Understanding Canadian Health Technology Assessment through a systems lens.

Health Policy
Edilene LopesTania Stafinski

Abstract

Governments around the world face challenges in maintaining sustainable, high-quality healthcare systems. Health Technology Assessment (HTA) is widely used as a method to assist in funding decisions. However, the scope and influence of HTA is still limited. We examined how policymakers can improve the usefulness of HTA. We used Systems Thinking as a theoretical framework to examine HTA as a system. We purposely sampled stakeholders involved in Canadian HTA at a national or provincial level. We conducted 22 semi-structured interviews in September-December 2016. Data were analysed using NVivo10 and findings are presented as a concept map with explanatory text. The HTA system is influenced by stakeholder interactions. Such interactions are, in turn, affected by stakeholders' worldviews and environmental factors. Stakeholders' worldviews includes individual's or groups' values and affect the exchange of information, and interpretation of events. External factors, such as changes to government structures, also affect the system. Most stakeholder groups are supportive of the system. However, participants identified a need for change, though the exact changes being recommended differed. Some interactions were praised (formal, inclusiv...Continue Reading

References

Sep 15, 2001·BMJ : British Medical Journal·P E Plsek, T Greenhalgh
Jan 25, 2003·Health Policy·David Banta
Dec 21, 2004·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·C R Mitton
Nov 30, 2005·Journal of Advanced Nursing·Lela M Holden
Feb 2, 2006·American Journal of Public Health·William M TrochimScott J Leischow
Jun 9, 2009·International Journal of Technology Assessment in Health Care·David Banta, Egon Jonsson
Aug 28, 2014·Health Research Policy and Systems·David H Peters

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Citations

Aug 6, 2020·International Journal of Technology Assessment in Health Care·Edilene LopesDrew Carter
Jun 25, 2021·International Journal of Technology Assessment in Health Care·Marina RichardsonBeate Sander

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