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Area of Science:

  • Health Technology Assessment (HTA)
  • Health Services Research

Background:

  • Many current health technologies lack systematic assessment, leading to potential ineffectiveness, misuse, or overuse.
  • Active identification of ineffective health technologies is increasingly vital for improving patient care and optimizing resource allocation.

Purpose of the Study:

  • To analyze the processes and experiences of programs designed to identify ineffective health technologies.
  • To elucidate the key factors that facilitate the implementation of recommendations from these programs.

Main Methods:

  • Systematic literature search and unsystematic hand-search based on an overview article.
  • Information gathering from international experts in the field.

Main Results:

  • Seven programs were identified, encompassing identification, prioritization, assessment, and dissemination of findings on ineffective health technologies.
  • Programs share common goals, target groups, and criteria; outputs (e.g., HTA reports) are primarily disseminated online.
  • Both top-down and bottom-up program approaches demonstrate benefits for recommendation implementation, with political will, transparency, and stakeholder engagement (especially physicians) being critical facilitators.

Conclusions:

  • All identified programs have the potential to enhance healthcare quality and reduce costs under supportive conditions.
  • Continuous involvement of physicians and patients in health technology evaluation is essential.
  • Decision-makers must actively support these programs and translate recommendations into actionable measures.