Lysdahl, K.B., Mozygemba, K., Burns, J. et al. (4 more authors) (2017) Comprehensive assessment of complex technologies: integrating various aspects in health technology assessment. International Journal of Technology Assessment in Health Care, 33 (5). pp. 570-576. ISSN 0266-4623
Abstract
Objectives: Despite recent development of health technology assessment (HTA) methods, there are still methodological gaps for the assessment of complex health technologies. The INTEGRATE-HTA guidance for effectiveness, economic, ethical, socio-cultural, and legal aspects, deals with challenges when assessing complex technologies, such as heterogeneous study designs, multiple stakeholder perspectives, and unpredictable outcomes. The objective of this article is to outline this guidance and describe the added value of integrating these assessment aspects. Methods: Different methods were used to develop the various parts of the guidance, but all draw on existing, published knowledge and were supported by stakeholder involvement. The guidance was modified after application in a case study and in response to feedback from internal and external reviewers. Results: The guidance consists of five parts, addressing five core aspects of HTA, all presenting stepwise approaches based on the assessment of complexity, context, and stakeholder involvement. The guidance on effectiveness, health economics and ethics aspects focus on helping users choose appropriate, or further develop, existing methods. The recommendations are based on existing methods’ applicability for dealing with problems arising with complex interventions. The guidance offers new frameworks to identify socio-cultural and legal issues, along with overviews of relevant methods and sources. Conclusions: The INTEGRATE-HTA guidance outlines a wide range of methods and facilitates appropriate choices among them. The guidance enables understanding of how complexity matters for HTA and brings together assessments from disciplines, such as epidemiology, economics, ethics, law, and social theory. This indicates relevance for a broad range of technologies.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2017 Cambridge University Press. This is an author produced version of a paper subsequently published in International Journal of Technology Assessment in Health Care. Article available under the terms of the CC-BY-NC-ND license (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
Keywords: | Technology assessment biomedical; Technology assessment (health); Methods; Complex health interventions |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research |
Funding Information: | Funder Grant number EUROPEAN COMMISSION - FP6/FP7 INTEGRATE - 306141 |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 31 Aug 2017 10:20 |
Last Modified: | 27 Oct 2023 11:52 |
Status: | Published |
Publisher: | Cambridge University Press |
Refereed: | Yes |
Identification Number: | 10.1017/S0266462317000678 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:120668 |
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Filename: INTEGRATE_ Comp assess of complex technologies_3 rev_2017.pdf
Licence: CC-BY-NC-ND 4.0