Article type
Year
Abstract
Background:
Health technology reassessment (HTR) is the process of withdrawing medical care resources partially, or completely, when existing health technology is regarded as being an inefficient use of healthcare resources that provides less health benefit for its cost. Obsolescence is a natural stage in the health technology cycle to promote optimization of health insurance finance use.
Objectives:
The purpose of this research is to construct an HTR system in Korea by examining the condition and methodology of the international HTR system in four countries.
Methods: The Cochrane Library, Ovid MEDLINE, Ovid EMBASE, PubMED, and CINAHL were searched from January 2000 to February 2013. Gray literature was searched for via reference lists, bibliographies of relevant articles, and by searching the web sites of INAHTA and HTAi. Inclusion criteria were studies on HTR or reinvestment, studies reporting on the implementation method and theoretical knowledge of the HTR. Selection of papers and data extraction were performed by two independent review authors.
Results:
A total of 24 related papers were included. This report especially examined the countries that actually performed HTR through the government and local government, such as the United Kingdom, Australia, Canada and Spain. The overview of the HTR systems examined the reassessment performance method and the policy performance method. A reassessment of health technology was performed for optimization of use of health technology after its adoption and acceptance intp practice. Apart from the difference of a legal basis, the reassessment system of theses countries are similar in HTR technology identification, and priority setting methods, assessment methods, and decision-making. We constructed an HTR system in Korea that is also composed of four steps on the basis of the results of this systematic review.
Conclusions:
HTR is one of the methods used to help the patient receive proper treatment to increase the efficiency and quality of treatment. Based on the lesson from foreign countries's prior experience, we developed an HTR system in Korea considering the unique characteristics of Korea.
Health technology reassessment (HTR) is the process of withdrawing medical care resources partially, or completely, when existing health technology is regarded as being an inefficient use of healthcare resources that provides less health benefit for its cost. Obsolescence is a natural stage in the health technology cycle to promote optimization of health insurance finance use.
Objectives:
The purpose of this research is to construct an HTR system in Korea by examining the condition and methodology of the international HTR system in four countries.
Methods: The Cochrane Library, Ovid MEDLINE, Ovid EMBASE, PubMED, and CINAHL were searched from January 2000 to February 2013. Gray literature was searched for via reference lists, bibliographies of relevant articles, and by searching the web sites of INAHTA and HTAi. Inclusion criteria were studies on HTR or reinvestment, studies reporting on the implementation method and theoretical knowledge of the HTR. Selection of papers and data extraction were performed by two independent review authors.
Results:
A total of 24 related papers were included. This report especially examined the countries that actually performed HTR through the government and local government, such as the United Kingdom, Australia, Canada and Spain. The overview of the HTR systems examined the reassessment performance method and the policy performance method. A reassessment of health technology was performed for optimization of use of health technology after its adoption and acceptance intp practice. Apart from the difference of a legal basis, the reassessment system of theses countries are similar in HTR technology identification, and priority setting methods, assessment methods, and decision-making. We constructed an HTR system in Korea that is also composed of four steps on the basis of the results of this systematic review.
Conclusions:
HTR is one of the methods used to help the patient receive proper treatment to increase the efficiency and quality of treatment. Based on the lesson from foreign countries's prior experience, we developed an HTR system in Korea considering the unique characteristics of Korea.