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Published byLaura Bridges Modified over 9 years ago
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Valuing Medical Technologies The Decision Maker Perspective
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Historical Concerns with HTA Traditional HTA takes too long (outdated before it is completed), technologies infiltrate the system before they are assessed Delays policy decisions, impacting patient care Insufficient Evidence – more research is almost always required HTA capacity is inadequate to amount of new technologies developed HTAs do not adequately address policy issues
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Decision Making Environment Evidence based decision making ‘Common Sense’ vs Evidence Simple solutions to complex problems? Celebrity Advocacy Individual Stories Dr. Google: The internet as an information source ‘Truthiness’ in Twitter and other Social Media Studies indicate that patients tend to overestimate the benefits and underestimate the risks of new treatments Public perceptions of Government Sustainability
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Challenges for Decision Makers Timeliness of HTAs (and decisions) Pressures Providers Research / Innovation and Economic Development Advocacy groups Oprah Effect Media Patient Centred – what matters to patients? Uncertainty Safety: ‘ Primum non nocere ’ ?
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Challenges Specific to Non-Drug Technologies Volume of medical devices Level of evidence Ethical concerns: rapid adoption vs long term evidence Product life cycle and long term evidence Lack of a Common Technology Review and/or ‘formularies’ technology infiltrating the system Broader context and impacts of non-drug technologies (HR needs, training, credentialing, facility readiness) Blended Costs Technology is transcending across historical categories of Drugs, Non-Drugs and Information Technology Innovation Gap
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The BC Health Technology Review Evidence informed decisions to ensure citizens receive the best health care that the province can afford. Health Technology Assessment Committee Multidisciplinary committee HSSBC, Public, Professional Members, MOH, and HA MCDA framework for recommendations Joint HA and Ministry decision making Rapid Reviews Reassessment Policy
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