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POST-INTRODUCTION OBSERVATION OF HEALTHCARE TECHNOLOGIES AFTER COVERAGE: THE SPANISH PROPOSAL

Published online by Cambridge University Press:  14 September 2012

Leonor Varela-Lema ,
Alberto Ruano-Ravina ,
Teresa Cerdá Mota ,
Nora Ibargoyen-Roteta ,
Inaki Imaz ,
Inaki Gutiérrez-Ibarluzea ,
Juan Antonio Blasco-Amaro ,
Enrique Soto-Pedre  and
Laura Sampietro-Colom
Leonor Varela-Lema
Affiliation:
Galician Regional Health Authority
Alberto Ruano-Ravina
Affiliation:
Galician Regional Health Authority; University of Santiago de Compostela; CIBER de Epidemiología y Salud Pública, CIBERESP email: alberto.ruano@usc.es
Teresa Cerdá Mota
Affiliation:
Hospital Complex of Pontevedra
Nora Ibargoyen-Roteta
Affiliation:
Basque Country Regional Health Authority
Inaki Imaz
Affiliation:
Health Technology Assessment Agency of Carlos III Institute of Health (AETS)
Inaki Gutiérrez-Ibarluzea
Affiliation:
Basque Country Regional Health Authority
Juan Antonio Blasco-Amaro
Affiliation:
Madrid Regional Health Technology Assessment Unit
Enrique Soto-Pedre
Affiliation:
A Coruña University Hospital Foundation
Laura Sampietro-Colom
Affiliation:
Barcelona Clinical Hospital
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Abstract

Objectives: When a new health technology has been approved by a health system, it is difficult to guarantee that it is going to be efficiently adopted, adequately used, and that effectiveness, safety, and consumption of resources and costs are in line with what was expected in preliminary investigations. Many governmental institutions promote the idea that efficient mechanisms should be established aimed at developing and incorporating continuous evidence into health technologies management. The purpose of this article is to stimulate the discussion on systematic post-introduction observation of health technologies.

Methods: Literature review and input of HTA experts.

Results: The study addresses the key issues related to post-introduction observation and presents a summary of the guide commissioned by the Spanish Ministry of Health, Social Policy and Equality to the Galician HTA agency for the prioritization and implementation of systematic post-introduction observation in Spain. The manuscript describes the prioritization tool developed as part of this project and discusses the main aspects of protocol development, observation implementation, and assessment of results.

Conclusions: The observation of prioritized health technologies after they are introduced in standard clinical practice can provide useful information for health organizations. However, implementing the observation of health technologies can require specific policy frameworks, commitment from different stakeholders, and dedicated funding.

Keywords

Evidence-based healthcareCoverage with evidence developmentOutcome assessmentHealth services research
Type
POLICIES
Information
International Journal of Technology Assessment in Health Care , Volume 28 , Issue 3 , July 2012 , pp. 285 - 293
Copyright
Copyright © Cambridge University Press 2012

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