Resource allocation and health technology assessment in Australia: Views from the local level

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Show simple item record Gallego, G Van Gool, K Kelleher, D 2010-05-28T09:53:02Z 2009-04
dc.identifier.citation International Journal of Technology Assessment in Health Care, 2009, 25 (2), pp. 134 - 140
dc.identifier.issn 0266-4623
dc.identifier.other C1 en_US
dc.description.abstract Objectives: Several studies have shown that a key determinant of successful health technology assessment (HTA) uptake is a clear, fair, and consistent decision-making process for the approval and introduction of health technologies. The aim of this study was to gauge healthcare providers' and managers' perceptions of local level decision making and determine whether these processes offer a conducive environment for HTA. An Area Health Service (AHS) aimed to use the results of this study to help design a new process of technology assessment and decision making. Methods: An online survey was sent to all health service managers and healthcare providers working in one AHS in Sydney, Australia. Questions related to perceptions of current health technology decisions in participants' own institution/facility and opinions on key criteria for successful decision-making processes. Results: Less than a third of participants agreed with the statements that local decision-making processes were appropriate, easy to understand, evidence-based, fair, or consistently applied. Decisions were reportedly largely influenced by total cost considerations as well as by the central state health departments and the Area executive. Conclusions: Although there are renewed initiatives in HTA in Australia, there is a risk that such investments will not be productive unless policy makers also examine the decision-making contexts within which HTA can successfully be implemented. The results of this survey show that this is especially true at the local level and that any HTA initiative should be accompanied by efforts to improve decision-making processes. Copyright © 2009 Cambridge University Press.
dc.language eng
dc.relation.isbasedon 10.1017/S0266462309090187
dc.title Resource allocation and health technology assessment in Australia: Views from the local level
dc.type Journal Article
dc.parent International Journal of Technology Assessment in Health Care
dc.journal.volume 2
dc.journal.volume 25
dc.journal.number 2 en_US
dc.publocation New York, USA en_US
dc.identifier.startpage 134 en_US
dc.identifier.endpage 140 en_US BUS.Centre for Health Economics Research and Evaluation en_US
dc.conference Verified OK en_US
dc.for 1117 Public Health and Health Services
dc.personcode 106498
dc.personcode 102201
dc.percentage 100 en_US Public Health and Health Services en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US en_US
dc.location.activity en_US
dc.description.keywords Australia
dc.description.keywords HTA
dc.description.keywords Local level
dc.description.keywords Resource allocation
dc.description.keywords Technologies
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Business
pubs.organisational-group /University of Technology Sydney/Strength - Health Economics and Research Evaluation
utslib.copyright.status Open Access 2015-04-15 12:23:47.074767+10
pubs.consider-herdc true
utslib.collection.history Uncategorised (ID: 363)
utslib.collection.history General (ID: 2)

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