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Demonstrating the influence of HTA: INAHTA member stories of HTA impact

Published online by Cambridge University Press:  05 November 2020

Sophie Söderholm Werkö ,
Tracy Merlin ,
Laurie Jean Lambert ,
Paul Fennessy ,
Ana Pérez Galán  and
Tara Schuller Open the ORCID record for Tara Schuller [Opens in a new window]
Sophie Söderholm Werkö
Affiliation:
Swedish Council on Health Technology Assessment and Assessment of Social Services, Stockholm, Sweden
Tracy Merlin
Affiliation:
Adelaide Health Technology Assessment, School of Public Health, University of Adelaide, Adelaide, South Australia, Australia
Laurie Jean Lambert
Affiliation:
Institut national d'excellence en santé et en services sociaux, Montreal, Québec, Canada
Paul Fennessy
Affiliation:
Victorian Department of Health & Human Services, Melbourne, Victoria, Australia
Ana Pérez Galán
Affiliation:
División Evaluación Sanitaria, Sanitaria, Uruguay
Tara Schuller*
Affiliation:
INAHTA Secretariat, c/o Institute of Health Economics, 1200, 10405 Jasper Avenue NW, Edmonton, Alberta, Canada
*
Author for correspondence: Tara Schuller, E-mail: tschuller@ihe.ca
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Abstract

A central function of health technology assessment (HTA) agencies is the production of HTA reports to support evidence-informed policy and decision making. HTA agencies are interested in understanding the mechanisms of HTA impact, which can be understood as the influence or impact of HTA report findings on decision making at various levels of the health system. The members of the International Network of Agencies for HTA (INAHTA) meet at their annual Congress where impact story sharing is one important activity. This paper summarizes four stories of HTA impact that were finalists for the David Hailey Award for Best Impact Story.

The methods to measure impact include: document review; claims analysis and review of reimbursement status; citation analysis; qualitative evaluation of stakeholders’ views; and review of media response. HTA agency staff also observed changes in government activities and priorities based on the HTA. Impact assessment can provide information to improve the HTA process, for example, the value of patient and clinician engagement in the HTA process to better define the assessment question and literature reviews in a more holistic and balanced way.

HTA reports produced by publicly funded HTA agencies are valued by health systems around the globe as they support decision making regarding the appropriate use, pricing, reimbursement, and disinvestment of health technologies. HTAs can also have a positive impact on information sharing between different levels of government and across stakeholder groups. These stories show how HTA can have a significant impact, irrespective of the health system and health technology being assessed.

Keywords

Technology assessmentBiomedicalDecision makingQuality assuranceHealthcareProgram evaluation
Type
Article Commentary
Information
International Journal of Technology Assessment in Health Care , Volume 37 , Issue 1 , 2021 , e8
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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