IMPLEMENTATION OF EUNETHTA CORE MODEL® IN LOMBARDIA: THE VTS FRAMEWORK

Giovanni Radaelli · Emanuele Lettieri · Cristina Masella · Luca Giuseppe Merlino · Alberto Strada · Michele Tringali

95 citations0/0 files storedInternational Journal of Technology Assessment in Health Care

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Health Systems, Economic Evaluations, Quality of Life Technology Assessment and Management Delphi Technique in Research

Abstract

OBJECTIVES: This study describes the health technology assessment (HTA) framework introduced by Regione Lombardia to regulate the introduction of new technologies. The study outlines the process and dimensions adopted to prioritize, assess and appraise the requests of new technologies. METHODS: The HTA framework incorporates and adapts elements from the EUnetHTA Core Model and the EVIDEM framework. It includes dimensions, topics, and issues provided by EUnetHTA Core Model to collect data and process the assessment. Decision making is instead supported by the criteria and Multi-Criteria Decision Analysis technique from the EVIDEM consortium. RESULTS: The HTA framework moves along three process stages: (i) prioritization of requests, (ii) assessment of prioritized technology, (iii) appraisal of technology in support of decision making. Requests received by Regione Lombardia are first prioritized according to their relevance along eight dimensions (e.g., costs, efficiency and efficacy, organizational impact, safety). Evidence about the impacts of the prioritized technologies is then collected following the issues and topics provided by EUnetHTA Core Model. Finally, the Multi-Criteria Decision Analysis technique is used to appraise the novel technology and support Regione Lombardia decision making. CONCLUSIONS: The VTS (Valutazione delle Tecnologie Sanitarie) framework has been successfully implemented at the end of 2011. From its inception, twenty-six technologies have been processed.

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References

2009Slowing the Growth of Health Care Costs — Lessons from Regional Variation 2008Evidence and Value: Impact on DEcisionMaking – the EVIDEM framework and potential applications 2009The HTA Core Model: A novel method for producing and reporting health technology assessments 2002BEST PRACTICE IN UNDERTAKING AND REPORTING HEALTH TECHNOLOGY ASSESSMENTS 2002Cost effectiveness analysis in health care: contraindications 2010Combining multicriteria decision analysis, ethics and health technology assessment: applying the EVIDEM decisionmaking framework to growth hormone for Turner syndrome patients 2006Information Created to Evade Reality (ICER)

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