Study Set Content:
The HTA Unit shall develop and publish the communication materials, policy briefs and evidencesummaries for healthcare professionals, patients and policy makers on the appropriate use of healthtechnologies based on the appraisal and recommendations of the
HTA Core Committee
The HTAC shall review and finalize the content of the communication materials before
public dissemination
The HTAC recognizes that it should respond effectively, efficiently and in a timely manner tothedecisionneeds of the DOH and PhilHealth particularly in situations of public health emergency as definedunderSection () of the Universal Health Care Act, hence requiring an expedited process of evidencereviewtoprovide immediate guidance to public health authorities and health care providers on the useof ahealthintervention or technology
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health technology can be considered to undergo an expedited process if it responds to thefollowingpublic health emergencies: Is caused by any of the following: (i) (); (ii) appearance of a () or previously controlled or eradicated infectious agent or biological toxin; (iii) a () disaster;
bioterrorism, novel, natural
(iv) a()attack or accidental release;; (v) a()attack or accident; or (vi) an attack or accidental releaseof()materials;
chemical , nuclear , radioactive
Poses a high probability of any of the following: (i) a large number of () in the affectedpopulation;(ii) a large number of serious () or long-term disabilities in the affected population
deaths, injuries
(iii) widespread exposure to an () or toxic agent that poses a significant risk of substantial harmtoa large number of people in the affected population; (iv) () exposure to an infectiousortoxic agent that poses a significant risk to the health of citizens of other countries; or (v) ()() restrictions.
infectious, international, trade and travel
Expedited process
Topic nomination Topic prioritization Protocol development and assessment Evidence appraisal Recommendation Decision
HTA contributes in many ways to the knowledge base for improving the () of health care, especiallytosupport development and updating of a wide spectrum of standards, guidelines, and other healthcarepolicies.
quality
For example, in the US, the ()() set standards for measuring quality of care and services of hospitals, managedcareorganizations, long-term care facilities, hospices, ambulatory care centers, and other healthcareinstitutions.
Joint Commission (formerly JCAHO) and the National Committeefor QualityAssurance (NCQA)
Health professional associations and special panels develop clinical practice guidelines, standards, andother statements regarding the appropriate use of technologies HTA can be used to support decision making by clinicians and patients through ()
evidence-based medicine
HTA may involve the investigation of one or more properties, impacts, or other attributes of healthtechnologies or applications. In general, these include the following:
Technical properties
Safety
Efficayc and effectiveness
Exonomic attributes or impacts of health technologies
Ethical, legal, and social considerations
include performance characteristics and conformity with specifications for design,composition, manufacturing, tolerances, reliability, ease of use, maintenance, etc
Technical properties
is a judgment of the acceptability of risk (a measure of the probability of an adverse outcomeandits severity) associated with using a technology in a given situation, e.g., for a patient witha particularhealth problem, by a clinician with certain training, or in a specified treatment setting.
Safety
both refer to how well a technology works, i.e., accomplishes its intendedpurpose, usually based on changes in one or more specified health outcomes.
Efficacy and effectiveness
can be microeconomic and macroeconomic. Microeconomic concerns include costs, prices, charges, and payment levels associated withindividual technologies. Other concerns include comparisons of resource requirements and outcomes (or benefits)oftechnologies for particular applications, such as cost effectiveness, cost utility, and cost benefit. Othermacroeconomic issues that pertain to health technologies include the effects of intellectual property policies (e.g., for patent protection), regulation, third-party payment, and other policy changes thataffecttechnological innovation, adoption, diffusion, and use.
Economic attributes or impacts of health technologies
arise in HTA in the form of normative concepts (e.g., valuationofhuman life); choices about how and when to use technologies; research and the advancement of knowledge; resource allocation; and the integrity of HTA processes themselves (Heitman 1998).
Ethical, legal, and social considerations
Whether in health care or other sectors, technological innovation can challenge certain()()()()norms. Current examples include genetic testing, use of stem cells to grow new tissues, allocationof scarceorgansfor transplantation, and life-support systems for critically ill
ethical, religious,cultural, and legal
Solves morally challenging situations by comparing them with relevant and similar cases where an undisputed solution exists
Casuistry
Tests the consistency of ethical argumentation, values or theories on different levels, with an ideal goal of a logically coherent set of arguments
Coherence analysis
