Using health technology assessment to support evidence-based decision-making in Canada: an academic perspective

Feng Xie Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada; Programs for Assessment of Technology in Health (PATH) Research Institute, 25 Main Street West, Suite 2000, Hamilton, ON, L8P 1H1, Canada;[email protected]

James M Bowen Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada; Programs for Assessment of Technology in Health (PATH) Research Institute, 25 Main Street West, Suite 2000, Hamilton, ON, L8P 1H1, Canada; Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada; Programs for Assessment of Technology in Health (PATH) Research Institute, 25 Main Street West, Suite 2000, Hamilton, ON, L8P 1H1, Canada

Simone C Sutherland Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada; Programs for Assessment of Technology in Health (PATH) Research Institute, 25 Main Street West, Suite 2000, Hamilton, ON, L8P 1H1, Canada; Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada; Programs for Assessment of Technology in Health (PATH) Research Institute, 25 Main Street West, Suite 2000, Hamilton, ON, L8P 1H1, Canada

Natasha Burke Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada; Programs for Assessment of Technology in Health (PATH) Research Institute, 25 Main Street West, Suite 2000, Hamilton, ON, L8P 1H1, Canada; Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada; Programs for Assessment of Technology in Health (PATH) Research Institute, 25 Main Street West, Suite 2000, Hamilton, ON, L8P 1H1, Canada

Gord Blackhouse Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada; Programs for Assessment of Technology in Health (PATH) Research Institute, 25 Main Street West, Suite 2000, Hamilton, ON, L8P 1H1, Canada; Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada; Programs for Assessment of Technology in Health (PATH) Research Institute, 25 Main Street West, Suite 2000, Hamilton, ON, L8P 1H1, Canada

Jean-Eric Tarride Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada; Programs for Assessment of Technology in Health (PATH) Research Institute, 25 Main Street West, Suite 2000, Hamilton, ON, L8P 1H1, Canada; Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada; Programs for Assessment of Technology in Health (PATH) Research Institute, 25 Main Street West, Suite 2000, Hamilton, ON, L8P 1H1, Canada

Daria O’Reilly Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada; Programs for Assessment of Technology in Health (PATH) Research Institute, 25 Main Street West, Suite 2000, Hamilton, ON, L8P 1H1, Canada; Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada; Programs for Assessment of Technology in Health (PATH) Research Institute, 25 Main Street West, Suite 2000, Hamilton, ON, L8P 1H1, Canada

Ron Goeree Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada; Programs for Assessment of Technology in Health (PATH) Research Institute, 25 Main Street West, Suite 2000, Hamilton, ON, L8P 1H1, Canada; Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada; Programs for Assessment of Technology in Health (PATH) Research Institute, 25 Main Street West, Suite 2000, Hamilton, ON, L8P 1H1, Canada

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Abstract

Health technology assessment (HTA) adopts a multidisciplinary approach to comprehensively assess safety, efficacy, effectiveness, economic and organizational impact, and any potential social and ethical implications associated with adoption and diffusion of a technology in a healthcare system. Canada was one of the first pioneers in using HTA as a research tool to support evidence-based decision-making. This article describes the current application of HTA in Canada, with a focus on some federal and Ontario initiatives in which the authors have extensive knowledge and experience to illustrate how academic researchers conduct HTA in collaboration with decision makers. Some issues and challenges are also highlighted that will hopefully stimulate a broader discussion among HTA stakeholders to move HTA forward.

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Disclaimer

The views presented in this article are purely those of the authors.

Financial & competing interests disclosure

The authors acknowledge funding support from the Canadian Agency for Drugs and Technologies in Health and the Ontario Ministry of Health and Long Term Care. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.

No writing assistance was utilized in the production of this manuscript.

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