Health Technology Assessment Laura Sampietro-Colom, MD, MscPH, PhD HTAi President Review of Tools, Guidelines, and Procedures to Promote Safe, Affordable, Quality Medical Device Use WHO First Global Forum on Medical Devices Bangkok, 9-11 September 2010
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Health Technology Assessment - WHO€¦ · Outline • Health Technologies and global health care context • Health Technology Assessment (HTA): a tool to improve decisions in health
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Health Technology Assessment
Laura Sampietro-Colom, MD, MscPH, PhD
HTAi President
Review of Tools, Guidelines, and Procedures to
Promote Safe, Affordable, Quality Medical Device Use
WHO First Global Forum on Medical Devices
Bangkok, 9-11 September 2010
Outline
• Health Technologies and global health care context
• Health Technology Assessment (HTA): a tool to
improve decisions in health care policy and practice
• Global available resources in HTA
• Final thoughts
Context: From ancient times … to XX century
Innovation and medicine go together!
Digital
Nano/BIO/Regenerative
Convergent
Burrill S, may 2009
Personal and Informational
Burrill S, may 2009
Context: The XXI century ... Medicine goes
• Innovation in HTs do not always answers health needs
• Needed HTs are not distributed fairly
Nocturnal picture of our world
Equity in Healthcare remains a big issue !
Global Context
Global Context
“ Both politically, in terms of being
accountable to those who fund the
system, and also ethically, in
terms of making sure that you
make the best use possible of available resources, evaluation
is absolutely critical”
Julio Frenk, Minister of Health,
Mexico 2005
Lancet www.thelancet.com, 2010
“Because professionals sometimes do more harm than good
when they intervene in the lives of other people, their policies
and practices should be informed by rigorous, transparent,
up-to-date evaluations”
Ian Chalmers ,Editor, The James Lind Library, 2003
Context: Needs
Context: questions faced by decision
makers
� Is this new HT necessary for my country?
� Is the new HT justified sufficiently by the overall
benefits achieved in terms of safety, health outcomes,
and costs in my country?
�Which patients can benefit the most from this new
HT in my country?
� Among the big number of choices of HTs, which are
the most appropriate for a specific health problem in
my country?
Regu
lation
: Re
gulat
ion:
Regu
lation
: Re
gulat
ion:
CE M
ark, F
DACE
Mark
, FDA
CE M
ark, F
DACE
Mark
, FDA
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Can it work Can it work Can it work Can it work here?here?here?here?
Can it work?Can it work?Can it work?Can it work?PerformancePerformancePerformancePerformance