Expanding the scientific basis of health technology assessment: A research agenda for the next decade

Renaldo N. Battista
2006 International Journal of Technology Assessment in Health Care  
Objectives: The complexity of health technology assessment (HTA) has increased, in part because of its evolution through three distinct phases: the machine, the clinical outcomes, and the delivery models. However, the theoretical foundation for the field remains underdeveloped. Methods: It is high time for HTA to bring together aspects of conceptual and theoretical works from other fields to strengthen the foundation of HTA. Results: Many challenges await the further development of HTA. They
more » ... ent of HTA. They can be captured around three research themes: adapting HTA to an evolving analysis object; translating HTA results into policy, management, and practice decisions; and evaluating organizational models of HTA. Conclusions: Consolidating the scientific basis of HTA is essential if we are to succeed in increasing the relevance of HTA in some of the most challenging health-related decisions that we will make as individuals and societies. As we look ahead to the future of health technology assessment (HTA), we discover new territory that presents exciting, occasionally exasperating, challenges as health systems all over the globe face increasing competition for resources at the same time as citizens live longer and the fruits of research and development translate into a growing flow of new technologies. In entering this new phase, we have an opportunity to strengthen HTA with an expanded, deepened scientific basis.
doi:10.1017/s0266462306051130 pmid:16984053 fatcat:xa4lodp23fhgfb3uctopjjgv7q