The adaptation of health technology assessment reports: Identification of the need for, and development of, a toolkit to aid the process

Turner, Sheila; Chase, Deborah; Milne, Ruairidh; Cook, Andrew; Hicks, Nicholas; Rosten, Claire; Payne, Liz; Coles, Suzanne; Bell, Eleanor J.

doi:10.1017/s0266462309990651

Cited by 17 publications

(35 citation statements)

References 14 publications

(20 reference statements)

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“…A strength of the toolkit is the methodology used in its development (8). The process was iterative throughout, and drew on the combined knowledge and expertise of all the agencies involved, which were widely dispersed throughout Europe, each with their own experiences and knowledge of different systems.…”

Section: Discussionmentioning

confidence: 99%

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The health technology assessment adaptation toolkit: Description and use

Turner

Chase

Milne

et al. 2009

Int J Technol Assess Health Care

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Objectives: Adapting health technology assessment (HTA) reports for different contexts could reduce the need for multiple reports on the same health technology with resultant saving of time and resources. This article describes an instrument, the adaptation toolkit, which has been developed to aid in the process of adaptation of HTA reports. Methods: The toolkit was developed by a partnership of HTA agencies and networks from across Europe. The role of the toolkit is to guide the user through the process of selecting possible relevant material from these report(s), assessing the relevance, reliability, and transferability of the material, and adapting it for the desired context. Results: The adaptation toolkit has been developed, it comprises a collection of resources that help the user assess whether data and information in existing HTA reports should and could be adapted for their own setting. The toolkit contains two sections: a preliminary speedy sifting section and the main toolkit. The main toolkit includes five domains: (i) technology use and development, (ii) safety, (iii) effectiveness (including efficacy), (iv) economic evaluation, and (v) organizational aspects. Legal, ethical, and social aspects are beyond the scope of the toolkit. The toolkit is designed for the adaptation of evidence synthesis rather than primary research. Conclusions: The completed current version of the toolkit contains checklists and resources to aid in the adaptation of HTA reports. This collection of resources is available for use by all HTA agencies and can be accessed at: http://www.eunethta. net/upload/WP5/EUnetHTA_HTA_Adaptation_Toolkit_October08.pdf..

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Section: Discussionmentioning

confidence: 99%

“…There is a spectrum of adaptation, with progressively more of the original text being used (8). A toolkit has been developed to aid in this process of adaptation.…”

mentioning

confidence: 99%

The health technology assessment adaptation toolkit: Description and use

Turner

Chase

Milne

et al. 2009

Int J Technol Assess Health Care

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“…This issue of transferability is not limited to resource modelling and has been identified as a significant barrier in HTA [35][36][37][38][39]. The applicability of resource modelling results to a given setting depends on the degree of variation between the settings in terms of diffusion, resource use and their associated constraints.…”

Section: Is It Generalisable?mentioning

confidence: 99%

Resource Modelling: The Missing Piece of the HTA Jigsaw?

Thokala

Dixon

Jahn³

2014

PharmacoEconomics

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AcknowledgementsThe authors would like to acknowledge the feedback from the reviewers. There are no conflicts of interest for any of the authors. SD wrote the initial drafts for sections 1, 2 and 6. PT and BJ wrote the initial drafts for sections 3, 4 and 5. All authors contributed to the finalising the paper and revising the paper based on reviewers' comments. PT is the overall guarantor for the paper. 2 Abstract:Within health technology assessment (HTA), cost-effectiveness analysis and budget impact analyses have been broadly accepted as important components of decision making. However, whilst they address efficiency and affordability, the issue of implementation and feasibility has been largely ignored. HTA commonly takes place within a deliberative framework that captures issues of implementation and feasibility in a qualitative manner.We argue that only through a formal, quantitative assessment of resource constraints can these issues be fully addressed. This paper argues the need for resource modelling to be considered explicitly in health technology assessment (HTA). First, economic evaluation and budget impact models are described along with their limitations in evaluating feasibility. Next, resource modelling is defined and its usefulness is described along with examples of resource modelling from the literature. Then, the important issues that need to be considered when undertaking resource modelling are described before setting out recommendations for the use of resource modelling in HTA. Key Points for Decision Makers• Economic analyses typically ignore the short term constraints (e.g. beds, availability of CT scanners, nurses, etc) which might lead to low levels of uptake.• A quantitative assessment of technology diffusion, its related resource requirements and capacity constraints is required for uptake to be formally considered by decision makers • Resource modelling is especially useful if there are significant changes in the amount or type of resources needed within the pathway by implementing the new technology • Modelling techniques exist that can capture these resource implications and these analyses can be performed at a national level or at an organisational level 3

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“…The toolkit and glossary will be a valuable resource when reading HTA reports produced in different contexts and when adapting HTA reports produced in other countries (23)(24)(25). Next steps within EUnetHTA Collaboration include Web-based implementation and more field testing.…”

Section: Develop and Pilot Test Tools To Adapt Hta Reports To New Conmentioning

confidence: 99%

Practical tools and methods for health technology assessment in Europe: Structures, methodologies, and tools developed by the European network for Health Technology Assessment, EUnetHTA

Kristensen

Lampe²,

Chase

et al. 2009

Int J Technol Assess Health Care

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Objectives: This article presents an overview of the practical methods and tools to support transnational Health Technology Assessment (HTA) that were developed and pilot tested by the European network for HTA (EUnetHTA), which involved a total of sixty-four Partner organizations.Methods: The methods differ according to scope and purpose of each of the tools developed. They included, for example, literature reviews, surveys, Delphi and consensus methods, workshops, pilot tests, and internal/public consultation.Results: Practical results include an HTA Core Model and a Handbook on the use of the model, two pilot examples of HTA core information, an HTA Adaptation Toolkit for taking existing reports into new settings, a book about HTA and health policy making in Europe, a newsletter providing structured information about emerging/new technologies, an interactive Web-based tool to share information about monitoring activities for emerging/new technologies, and a Handbook on HTA capacity building for Member States with limited institutionalization of HTA.Conclusions: The tools provide high-quality information and methodological frameworks for HTA that facilitate preparation of HTA documentation, and sharing of information in and across national or regional systems. The tools will be used and further tested by partners in the EUnetHTA Collaboration aiming to (i) help reduce unnecessary duplication of HTA activities, (ii) develop and promote good practice in HTA methods and processes, (iii) share what can be shared, (iv) facilitate local adaptation of HTA information, (v) improve the links between health policy and HTA.

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The adaptation of health technology assessment reports: Identification of the need for, and development of, a toolkit to aid the process

Cited by 17 publications

References 14 publications

The health technology assessment adaptation toolkit: Description and use

The health technology assessment adaptation toolkit: Description and use

Resource Modelling: The Missing Piece of the HTA Jigsaw?

Practical tools and methods for health technology assessment in Europe: Structures, methodologies, and tools developed by the European network for Health Technology Assessment, EUnetHTA

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