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Basis for Decisions on Emerging Health Technology: A Danish Feasibility Study

Published online by Cambridge University Press:  10 March 2009

Torben Jørgensen
Affiliation:
Danish Institute for Health Services Research and Development (DSI)
Lars Grupe Larsen
Affiliation:
Danish Institute for Health Services Research and Development (DSI)

Abstract

The objectives of the feasibility study were to evaluate sources of information for an eventual Danish system for early identification and assessment of emerging health technology, to identify potential users of the system, and to clarify their specific need for information concerning emerging health technology. The methods used were questionnaires to informants within and outside the health services and to decision makers on different levels in the health services, and follow-up telephone interviews. Our study reveals a strong, and to some extent unsatisfied, need among policy makers, planners, and managers in the Danish health services for information concerning emerging health technology. The requested information should in particular concern indication for use, number of patients affected, clinical effectiveness and side effects, running cost, and investments. The time horizon most relevant to the decision makers seems to be only zero to 2 years. Furthermore, we found that numerous sources are available that frequently display information on emerging technology important to the health services. The challenges seem to be to select information of sufficient importance and quality, and to combine information, since very few, if any, single primary sources cover all the requested information. In conclusion, we recommend the establishment of a Danish national system for early identification and assessment of emerging health technology, consisting of a small secretariat that collaborates nationally and internationally, the latter in particular on identification of technology and on development of methods for early assessment.

Type
Special Section: Early Identification and Assessment of Emerging Health Technology
Copyright
Copyright © Cambridge University Press 1998

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References

REFERENCES

1.Banta, H. D., & Gelijns, A. C.The future of health care technology: Implications of a system for early identification. World Health Statistics Quarterly, 1994, 47, 140–48.Google ScholarPubMed
2.Banta, H. D., Gelijns, A. C., Griffion, J., & Graaf, P. J.An inquiry concerning future health care technology: Methods and general results. Health Policy, 1987, 8, 251–64.CrossRefGoogle ScholarPubMed
3.Banta, H. D., & Vondeling, H.Strategies for successful evaluation and policy-making toward health care technology on the move: The case of medical lasers. Social Science and Medicine, 1994, 38, 1663–74.CrossRefGoogle ScholarPubMed
4.Buxton, M. Problems in the appraisal of new technology: The evaluation of heart transplant in the UK. In Drummond, M. F. (ed.), Economic Appraisal of Health Technology in the European Community. Oxford: Oxford Medical Publications, 1987.Google Scholar
5.Carlsson, P., Hultin, H., & Törnwall, J.Early experiences of a national system for identification and assessment of emerging health care technologies in Sweden. International Journal of Technology Assessment in Health Care, 1998, 14, 687–94.CrossRefGoogle ScholarPubMed
6.Carlsson, P., & Jørgensen, T.Scanning the horizon for emerging health technologies: Conclusions from a European workshop. International Journal of Technology Assessment in Health Care, 1998, 14, 695704.CrossRefGoogle ScholarPubMed
7.The Danish National Board of Health, The Health Technology Assessment Committee. National strategy for health technology assessment. Copenhagen, 1996.Google Scholar
8.Durand-Zaleski, I., & Jolly, D.Technology assessment in health care: Decision makers and health care providers—What they need to know. Health Policy, 1990, 15, 3744.CrossRefGoogle Scholar
9.Gøtzsche, P. C.Det sundhedsvidenskabelige grundlag for medicinsk teknologivurdering[The scientific basis for medical technology assessment]. København: Det Etiske Råd, 1996.Google Scholar
10.Jørgensen, T., Larsen, L. G., & Poulsen, P. B.Tidlig varsling af kommende medicinske teknologier—et dansk forstudie[Early warning of emerging medical technology—A Danish feasibility study]. København: DSI Institut for Sundhedsvæsen, 1997.Google Scholar
11.Mowatt, G., Bower, D. J., Brebner, J. A., et al. When and how to assess fast-changing technologies: A comparative study of medical applications of four generic technologies. Health Technology Assessment, 1997, 1, Report 14.CrossRefGoogle Scholar
12.Poulsen, P. B., Hørder, M., & Jørgensen, T.Fremtidens medicinske metoder—tidlig varsling i internationalt og dansk perspektiv[Future medical methods—Early warning in an international and a Danish perspective]. København: Sundhedsstyrelsen, Udvalget for Medicinsk Teknologivurdering, 1996.Google Scholar
13.Powe, N. R., & Griffiths, R. I. Clinical-Economic Trials, Background Paper 5. In Tools for evaluating health technologies. Five background papers. Washington, DC: U.S. Government Printing Office. 1995, 125–49. Publication No. OTA-BP-H-142.Google Scholar
14.Robert, G., Stevens, A., & Gabby, J.Which are the best information sources for identifying emerging health care technologies? An international Delphi survey. International Journal of Technology Assessment in Health Care, 1998, 14, 636–43.CrossRefGoogle ScholarPubMed
15.Schulpher, M., Drummond, M., & Buxton, M.The iterative use of economic evaluation as part of the process of health technology assessment. Journal of Health Services Research and Policy, 1997, 2, 2630.CrossRefGoogle Scholar
16.Stevens, A., Packer, C., & Robert, G.Early warning of new health care technologies in the United Kingdom. International Journal of Technology Assessment in Health Care, 1998, 14, 680–86.CrossRefGoogle ScholarPubMed
17.Stevens, A., Robert, G., & Gabbay, J.Identifying new health care technologies in the United Kingdom. International Journal of Technology Assessment in Health Care, 1997, 13, 5967.CrossRefGoogle ScholarPubMed
18.Stocking, B., & Commission of the European Communities. Expensive health technologies. Regulatory and administrative mechanisms in Europe (CEC Health Services Research Series No. 5). Oxford: Oxford University Press, 1988.Google Scholar
19.ten Velden, G. H. M.Identifying new health care technologies by the Health Council of the Netherlands. International Journal of Technology Assessment in Health Care, 1998, 14, 671–79.CrossRefGoogle Scholar
20.Trindade, E., Topfer, E., & De Gusti, M.Internet information sources for emerging health technologies: A starting point. International Journal of Technology Assessment in Health Care, 1998, 14, 644–51.CrossRefGoogle ScholarPubMed
21.Whitted, G. S. Medical technology diffusion and its effect on the modern hospital. Health Care Management Review, 1981, 4554.CrossRefGoogle Scholar