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Toward a common understanding of competencies for health technology assessment: enhancing educational and training programs around the globe

Published online by Cambridge University Press:  07 December 2020

Debjani Mueller Open the ORCID record for Debjani Mueller [Opens in a new window] ,
Iñaki Gutierrez-Ibarluzea Open the ORCID record for Iñaki Gutierrez-Ibarluzea [Opens in a new window] ,
Marco Chiumente  and
Wija Oortwijn Open the ORCID record for Wija Oortwijn [Opens in a new window]
Debjani Mueller*
Affiliation:
Department of Health Care Management, Berlin University of Technology, Straße des 17. Juni 135, Berlin10623, Germany Charlotte Maxeke Medical Research Cluster (CMeRC), Wits Health Consortium, 31 Princess of Wales Terrace, Park Town, Johannesburg2193, South Africa
Iñaki Gutierrez-Ibarluzea
Affiliation:
Basque Foundation for Innovation and Research in Health (BIOEF), Torre del BEC (Bilbao Exhibition Centre), Ronda de Azkue 1, Barakaldo48902, Basque Country (Spain)
Marco Chiumente
Affiliation:
Scientific Direction, Italian Society for Clinical Pharmacy and Therapeutics (SIFaCT), Via Carlo Farini 81, Milano20159, Italy
Wija Oortwijn
Affiliation:
Department for Health Evidence, Radboud University Medical Centre, Radboud Institute for Health Sciences (RIHS), PO Box 9101, 6500 HB Nijmegen, The Netherlands
*
Author for correspondence: Debjani Mueller, E-mail: dbmueller7@yahoo.de
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Abstract

Background

Depending on the health system context and the demands of relevant stakeholders in countries, the need, organizational structure, and prerequisites for enabling capacity building and development in health technology assessment (HTA) will vary. Core competencies are instrumental in this and include essential knowledge, skills, and attitudes (KSAs). They provide building blocks for delivering high-quality and effective practices of HTA. We aimed to systematically explore and develop an overview of the core competencies necessary for HTA.

Methods

This study was conducted during 2016–19 using different methods in a structured manner. We drew concepts of KSAs from various literature sources, surveyed universities and HTA professionals, and conducted expert workshops to arrive at a common understanding of the required competencies.

Results

The terminology for KSAs defining competencies in HTA programs has been clarified. In addition, a list of competencies offered through different educational and training programs has been created. The surveys provided clarity on a common understanding of KSAs among HTA stakeholders. Thereafter, a set of competencies was described and classified according to the HTA domains.

Conclusions

Our study shows that there is diversity in HTA programs offered by educational institutions. The content of the programs varies due to differences between countries regarding the level of HTA development and the need for HTA, including the understanding of what HTA is. The preparation of a competency checklist or a “menu” of options mirroring the diversity of HTA will ensure that the specific needs of the HTA community will be covered.

Keywords

Capacity buildingCapacity developmentCompetenciesHealth technology assessment (HTA)
Type
Policy
Information
International Journal of Technology Assessment in Health Care , Volume 37 , Issue 1 , 2021 , e29
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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References

