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The feasibility of harmonizing health technology assessments across jurisdictions: A case study of drug eluting stents

Published online by Cambridge University Press:  22 October 2009

Paul Trueman ,
Manjusha Hurry ,
Matthew Bending  and
John Hutton
Paul Trueman
Affiliation:
University of York
Manjusha Hurry
Affiliation:
University of York
Matthew Bending
Affiliation:
University of York
John Hutton
Affiliation:
University of York
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Abstract

Objectives: There is considerable interest in the potential for harmonizing health technology assessments (HTA) across jurisdictions. This study aims to consider four HTAs of drug eluting stents to determine the degree to which the methods adopted, evidence considered, and resulting recommendations diverge.

Methods: Four HTAs of drug eluting stents were selected for inclusion and evaluated using a framework developed to systematically capture information on the process adopted, the evidence considered and the recommendations of each HTA.

Results and Conclusions: The findings suggest that, although there is a common core data set considered by most of the agencies, differences in the approach to HTA, heterogeneity of studies, and the limited relevance of research findings to local practice meant that the core data set had only limited influence on the resulting recommendations. Of the HTA agencies considered in the analysis, many sought to generate additional primary research from local settings to help inform the development of recommendations that were relevant to local practice. This raises questions about the extent to which HTA methods can be harmonized across jurisdictions.

Keywords

Health technology assessmentHarmonizationDrug eluting stents
Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 25 , Issue 4 , October 2009 , pp. 455 - 462
Copyright
Copyright © Cambridge University Press 2009

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