Resultsmentioning

confidence: 99%

“…Equity-oriented toolkit for HTA, containing four elements: burden of illness, community effectiveness, economic evaluation and knowledge translation [16]…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

A systematic review of Health Technology Assessment tools in sub-Saharan Africa: methodological issues and implications

Kriza

Hanass-Hancock

Odame

et al. 2014

Health Res Policy Sys

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“…Gruen et al (2002) claimed the provision of education and skills transfer, as well as professional support to ATSIHW, would help turn them into a more skilled workforce, able to make an even more effective contribution. Ueffing et al (2009) indicated the development of learning methods, materials and approaches is one of the most important principles and guidelines for health worker education and training scale-up. Using information technology as a new learning approach is understood to be a key tool for bridging the health services and the digital divide through enhancing health care of underserved populations and education of remote health care providers (Hunter, Travers, Gibson, & Campion, 2007;Sargeant, 2005) There are a variety of factors that can have an impact on the success of implementations of new technologies, including determining learner characteristics, assessing their ability to access technologies, and their comfort level with and preferences about technologies (Willcockson & Phelps, 2010).…”

Section: Literature Reviewmentioning

confidence: 99%

Key Factors for the Development of a Culturally Appropriate Interactive Multimedia Informative Program for Aboriginal Health Workers

Sayed

Soar

Wang

2012

AJIE

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This research aims to create and evaluate a model for a culturally appropriate, interactive, multimedia and informative health program for Aboriginal and Torres Strait Islander health workers that aims to improve the capacity to independently control their learning within an attractive learning environment. The research also aims to provide recommendations for policy development and further research. This study involved four phases: program needs assessment, identification of the key factors that should be considered in developing the CD-ROM, model development, and formative evaluation for the model. A general needs assessment as a first step in program development highlighted the presence of continuing education gaps and indicated the need for a new means to deliver a sustainable, efficient and culturally acceptable program. This article explores the second objective in this study, which is the identification of the key factors considered for developing the program. The identification began with a systematic review of the literature which served as background information, followed by qualitative semistructured interviews with diverse key stakeholders to explore their expectations and recommendations. The findings indicated that the most important key factors could be categorised under four main categories: cultural factors, information technology availability and literacy, learning aspects, and interactive multimedia factors. Cultural factors included cultural inclusivity, oral cultural, pre-existing knowledge, and Aboriginal preferred learning styles. Information technology factors concerned technology availability and literacy. Learning aspects highlighted the impact of the learning theory in model design. Interactive multimedia development factors explored included the requirements for the process, fitting and design of the program. Recommendations for program design were also provided.

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Health Technology Assessment: bisogni formativi teorici e pratici nelle Scuole di Specializzazione in Igiene e Medicina Preventiva

Saulle

Thiene

Gualano

et al. 2010

G. Ital. Health Technol. Assess

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Equity-oriented toolkit for health technology assessment and knowledge translation: application to scaling up of training and education for health workers

Cited by 12 publications

References 20 publications

A systematic review of Health Technology Assessment tools in sub-Saharan Africa: methodological issues and implications

A systematic review of Health Technology Assessment tools in sub-Saharan Africa: methodological issues and implications

Key Factors for the Development of a Culturally Appropriate Interactive Multimedia Informative Program for Aboriginal Health Workers

Health Technology Assessment: bisogni formativi teorici e pratici nelle Scuole di Specializzazione in Igiene e Medicina Preventiva

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