Jornadas #PatientInHTA · Gaizka Benguria
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Transcript of Jornadas #PatientInHTA · Gaizka Benguria
Zaragoza, 27-28 April 2017
Are we able to detect new technologies
systematically and timely? Spanish emerging technologies network. Methodological advances and work plan.
E. Baños, S. Luengo, A. Llanos, C. Juárez, L Varela, JM. Ruiz-Olano I. Prieto, T. Molina, I. Gutiérrez-Ibarluzea, G. Benguria-Arrate, J. Asua
AETS, AETSA, AVALIA-T, OSTEBA
PUBLIC HEALTH CONFERENCE 10th anniversary of the Spanish Network of Health Technology Assessment (HTA) Agencies:
Insights for collaborative networking
Towards Patient and public engagement in HTA
Agenda
• Where we come from? • What is our way? • Changes over time • What can we offer? • What do we need from the system and from
our customers? • Future developments
New or emerging health technologies
• Emerging health technology A health technology that has not yet been adopted within the healthcare system. Pharmaceuticals are in the Phase II or III clinical trial, or pre-launch stage; medical devices are in the pre-marketing stage. • New health technology A health technology that is in the launch, early post-marketing, or early diffusion stages.
Source: https://www.euroscan.org/
Introduction of new and emerging health technologies
Innovation Development
Security and efficacy
Technology analysis
Technology Assessment Decision Clinical
Practice
Producers Buyers
Supliers Health professionals Professional bodies
Public Health
Politicians Mass-media Pressure groups (ej. Religion)
Patient organizations
Society
Patients
John Gabbay and Tom Walley Introducing new health interventions
BMJ, Jan 2006; 332: 64 - 6
Political strategists
When to evaluate?….When to inform?….
Experimental Clinical research
Acceptance Phase
Accepted and disseminated
Introduced into the system
Innovation
Amount of information
Assessment
Variability
Early dialogue
Inform
Diffusion control strategies
• Early awareness and alert system A system that aims to identify, filter and prioritisize new and emerging health technologies, or new uses of existing interventions; to assess or predict their impact on health, health services and/or society; and to disseminate information. • Horizon scanning The systematic identification of health technologies that are new, emerging or becoming obsolete and that have the potential to effect health, health services and/or society. • Regulation for the introduction Informative Normative • Rational use of the technology
IMPACTO DE LOS SISTEMAS DE IDENTIFICACIÓN-EVALUACIÓN DE TECNOLOGÍAS SANITARIAS NUEVAS Y EMERGENTES EN LA DIFUSIÓN-INTRODUCCIÓN DE DICHAS
TECNOLOGÍAS
Noviembre 2006
• I Gutiérrez-Ibarluzea1, S. Luengo2, R. Villegas3. L. Varela4,
• T. Cerdá4, J Asua1, N Egües-Olazabal1.
• 1 Osteba. Osasun Teknologien Ebaluazioa. Osasun Saila. Eusko Jaurlaritza. • 2 AETS-Carlos III, Madrid 3 AETSA-Sevilla, Andalucía 4Avalia-T Santiago de Compostela. Galicia.
Where we come from?......Opportunity
• Common working time – Experienced systems – Incipient systems – Not regulated established
collaboration
• Coordinated project between some health technology assessment agencies of regional Ministries of Health
“We are what we do, day by day. So excellence is not an act, its a habit”.
Aristotle
Objectives of the survey 2006
• To know the situation of the identification and evaluation of new and emerging technologies systems in the NHS
• To evaluate the current impact of its recommendations on the
dissemination of some health technologies • To establish the basis for a network of information on new
and emerging health technologies in the NHS
Methodology (survey 2006)
• Direct contact with the Spanish HTA organizations that have EWS / questionnaire description of those systems
• Analysis of its influence on the diffusion
Identification-assessment systems in the
National Health System – 2006-
SorTek
Detecta-T
Síntesis
Detecta
Conclusions (survey 2006)
• Different systems, methodology and similar action • 3 EuroScan members (AETS, AETSA and Osteba) • High degree of agreement on the recommendations issued • Early Assessment Systems (EAS) modify the diffusion ratios of
the technologies studied in health coverage contexts • Difficulties in obtaining data • Impact?
– Higher or lower by the degree of influence of close contexts without EAS.
New challenges…in 2006
• To improve identification methodology • To be more proactive with experts • To increase information sources • Benchmarking • To increase the number of experts involved • To expand the survey to other centers with information-
regulation systems in the NHS • To extend the experience to other communities with HTA
units • To create an stable network that adequately and timely
reports to the NHS
What is our way…? • To update the GENTecS Group's Early
Detection Strategy for New and Emerging Health Technologies in order to adapt it to current needs
• Autonomous entities and the General Directorate of Basic Service Portfolio of the MoH and Cohesion Fund of the Ministry of Health, Social Policies and Equality, and the Autonomous Communities, through the Performance, Insurance and Financing Commission, under the Interterritorial Council of the Spanish NHS.
A joint and harmonious work
Current actions • Development of a functional and
operational working model in collaboration with the Gerneral directorate of Basic Services Portfolio of the NHS and Cohesion Fund of the Ministry of Health, Social Policies and Equality.
• Translation and adaptation of the methodological tool created by EuroScan
• Adaptation of the PriTec prioritization tool for use in the prioritization of new and emerging health technologies.
Things that have changed • Interlocution with the NHS • Influence on the portfolio of
services • Presence in different
commissions • Persistence • Improvement and
methodological developments – Search – Prioritization – Evaluation – Format – GRADE
What can we offer? • A common database of new and
emerging health technologies. • Facilitate the more efficient and
exhaustive identification of technologies for the subsequent prioritization by the corresponding autonomous systems and by the Service Portfolio Directorate of the MoH.
• Staff strategy • Continuous evaluation and
improvement of the identification-assessment system.
What have we done already? • We continue working in a
coordinated and joint manner • We have generated a list of
new and emerging technologies in 2016 with 63 entries
• Attractive formats for
visualization and prioritization of the information about emerging technologies
What do we need from our system and from
our customers? • Who? • For what? • What? Needs • Which one first?
Priorities • When? Time • What? Information • How? Method
Future developments • Stakeholder engagement • Test different methodologies
in development – Identification – Prioritization – Elaboration of
recommendations • Evaluate the efficiency of the
system and its impact • Find new partners and
customers
What else..?
Gaizka Benguria Arrate Osteba, Basque Office for Health Technology Assessment Basque Health Department Alda Rekalde 39A - Bilbao [email protected] http://www.osakidetza.euskadi.eus/osteba https://www.facebook.com/pages/Osteba/365563420144977