Establishing a comprehensive continuum from an evidentiary base to policy development for health technologies: The Ontario experience
- 1 January 2007
- journal article
- general essays
- Published by Cambridge University Press (CUP) in International Journal of Technology Assessment in Health Care
- Vol. 23 (3), 299-309
- https://doi.org/10.1017/s0266462307070456
Abstract
Objectives:The aim of this study was to describe a comprehensive continuum that has developed in Ontario between government and key stakeholder groups, including hospitals, physicians, academic institutions, clinical epidemiologists, health economists, industry, and bioethicists to achieve evidence-based recommendations for policy development.Methods:The various components of the comprehensive model that has evolved to develop an evidentiary platform for policy development are summarized, and the flow between these components is described.Results:The development of the Ontario Health Technology Advisory Committee (OHTAC) and associated programs demonstrate the need to go beyond the traditional steps taken within most health technology assessment paradigms. These components include pragmatic postmarketing studies, human factors, and safety analyses, and formalized interactions with a broad spectrum of potential end-users of each technology, experts, and industry. These components, taken together with an expanded systematic review to include a range of economic analyses, and societal impacts augment the traditional systematic review processes. This approach has been found to be important in assisting decision making and has resulted in an 81 percent conversion from evidence to policy consideration for eighty-three technologies that had been assessed at the time this article was submitted.Conclusions:The comprehensive model, centered around OHTAC, has added important new dimensions to health policy by improving its relevance to decision makers and providing an accountable and transparent basis for government to invest appropriately in health technologies. This study could also form a basis for further research into appropriate methodologies and outcome measurements as they relate to each component of this approach.Keywords
This publication has 14 references indexed in Scilit:
- Sirolimus-Eluting versus Uncoated Stents in Acute Myocardial InfarctionNew England Journal of Medicine, 2006
- Comparison of the efficacy of Burch colposuspension, pubovaginal sling, and tension‐free vaginal tape for stress urinary incontinenceInternational Journal of Gynecology & Obstetrics, 2005
- Tension-Free Vaginal Tape and Laparoscopic Mesh Colposuspension for Stress Urinary IncontinenceObstetrics & Gynecology, 2004
- Grading quality of evidence and strength of recommendationsBMJ, 2004
- Prophylactic Defibrillator Implantation in Patients with Nonischemic Dilated CardiomyopathyNew England Journal of Medicine, 2004
- A prospective multicenter randomized trial of tension-free vaginal tape and colposuspension for primary urodynamic stress incontinence: Two-year follow-upAmerican Journal of Obstetrics and Gynecology, 2004
- Tension-Free Vaginal Tape and Laparoscopic Mesh Colposuspension in the Treatment of Stress Urinary Incontinence: Immediate Outcome and Complications—A Randomized Clinical TrialObstetrical & Gynecological Survey, 2003
- Sirolimus-Eluting Stents versus Standard Stents in Patients with Stenosis in a Native Coronary ArteryNew England Journal of Medicine, 2003
- Tension-free vaginal tape and laparoscopic mesh colposuspension in the treatment of stress urinary incontinence: immediate outcome and complications − a randomized clinical trialActa Obstetricia et Gynecologica Scandinavica, 2003
- Prophylactic Implantation of a Defibrillator in Patients with Myocardial Infarction and Reduced Ejection FractionNew England Journal of Medicine, 2002