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- Title
A Framework for Aiding the Translation of Scientific Evidence into Policy: The Experience of a Hospital-Based Technology Assessment Unit.
- Authors
Almeida, Nisha D.; Mines, Lorraine; Nicolau, Ioana; Sinclair, Alison; Forero, David Felipe; Brophy, James M.; Mayo, Nancy; Dendukuri, Nandini
- Abstract
<bold>Objectives: </bold>Very few practical frameworks exist to guide the formulation of recommendations at hospital-based health technology assessment (HTA) units. The objectives of our study were: (i) to identify decision criteria specific to the context of hospital-based health technologies and interventions, (ii) to estimate the extent to which the expert community agrees on the importance of the identified criteria, (iii) to incorporate the identified criteria into a decision-aid tool, and (iv) to illustrate the application of a prototype decision-aid tool.<bold>Methods: </bold>Relevant decision criteria were identified using existing frameworks for HTA recommendations, our past experience, a literature search, and feedback from a survey of diverse stakeholders.<bold>Results: </bold>Based on the survey results, twenty-three decision criteria were incorporated into the final framework. We defined an approach that eschewed a scoring system, but instead relied on a visual means for arriving at a final recommendation, by juxtaposing the importance rating for each criterion against the results of the health technology assessment. For a technology to be approved, a majority of criteria considered important should also have received favorable findings.<bold>Conclusions: </bold>We created a simple and practical decision-aid tool that incorporates all decision criteria relevant to a hospital-based HTA unit. With its ease of use and accessibility, our tool renders the subjective decision-making process more structured and transparent.
- Subjects
TECHNOLOGY assessment; MEDICAL technology; TRANSLATIONS; COOPERATIVENESS; COST effectiveness; DECISION making; GROUP decision making; HEALTH facility administration; HEALTH policy; ORGANIZATIONAL effectiveness; QUALITY assurance; EVIDENCE-based medicine; PROFESSIONAL practice
- Publication
International Journal of Technology Assessment in Health Care, 2019, Vol 35, Issue 3, p204
- ISSN
0266-4623
- Publication type
journal article
- DOI
10.1017/S0266462319000254