Health Technology Assignment PDF
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Added on 2019-12-04
Health Technology Assignment PDF
Added on 2019-12-04
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Health Technology Assessment:.
INTRODUCTION Health technology assessment (HTA) can be defined as a multidisciplinary activitythat systematically investigates and examines the safety, clinical efficacy cost-effectiveness, organizational implications, and social consequences/repercussions,ethical as well as legal considerations of the application of a health technology. Thetechnology is usually a drug, medical device or a surgical/clinical procedure(Turchetti, Spadoni and Geisler, 2010). The current research study will focus onunderstanding how healthcare purchasers, providers, industry and patients haveinfluenced the assessment of health technology all over the world. ABOUT HEALTH TECHNOLOGY ASSESSMENT (HTA)Within the United Kingdom healthcare settings the health technology assessmentcan be broadly divided into two areas;Clinical Effectiveness.Cost-Effectiveness (Kaltenthaler and et.al., 2006).Health care purchaser can be defined as an individual or organization which isinvolved in the acquisition of the healthcare services through procurement fromhospital trusts; primary care trusts (PCTs) or independent private hospitals. It furtherinvolves in making provisions for the deliverance of these healthcare services to theusers and patients and a subsequent monitoring for evaluations and assessments ofoutcomes and implementation in improvements programs (Tynkkynen, Keskimäkiand Lehto, 2013). This is called healthcare commissioning. In UK healthcaresettings, this is undertaken by the clinical commissioning groups (CCGs).Commissioning is the set of inter-linked activities required to assess the healthcareneeds of a population, specifying the services required to meet those needs within astrategic framework. This is further followed by securing those services, monitoringand evaluating the outcomes obtained through the provision of those services(Clarke and et.al., 2015).The process of commissioning has a significant impact on the healthcare technologyassessment internationally. Commissioning is a collaborative exercise between theinter-dependent and inter-twined parties and entities, who invest the availableresources of money, talent, and commitments to re-structure services and networks.This is done in order to meet the perceived and anticipated needs of the populationunder consideration and consequently bring about a significant improvement in thepatients’ and populations’ health and wellbeing (Sun and Schoelles, 2013).In order to gain beneficial outcomes in regards to health technology assessment andto assess the significance of resource planning and prioritization a study carried outby (K-Claxton et al, University of York ,Centre for Health economics), tried to
investigate its importance. This pilot study analyzed the significance of applying thedecision analysis and value of information analysis (DA-VOI) in prioritization of theresearch strategies in health technology assessment. The specific objective of thepilot study was to identify the most appropriate ways to extend the use of thesemethods within the program prioritisation processes.The conclusions which have been drawn from this study make recommendations forpractical considerations to be devised about as how to implement such methods intopriority-setting processes and how to gain the best outcomes in the research inhealth technology assessment. This is in regards to resource planning, allocationand commissioning into the research process in HTA.The study made recommendations that there is a need for an analytical frame-workthat can address the question of whether additional resources would be better bedevoted to additional research or interventions for changing the prevailing clinicalpractices.GP-commissioning is a consequence of purchaser-provider split in which GPs arethe purchasers and hospitals are providers of healthcare. But this split is just artificialand does not exist in its realm with explicitness. Rather it is tremendously indefiniteand indistinct with colossal vagueness as the GPs are essentially providinghealthcare as much the hospitals-providers do provide. The purchaser-provider splithas created a scenario of competing financial interests and considerations betweenthe GP-purchasers and the hospital-providers. Due to these competing financialimplications and considerations, GPs are doing the least referring and referrals tohospitals so that their financial interests are not jeopardized. The purchaser-providersplit is tremendously detrimental to patients as they are stuck between them.Moreover, they are having lesser and lesser communications and mutualcollaborations due to their competing financial interests and considerations(Reference; A Better NHS).A research study carried out at University of Calgary, Canada, by Marie-Pierre-Gagnon et al sought to understand the complex factors affecting the uptake of HTAsrecommendations and health technologies into the practices and its effects in theformulation of the decision making and the health technologies implementations inthe GP practices and its reciprocal inter-dependence. The research used amultidimensional framework to investigate the significance of existing collaborationsand communications between practices and HTAs agencies and its impact uponintegration of the health technology assessments and health technologies intopractice.This study presents a comprehensive framework to understand the complexdynamics which affects the processes involved in health technologies integration andadoption into organizational and professional practices. The research study suggestssome avenues to promote integration of HTAs recommendations into practices. This
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