Inhalt des Dokuments
The HTA Core Model: A novel method for producing and reporting health technology assessments.
Mäkelä M, Melasco Garrido M, Anttila H, Autti-Rämö I, Hicks NJ,
Hofmann B, Koivisto J, Kunz R, Kärki P, Malmivaara A, Meiesaar K,
Reiman-Möttönen P, Norderhaug I, Pasternack I, Ruano-Ravina A,
Räsänen P, Saalasti-Koskinen U, Saarni SI, Walin L, Børlum
Journal of Technology Assessment in Health Care 25(S2):
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Objectives: The aim of this study
was to develop and test a generic framework to enable international
collaboration for producing and sharing results of health technology
assessments (HTAs). Methods: Ten international teams
constructed the HTA Core Model, dividing information contained in a
comprehensive HTA into standardized pieces, the assessment elements.
Each element contains a generic issue that is translated into
practical research questions while performing an assessment. Elements
were described in detail in element cards. Two pilot assessments,
designated as Core HTAs were also produced. The Model and Core HTAs
were both validated. Guidance on the use of the HTA Core Model was
compiled into a Handbook. Results: The HTA Core Model
considers health technologies through nine domains. Two applications
of the Model were developed, one for medical and surgical
interventions and another for diagnostic technologies. Two Core HTAs
were produced in parallel with developing the model, providing the
first real-life testing of the Model and input for further
development. The results of formal validation and public feedback were
primarily positive. Development needs were also identified and
considered. An online Handbook is available. Conclusions:
The HTA Core Model is a novel approach to HTA. It enables
effective international production and sharing of HTA results in a
structured format. The face validity of the Model was confirmed during
the project, but further testing and refining are needed to ensure
optimal usefulness and user-friendliness. Core HTAs are intended to
serve as a basis for local HTA reports. Core HTAs do not contain
recommendations on technology use.