Health Technology Assessment international (HTAi) [Internet] HTA glossary [cited 2019 Dec 1]; Available from: http://htaglossary.net/.Google Scholar
O'Rourke, B, Oortwijn, W, Schuller, T. The new definition of health technology assessment: A milestone in international collaboration. Int J Technol Assess Health Care. 2020;32:187–90.CrossRefGoogle Scholar
Porter, ME. What is value in health care? N Engl J Med. 2010;363.2477–81.CrossRefGoogle ScholarPubMed
Pichler, F, Oortwijn, W, Ruether, A, Trowman, R. Defining capacity building in the context of HTA: A proposal by the HTAi Scientific Development and Capacity Building Committee. Int J Technol Assess Health Care. 2019;5:1–5.Google Scholar
Mueller, D, Gutiérrez-Ibarluzea, I, Schuller, T, Chiumente, M, Ahn, J, Pichon-Riviere, A, et al. Capacity building in agencies for efficient and effective health technology assessment. Int J Technol Assess Health Care. 2016;32:292–9.CrossRefGoogle ScholarPubMed
Wild, C, Stricka, M, Patera, N. Guidance for the development of a National HTA-strategy. Health Policy Technol. 2017;6:339–47; [cited 2019 Dec 1]; Available from: http://dx.doi.org/10.1016/j.hlpt.2017.06.006.CrossRefGoogle Scholar
Bloom, BS, Engelhart, MD, Furst, EJ, Hill, WH, Krathwohl, D. [Internet] Taxonomy of educational objectives. Book I: The cognitive domain. New York: David McKay Co Inc.; 1956 [cited 2019 Dec 1]; Available from: http://www.nwlink.com/~donclark/hrd/bloom.html.Google Scholar
Organization for Economic Cooperation and Development (OECD) [Internet] OECD Future of Education and Skills 2030 Conceptual learning framework-Anticipation-Action-Reflection Cycle for 2030. 2019 [cited 2019 Dec 1]: [pp. 1–9]; Available from: http://www.oecd.org/education/2030-project/teaching-and-learning/learning/aar-cycle/AAR_Cycle_concept_note.pdf.Google Scholar
Albarqouni, L, Hoffmann, T, Straus, S, Olsen, NR, Young, T, Ilic, D, et al. Core competencies in evidence-based practice for health professionals: Consensus statement based on a systematic review and Delphi survey. JAMA Netw Open. 2018;1:e180281.CrossRefGoogle ScholarPubMed
Moynihan, S, Paakkari, L, Välimaa, R, Jourdan, D, Mannix-McNamara, P. Teacher competencies in health education: Results of a Delphi study. PLoS One. 2015;10:1–17.CrossRefGoogle ScholarPubMed
Anderson, LW, Krathwohl, DR, Airasian, PW, Cruikshank, KA, Mayer, RE, Pintrich, PR et al. A taxonomy for learning, teaching and assessing: A revision of Bloom's taxonomy of educational objectives (Complete edition).New York.Longman. 2001.Google Scholar
European Network for Health Technology Assessment (EUnetHTA) [Internet] EUnetHTA Handbook on HTA Capacity Building. Work Package 8. Health Technology Assessment. 2008 [cited 2019 Dec 1]; Available from: https://eunethta.eu/wp-content/uploads/2018/01/EUnetHTA-Handbook-on-HTA-Capacity-Building.pdf.Google Scholar
Calhoun, JG, Ramiah, K, Weist, EMG, Shortell, SM. Development of a core competency model for the master of public health degree. Am J Public Health. 2008;98:1598–607.CrossRefGoogle ScholarPubMed
Institute of Medicine (US) Committee on the Health Professions Education Summit, Greiner, AC, Knebel, E. [Internet] Health Professions Education: A bridge to quality. National Academies Press; 2003; Available from: https://www.ncbi.nlm.nih.gov/books/NBK221528/.Google Scholar
European Network for Health Technology Assessment (EUnetHTA) [Internet] HTA Core Model; 2011 [cited 2020 Mar 25]; Available from: https://eunethta.eu/hta-core-model/.Google Scholar
European Network for Health Technology Assessment (EUnetHTA) [Internet] Glossary of HTA Adaptation Terms; 2007 [cited 2019 Dec 1]: [pp. 1–41]; Available from: https://eunethta.eu/wp-content/uploads/2018/01/Glossary-of-HTA-Adaptation-Terms.pdf.Google Scholar
Pan American Health Organization (PAHO) [Internet] Health Technology Assessment; [cited 2019 Dec 1]; Available from: https://www.paho.org/hq/index.php?option=com_content&view=article&id=9229&Itemid=41687&lang=en.Google Scholar
Intenational Network of Agencies in Health Technology Assessment (INAHTA) [Internet] INAHTA Survey on Educational Training Activities [cited 2019 Dec 1]; Available from: http://www.inahta.org/hta-tools-resources/inahta-member-surveys.Google Scholar
Busse, R, Orvain, J, Drummond, M, Felix, G, Malone, J, Alric, R, et al. Best practice in undertaking and reporting health technology assessments: Working Group 4 Report. Int J Technol Assess Health Care. 2002;18:361–422.CrossRefGoogle Scholar
Polisena, J, De Angelis, G, Kaunelis, D, Gutierrez-Ibarluzea, I. Environmental impact assessment of a health technology: A scoping review. Int J Technol Assess Health Care. 2018;34:317–26.CrossRefGoogle ScholarPubMed
Douw, K, Vondeling, H, Bakketeig, LS. HTA Education and training in Europe. Report ECHTA Working Group 5. June 2001.Google Scholar
World Health Organization (WHO) [Internet] 2015 Global Survey on Health Technology Assessment by National Authorities. World Health Organization; 2015 [cited 2019 Dec 1]: [pp. 1–40]; Available from: www.who.int%0Awww.who.int/about/licens-ing/copyright_form/en/index.html.Google Scholar
World Health Organization (WHO) [Internet] Human resources for medical devices: The role of biomedical engineers. WHO Medical Device Technical Series; 2017 [cited 2019 Dec 1]: [p. 240]; Available from: https://apps.who.int/iris/bitstream/handle/10665/255261/9789241565479-eng.pdf;jsessionid=FD06D38F71F85489C70160ACA6713298?sequence=1.Google Scholar
van der Wilt, GJ, Rüther, A, Trowman, R. Scientific development of HTA—A proposal by the health technology assessment international scientific development and capacity building committee. Int J Technol Assess Health Care. 2019;35:263–5.CrossRefGoogle ScholarPubMed
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