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Management im GesundheitswesenHealth Technology Assessment (HTA)

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Health Technology Assessment (HTA)

Course description
Course Title
Health Technology Assessment (HTA)
Course code

HSRM 564
Teaching/learning methods

Lectures
Discussion
Guest lectures
Group work (problem solving, presentations)
Home assignments
Assessment methods

Group work Presentation
Home assignments
Mid-term and final exams (written)
Credit points

3
Semester (1 / 2)

2

Course objectives/ Learning outcomes:

Health Technology Assessment (HTA) is a tool that is being increasingly employed to guide coverage decisions in most high- and middle-income countries. HTA and its methodologies allow a critical assessment of health technologies as the basis for making evidence-based decisions, potentially contributing appropriate use of technologies, efficiency and good value for money of investments in the health care industry.

This course will explore the concepts, processes and methods behind Health Technology Assessment (HTA) and their applicability in developing countries. Students will understand the role of HTA in health care systems (particularly in relation to defining benefit baskets for coverage) and familiarise themselves with the methods underpinning HTA report production.

Timetable/Schedule
Length of course

Block course for 2 weeks
Start

25th March 2019
End

05th April 2019
Venue

Combined lecture room (in the SMS building)
Lecturer(s)

Sabine Fuchs, Dimitra Panteli, (Daniel Opoku)
Course coordinator

Anthony K. Edusei and Peter Agyei-Baffour

Content:

  • Introduction to the course and to HTA (including group exercise)
  • Using HTA to determine benefit baskets (including focus on hospital HTA)
  • Guest lecture on the health care industry
  • Determining the status of a health technology and principles of prioritization
  • Prioritization simulation exercise (lecturers provide technology factsheets)
  • Evaluation of clinical elements

  1. safety and effectiveness (including Pubmed tutorial)
  2. Study designs: principles and sources of bias for different technology types
  3. Systematic reviews and meta-analyses: using and performing them

  • Evaluation of economic elements

  1. basics and types of analysis
  2. Where to find data for economic analysis
  3. Methodological choices and practical considerations (including data availability)

  • Ethical, social, organizational and legal aspects: Introduction and class exercise
  • Using existing HTA reports: quality and transferability
  • Group assignment: applying knowledge gained to individual technologies, i.e. preparing "mini-HTA" (+presentation)

 

 

Exams

Mid-term (30%): homework, group presentation, written exam

Final (70%): written exam covering theory taught during the week and transfer questions with applicability to the Ghanaian context.

Grading system

Fail = below 50%
Grade C = 50% – 59%
Grade B = 60% – 69%
Grade A = 70% and above

 

 

Lecture/topics/subjects/academic catalogue:

Date
Subject (Time)
 
Registration, etc.
26.03.2019
Introduction to the course and to HTA (including group exercise) Using HTA to determine benefit baskets (including focus on hospital HTA) Guest lecture on the health care industry
27.03.2019
Determining the status of a health technology and principles of prioritization Prioritization simulation exercise (lecturers provide technology factsheets)
28.03.2019
Evaluation of clinical elements: safety and effectiveness (including Pubmed tutorial) Study designs: principles and sources of bias for different technology types Systematic reviews and meta-analyses: using and performing them
29.03.2019
Evaluation of economic elements: basics and types of analysis Where to find data for economic analysis Methodological choices and practical considerations (including data availability)
01.04.2019
Discussion of homework
02.04.2019
Ethical, social, organizational and legal aspects: Introduction and class exercise Using existing HTA reports: quality and transferability Introduction to main group work
03.04.2019
Group work in technology groups Discussion of the group work and questions to lecturers
04.04.2019
Groups finalize group work Group presentations Finish group presentations and revision
05.04.2019
Mid-term exam Wrap up discussion and end
2nd Semester – Week 2
 2W2
Monday
Tuesday
Wednesday
Thursday
Friday
08:00 - 10:00
 
Introduction to the course and to HTA (including group exercise)
 
Evaluation of clinical elements: safety and effectiveness (including Pubmed tutorial)
Evaluation of economic elements: basics and types of analysis
10:30 - 12:30
 
 
Determining the status of a health technology and principles of prioritization
Study designs: principles and sources of bias for different technology types
Where to find data for economic analysis
13:00 - 15:00
 
Using HTA to determine benefit baskets (including focus on hospital HTA)
 
Systematic reviews and meta-analyses: using and performing them
Methodological choices and practical considerations (including data availability)
15:30 - 17:30
 
Guest lecture on the health care industry
Prioritization simulation exercise (lecturers provide technology factsheets)
 
2nd Semester – Week 2
 2W2
Monday
Tuesday
Wednesday
Thursday
Friday
08:00 - 10:00
 
Ethical, social, organizational and legal aspects: Introduction and class exercise
 
Groups finalize group work
 
10:30 - 12:30
 
 
Group work in technology groups
Group presentations
Mid-term exam
13:00 - 15:00
 
Using existing HTA reports: quality and transferability
 
Finish group presentations and revision
Wrap up discussion and end
15:30 - 17:30
Discussion of homework
Introduction to main group work
Discussion of the group work and questions to lecturers
 

Literature (required/additional readings)

  1. Busse R, Orvain J, Velasco M, Perleth M, Drummond M, Gürtner F, Jørgensen T, Jovell A, Malone J, Rüther A, Wild C (2002). Best practice in undertaking and reporting HTA. Int J Technol Assess Health Care 18(2): 361-422
  2. Velasco Garrido M, Børlum Kristensen F, Palmhøj Nielsen C, Busse R (2008). Health technology assessment and health policy-making in Europe – Current status, challenges and potential. WHO Regional Office for Europe
  3. Drummond MF, Schwartz JS, Jönsson B, Luce BR, Neumann PJ, Siebert U, Sullivan SD (2008). Key principles for the improved conduct of health technology assessments for resource allocation decisions. Int J Technol Assess Health Care. 24(3):244-58.
  4. WHO (2015). 2015 Global Survey on Health Technology Assessment by National Authorities. Main findings. Geneva, World Health Organization.
  5. EUnetHTA (2018). HTA Core Model®. Available from: https://www.eunethta.eu/hta-core-model/

Additional readings will be provided during the course

 

 

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