Review of early assessment models of innovative medical technologies

Research output: Contribution to journalReviewResearchpeer-review

Abstract

INTRODUCTION: Hospitals increasingly make decisions regarding the early development of and investment in technologies, but a formal evaluation model for assisting hospitals early on in assessing the potential of innovative medical technologies is lacking. This article provides an overview of models for early assessment in different health organisations and discusses which models hold most promise for hospital decision makers.

METHODS: A scoping review of published studies between 1996 and 2015 was performed using nine databases. The following information was collected: decision context, decision problem, and a description of the early assessment model.

RESULTS: 2362 articles were identified and 12 studies fulfilled the inclusion criteria. An additional 12 studies were identified and included in the review by searching reference lists. The majority of the 24 early assessment studies were variants of traditional cost-effectiveness analysis. Around one fourth of the studies presented an evaluation model with a broader focus than cost-effectiveness. Uncertainty was mostly handled by simple sensitivity or scenario analysis.

DISCUSSION AND CONCLUSIONS: This review shows that evaluation models using known methods assessing cost-effectiveness are most prevalent in early assessment, but seems ill-suited for early assessment in hospitals. Four models provided some usable elements for the development of a hospital-based model.

Original languageEnglish
JournalHealth Policy
Volume121
Issue number8
Pages (from-to)870-879
ISSN0168-8510
DOIs
Publication statusPublished - 2017

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Cost-Benefit Analysis
Uncertainty
Organizations
Databases
Health

Keywords

  • Journal Article
  • Review

Cite this

@article{9a4b7b7e2a9f4949a7f61702878bf1fd,
title = "Review of early assessment models of innovative medical technologies",
abstract = "INTRODUCTION: Hospitals increasingly make decisions regarding the early development of and investment in technologies, but a formal evaluation model for assisting hospitals early on in assessing the potential of innovative medical technologies is lacking. This article provides an overview of models for early assessment in different health organisations and discusses which models hold most promise for hospital decision makers.METHODS: A scoping review of published studies between 1996 and 2015 was performed using nine databases. The following information was collected: decision context, decision problem, and a description of the early assessment model.RESULTS: 2362 articles were identified and 12 studies fulfilled the inclusion criteria. An additional 12 studies were identified and included in the review by searching reference lists. The majority of the 24 early assessment studies were variants of traditional cost-effectiveness analysis. Around one fourth of the studies presented an evaluation model with a broader focus than cost-effectiveness. Uncertainty was mostly handled by simple sensitivity or scenario analysis.DISCUSSION AND CONCLUSIONS: This review shows that evaluation models using known methods assessing cost-effectiveness are most prevalent in early assessment, but seems ill-suited for early assessment in hospitals. Four models provided some usable elements for the development of a hospital-based model.",
keywords = "Journal Article, Review",
author = "Iben Fasterholdt and Krahn, {Murray D} and Kristian Kidholm and Yderstr{\ae}de, {Knud Bonnet} and Pedersen, {Kjeld M{\o}ller}",
note = "Crown Copyright {\circledC} 2017. Published by Elsevier B.V. All rights reserved.",
year = "2017",
doi = "10.1016/j.healthpol.2017.06.006",
language = "English",
volume = "121",
pages = "870--879",
journal = "Health Policy",
issn = "0168-8510",
publisher = "Elsevier",
number = "8",

}

Review of early assessment models of innovative medical technologies. / Fasterholdt, Iben; Krahn, Murray D; Kidholm, Kristian; Yderstræde, Knud Bonnet; Pedersen, Kjeld Møller.

In: Health Policy, Vol. 121, No. 8, 2017, p. 870-879.

Research output: Contribution to journalReviewResearchpeer-review

TY - JOUR

T1 - Review of early assessment models of innovative medical technologies

AU - Fasterholdt, Iben

AU - Krahn, Murray D

AU - Kidholm, Kristian

AU - Yderstræde, Knud Bonnet

AU - Pedersen, Kjeld Møller

N1 - Crown Copyright © 2017. Published by Elsevier B.V. All rights reserved.

PY - 2017

Y1 - 2017

N2 - INTRODUCTION: Hospitals increasingly make decisions regarding the early development of and investment in technologies, but a formal evaluation model for assisting hospitals early on in assessing the potential of innovative medical technologies is lacking. This article provides an overview of models for early assessment in different health organisations and discusses which models hold most promise for hospital decision makers.METHODS: A scoping review of published studies between 1996 and 2015 was performed using nine databases. The following information was collected: decision context, decision problem, and a description of the early assessment model.RESULTS: 2362 articles were identified and 12 studies fulfilled the inclusion criteria. An additional 12 studies were identified and included in the review by searching reference lists. The majority of the 24 early assessment studies were variants of traditional cost-effectiveness analysis. Around one fourth of the studies presented an evaluation model with a broader focus than cost-effectiveness. Uncertainty was mostly handled by simple sensitivity or scenario analysis.DISCUSSION AND CONCLUSIONS: This review shows that evaluation models using known methods assessing cost-effectiveness are most prevalent in early assessment, but seems ill-suited for early assessment in hospitals. Four models provided some usable elements for the development of a hospital-based model.

AB - INTRODUCTION: Hospitals increasingly make decisions regarding the early development of and investment in technologies, but a formal evaluation model for assisting hospitals early on in assessing the potential of innovative medical technologies is lacking. This article provides an overview of models for early assessment in different health organisations and discusses which models hold most promise for hospital decision makers.METHODS: A scoping review of published studies between 1996 and 2015 was performed using nine databases. The following information was collected: decision context, decision problem, and a description of the early assessment model.RESULTS: 2362 articles were identified and 12 studies fulfilled the inclusion criteria. An additional 12 studies were identified and included in the review by searching reference lists. The majority of the 24 early assessment studies were variants of traditional cost-effectiveness analysis. Around one fourth of the studies presented an evaluation model with a broader focus than cost-effectiveness. Uncertainty was mostly handled by simple sensitivity or scenario analysis.DISCUSSION AND CONCLUSIONS: This review shows that evaluation models using known methods assessing cost-effectiveness are most prevalent in early assessment, but seems ill-suited for early assessment in hospitals. Four models provided some usable elements for the development of a hospital-based model.

KW - Journal Article

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DO - 10.1016/j.healthpol.2017.06.006

M3 - Review

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VL - 121

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EP - 879

JO - Health Policy

JF - Health Policy

SN - 0168-8510

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