Guiding the process of health technology disinvestment

Health Policy
Nora Ibargoyen-RotetaJosé Asua

Abstract

To develop a guideline for health technology disinvestment. The Nominal Group Technique was used to determine relevant aspects of disinvestment decision-making. Ideas reaching consensus and previous Spanish guidelines on the acquisition of new health technologies (GANT) and new genetic tests (GEN) structures were used to develop the domains and contents of GuNFT (Guideline for Not Funding Health Technologies). The draft was peer reviewed by local and international experts and their suggestions were incorporated to the first GuNFT version. Thirty-five ideas reached consensus. The most relevant ones referred to the reasons for disinvesting in a technology and the key aspects that would facilitate disinvestment acceptance. Considering both consensus ideas and GANT and GEN guidelines, the first GuNFT draft was elaborated. After the review process, section numbers and contents were changed. The resulting GuNFT guideline was finally divided into six domains related to: (1) general preliminary recommendations, (2) completing the application form, (3) checking and prioritising applications, (4) assessment, (5) final decision and (6) action plan design. A software was also developed to facilitate GuNFT implementation. Disinvestment shou...Continue Reading

References

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Citations

Sep 18, 2012·International Journal of Technology Assessment in Health Care·Laura LeggettFiona M Clement
Jan 25, 2014·Applied Health Economics and Health Policy·Craig MittonCam Donaldson
Aug 21, 2015·International Journal of Technology Assessment in Health Care·P Alison PapricaGuillermo A Sandoval
Oct 9, 2015·BMC Medicine·Daniel J NivenHenry Thomas Stelfox
Jan 24, 2012·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Hwayoung Lee, Jinhyun Kim
Jan 31, 2015·Social Science & Medicine·Leila RooshenasJenny L Donovan
Feb 5, 2013·Health Policy·Sandra García-ArmestoEnrique Bernal-Delgado
Nov 12, 2016·Health Research Policy and Systems·Hyun-Ju SeoSeon Heui Lee
Jul 14, 2017·International Journal of Technology Assessment in Health Care·Mary Alison MaloneyMitchel Levine
Sep 29, 2017·International Journal of Technology Assessment in Health Care·Ion AgirrezabalIñaki Gutierrez-Ibarluzea
Feb 21, 2018·Health Research Policy and Systems·Roberto Grilli, Valentina Chiesa
Apr 23, 2019·International Journal of Technology Assessment in Health Care·Julie PolisenaRoberta Joppi
Feb 18, 2016·Wiener medizinische Wochenschrift·Claudia Wild, Julia Mayer
Mar 15, 2018·European Journal of Public Health·Maria Lucia SpecchiaChiara de Waure
Jul 4, 2017·International Journal of Technology Assessment in Health Care·Massimiliano OrsoAlessandro Montedori
Nov 21, 2012·The Medical Journal of Australia·Adam G ElshaugCameron D Willis
Oct 30, 2020·Health Research Policy and Systems·Mark EmbrettMichelle L Dion

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