valuing medical technologies the decision maker perspective
TRANSCRIPT
Valuing Medical Technologies
The Decision Maker Perspective
Historical Concerns with HTA
Traditional HTA takes too long (outdated before it is completed), technologies infiltrate the system before they are assessed
Delays policy decisions, impacting patient care
Insufficient Evidence – more research is almost always required
HTA capacity is inadequate to amount of new technologies developed
HTAs do not adequately address policy issues
Decision Making Environment Evidence based decision making
‘Common Sense’ vs Evidence Simple solutions to complex problems?
Celebrity Advocacy Individual Stories
Dr. Google: The internet as an information source
‘Truthiness’ in Twitter and other Social Media Studies indicate that patients tend to
overestimate the benefits and underestimate the risks of new treatments
Public perceptions of Government Sustainability
Challenges for Decision Makers Timeliness of HTAs (and decisions) Pressures
Providers Research / Innovation and Economic Development Advocacy groups Oprah Effect Media
Patient Centred – what matters to patients? Uncertainty
Safety: ‘Primum non nocere’ ?
Challenges Specific to Non-Drug Technologies Volume of medical devices Level of evidence Ethical concerns: rapid adoption vs long term evidence Product life cycle and long term evidence Lack of a Common Technology Review and/or
‘formularies’ technology infiltrating the system
Broader context and impacts of non-drug technologies (HR needs, training, credentialing, facility readiness)
Blended Costs Technology is transcending across historical categories
of Drugs, Non-Drugs and Information Technology Innovation Gap
The BC Health Technology Review Evidence informed decisions to ensure
citizens receive the best health care that the province can afford.
Health Technology Assessment Committee Multidisciplinary committee HSSBC, Public, Professional Members, MOH, and HA
MCDA framework for recommendations Joint HA and Ministry decision making Rapid Reviews Reassessment Policy