The Influence of Health Technology Assessment on the Diffusion of MRI in Australia

Hailey, David; Crowe, Bernard L.

doi:10.1017/s0266462300005444

Cited by 10 publications

(2 citation statements)

References 4 publications

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“…Since the late 1980s, the impact of health research has been a topic of increasing interest to both researchers and funding organizations (Battista, Feeny, and Hodge 1995;Lomas 1991Lomas , 1993Hailey and Crowe 1993;Lavis et al 2002). The impacts of consensus conferences (Lomas 1991); clinical guidelines (Lomas et al 1989;Giacomini et al 2000); continuous medical education (Oxman et al 1995); and fi nancial, organizational, and legislative mechanisms (Durieux, Viens-Bitker, and Blum-Boisgard 1988;Hailey, Cowley, and Dankiw 1990) on policy making and clinical practice have been investigated.…”

Section: Conceptualizing Hta Dissemination Within the Broader Health mentioning

confidence: 99%

Dissemination of Health Technology Assessments: Identifying the Visions Guiding an Evolving Policy Innovation in Canada

Lehoux

Denis

Tailliez

et al. 2005

Journal of Health Politics, Policy and Law

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Health technology assessment (HTA) has received increasing support over the past twenty years in both North America and Europe. The justification for this field of policy-oriented research is that evidence about the efficacy, safety, and cost-effectiveness of technology should contribute to decision and policy making. However, concerns about the ability of HTA producers to increase the use of their findings by decision makers have been expressed. Although HTA practitioners have recognized that dissemination activities need to be intensified, why and how particular approaches should be adopted is still under debate. Using an institutional theory perspective, this article examines HTA as a means of implementing knowledge-based change within health care systems. It presents the results of a case study on the dissemination strategies of six Canadian HTA agencies. Chief executive officers and executives (n = 11), evaluators (n = 19), and communications staff (n = 10) from these agencies were interviewed. Our results indicate that the target audience of HTA is frequently limited to policy makers, that three conflicting visions of HTA dissemination coexist, that active dissemination strategies have only occasionally been applied, and that little attention has been paid to the management of diverging views about the value of health technology. Our discussion explores the strengths, limitations, and trade-offs associated with the three visions. Further efforts should be deployed within agencies to better articulate a shared vision and to devise dissemination strategies that are consistent with this vision.

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Section: Conceptualizing Hta Dissemination Within the Broader Health mentioning

confidence: 99%

Dissemination of Health Technology Assessments: Identifying the Visions Guiding an Evolving Policy Innovation in Canada

Lehoux

Denis

Tailliez

et al. 2005

Journal of Health Politics, Policy and Law

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“…The study informed policy on reimbursement of MRI exams and on funding of additional scanners in public hospitals. The experience from the assessment led to a consensus statement on the place of MRI in Australian health care, which formed the basis for the RACR's position on use of the technology for some years (13;14).…”

Section: Operation and Influence Of Australian Htamentioning

confidence: 99%

The history of health technology assessment in Australia

Hailey

2009

Int J Technol Assess Health Care

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Objectives: To describe the development and application of health technology assessment (HTA) in Australia. Methods: Review of relevant literature and other documents related to HTA in Australia. Results: Most HTA activity in Australia has been associated with provision of advice for the two national subsidy programs, Medicare, and the Pharmaceutical Benefits Scheme (PBS). National advisory bodies established by the federal government have had a prominent role. Assessments from the advisory bodies have had a major influence on decisions related to Medicare and the PBS, and in some other areas. Technologies without links to the national subsidy schemes, and those that are widely distributed, have been less well covered by HTA. To some extent these are addressed by evaluations supported by state governments, but details of approaches taken are not readily available. Conclusions: HTA in Australia now has a long history and is well established as a source of advice to health decision makers. Challenges remain in extending the scope of assessments, developing more transparent approaches in some areas, and consistently applying appropriate standards.

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Grundlagen von HTA

Widrig

2015

Veröffentlichungen Des Instituts Für Deutsches, Europäisches Und Internationales Medizinrecht, Gesundheitsrecht Und Bioethik De

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The Influence of Health Technology Assessment on the Diffusion of MRI in Australia

Cited by 10 publications

References 4 publications

Dissemination of Health Technology Assessments: Identifying the Visions Guiding an Evolving Policy Innovation in Canada

Dissemination of Health Technology Assessments: Identifying the Visions Guiding an Evolving Policy Innovation in Canada

The history of health technology assessment in Australia

Grundlagen von HTA

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