Devolving Healthcare Delivery to Regional Health Authorities: Is Health Technology Assessment Prepared to Follow?

SAGE Publications - Tập 16 Số 1 - Trang 24-31 - 2003
Bernhard R. Bernhard R., Don Don

Tóm tắt

Since the establishment of health technology assessment units in the latter 1980s, Canada has witnessed an unprecedented transformation of the governance, management and service delivery of its healthcare system. In Alberta, this transformation culminated in the establishment of regional health authorities that provide integrated healthcare to Albertans. With the shift of responsibility for healthcare delivery from the provincial to the regional level, the Alberta Heritage Foundation for Medical Research HTA unit recognized that for health technology assessment to continue to be relevant, it must follow this change. Four steps were taken to refocus the unit's scope: a thorough analysis of the healthcare environment; face-to-face interviews with the chief executive officers of the regions; the development of a framework for HTA in the regions; and the organization of a conference on evidence-based decision making. These steps were helpful in bringing HTA to the attention of regional decision makers. A formal, analytical assessment of the regional healthcare environment, provision of general information (through the framework and conference) and individual information (through face-to-face interviews) enabled a proactive engagement with regions. However, to meet the demands and needs of a population that expects comprehensive coverage that delivers “state of the art” diagnostics and treatments, the efficacy and effectiveness of interventions can sometimes be of subordinate importance.

Tài liệu tham khảo

10.1017/S0266462300102168 10.1016/0168-8510(94)00683-6 Tholl WG, 1994, Limits to care: Reforming Canada's health system in an age of restraint, 53 10.2190/UFPT-7XPW-794C-VJ52 Lomas J, 1997, Canadian Medical Assocation Journal, 156, 817 10.1017/S0266462300005286 Premier's Commission on Future Health Care for Albertans., 1989, Rainbow report 1993, Summary of Alberta Roundtables on Health 1993, Health Planning Secretariat Report Alberta Health., 2000, Accountability—an action on health initiative, 1 Decter MB, 2000, Four strong winds: Understanding the growing challenges to healthcare, 155 Alberta Health. Getting started: An orientation for RHAs. Edmonton: Alberta Health; 1994: p. 1–32. Lomas J, 1999, Market limits in health reform: Public success, private failure, 166 10.12927/hcpap..17216 10.1017/S0266462300009119 Juzwishin D. Framework for regional health authorities to make optimal use of health technology assessment. HTA Initiative #1. Edmonton: Alberta Heritage Foundation for Medical Research; 15 Mar 2000: p. 1–28. Juzwishin D, 2001, How to keep score? Juzwishin D, Schneider WL. AHFMR screening procedure for use when considering the implementation of health technology. HTA Initiative #4. Edmonton: Alberta Heritage Foundation for Medical Research; 30 Apr 2001: p. 1–16. UK/US Purchasers' Group. Better information, better outcomes: The use of health technology assessment and clinical effectiveness data in healthcare purchasing decisions in the United Kingdom and the United States. New York: Milbank Memorial Fund Reports; 2000: p. 1–36. Canadian Health Services Research Foundation., 1998, Annual Report 1997–98 Canadian Council for Health Services Accreditation., 1998, The Aim Project, draft standards 1999
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SAGE Publications

Tập 16 Số 1

24-31

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