International journal of technology assessment in health care
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Int J Technol Assess Health Care · Jul 2009
Historical ArticleHealth technology assessment in Italy.
The aim of this study was to review the history of health technology assessment (HTA) in Italy. ⋯ At the local level, the hospital-based HTA activity is probably the most important peculiarity of the country and the real driver of the HTA movement.
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Int J Technol Assess Health Care · Jul 2009
Historical ArticleHealth technology assessment in Mexico.
The history of health technology assessment (HTA) in Mexico is examined, starting with the efforts to incorporate this topic into the policy agenda and culminating with the recent creation of a specialized public agency. ⋯ Institutionalization of HTA in resource-constrained settings requires the development of a critical mass of researchers involved in this field, the implementation of information efforts, and the establishment of strong relationships between HTA experts and policy makers.
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Int J Technol Assess Health Care · Jul 2009
Historical ArticleHealth technology management in Israel: HTA in action.
The aim of this study was to describe the history and present situation with health technology assessment (HTA) in Israel. ⋯ ICTAHC's role and functioning has expanded since its beginnings. HTA has become an important part of health care in Israel.
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Int J Technol Assess Health Care · Jul 2009
Historical ArticleHealth technology assessment in Latin America and the Caribbean.
The Pan American Health Organization (PAHO), Regional Office of the World Health Organization (WHO) for the Americas, has tried to promote health technology assessment (HTA) in Latin America for 25 years. A certain awareness of HTA developed in several countries because of these efforts. ⋯ Countries that now are actively institutionalizing HTA include Brazil, Mexico, Chile, and Argentina. Other countries, such as Costa Rica, Colombia, Cuba, Peru, Panamá, Paraguay, Trinidad and Tobago, and Uruguay, are following these trends and some others seem to be moving in this direction within the next few years.
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Int J Technol Assess Health Care · Apr 2009
Randomized Controlled Trial Multicenter Study Comparative StudyThe Alberta Hip and Knee Replacement Project: a model for health technology assessment based on comparative effectiveness of clinical pathways.
The Alberta Hip and Knee Replacement Project developed a new evidence-based clinical pathway (NCP) for total hip (THR) and knee (TKR) replacement. The aim was to facilitate the delivery of services in a timely and cost-effective manner while achieving the highest quality of care for the patient across the full continuum of care from patient referral to an orthopedic surgeon through surgery, recovery, and rehabilitation. The purpose of this article is to provide an overview of the study design, rationale, and execution of this project as a model for health technology assessment based on comparative effectiveness of alternative clinical pathways. ⋯ The Alberta Hip and Knee Replacement Project demonstrates the feasibility and advantages of applying a pragmatic randomized controlled trial to ascertain comparative effectiveness. This is a model for health technology assessment that incorporates how clinical pathways can be effectively evaluated.