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Health technology reassessment of non-drug technologies: current practices
Laura Leggett1, Tom W Noseworthy, Mahmood Zarrabi
1University of Calgary; Institute of Public Health, Calgary, Alberta, Canada. lelegget@ucalgary.ca
International Journal of Technology Assessment in Health Care
|September 18, 2012
Summary
Health technology reassessment (HTR) is crucial for managing healthcare costs. This review found HTR initiatives are emerging globally but lack a standardized approach, highlighting the need for a comprehensive methodology.
Area of Science:
- Health Services Research
- Health Technology Assessment
- Health Economics
Background:
- Health technology obsolescence is a natural lifecycle phase.
- Rising global healthcare expenditures necessitate health technology reassessment (HTR).
- HTR involves evaluating medical, social, ethical, and economic impacts of existing technologies.
Purpose of the Study:
- To identify and summarize international health technology reassessment (HTR) initiatives.
- Focus on non-drug technologies currently in use.
- Inform optimal technology utilization compared to alternatives.
Main Methods:
- Systematic review of literature (PubMed, MEDLINE, EMBASE, CINAHL) until November 2011.
- Search terms included disinvestment, obsolescence, reassessment, and reallocation.
- Hand-searched gray literature from INAHTA and HTAi member organizations.
Main Results:
- Forty full-text documents were included in the review.
- One reassessment model was identified but not implemented.
- Eight countries show evidence of HTR work; seven have ongoing initiatives.
- Minimal focus on monitoring and implementation of HTR.
Conclusions:
- Health technology reassessment (HTR) is in its early stages.
- Current HTR practices lack standardization.
- Future efforts should prioritize developing and piloting a comprehensive HTR methodology.
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