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Health technology assessment: A comprehensive framework for evidence-based recommendations in Ontario

Published online by Cambridge University Press:  15 April 2009

Ana P. Johnson
Affiliation:
Queen's University
Nancy J. Sikich
Affiliation:
Ministry of Health and Long Term Care
Gerald Evans
Affiliation:
Queen's University and Kingston General Hospital
William Evans
Affiliation:
Hamilton Health Sciences and McMaster University
Mita Giacomini
Affiliation:
McMaster University
Murray Glendining
Affiliation:
Hamilton Health Sciences
Murray Krahn
Affiliation:
University of Toronto and Toronto General Hospital
Les Levin
Affiliation:
Ministry of Health and Long Term Care and University of Toronto
Paul Oh
Affiliation:
University of Toronto
Charmaine Perera
Affiliation:
Ministry of Education

Abstract

Objectives: This study describes the development of a framework for health technology decisions, for Ontario Health Technology Advisory Committee (OHTAC) in Ontario, Canada.

Methods: OHTAC convened a “Decision Determinants Sub-Committee” in January 2007, which undertook a systematic literature review and conducted key informant interviews to develop an explicit decision-making framework.

Results: The “Decision Determinants Sub-Committee” offered recommendations about decision criteria, and the process by which decisions are made. Decision criteria include (i) overall clinical benefit, (ii) consistency with societal and ethical values, (iii) value for money, and (iv) feasibility of adoption into the health system. The decision process should be transparent and fair and should use a deliberative process in delivering recommendations.

Conclusions: This methodology is currently being pilot tested in a live environment: OHTAC. It will be evaluated and revised according to its feasibility, acceptability, and perceived usefulness.

Type
General Essays
Copyright
Copyright © Cambridge University Press 2009

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