Selection of new health technologies for assessment aimed at informing decision making: A survey among horizon scanning systems.
ABSTRACT Uncertainty is pervasive in decision making on new health technologies; therefore, some countries have put systems in place to support decision makers with timely information. An important, but as yet undocumented, determinant of the potential value for decision making of these so-called horizon scanning systems (HSSs) is how the most significant health technologies are selected.
All thirteen member organizations of EuroScan, a collaborative network for HSSs, were surveyed and interviewed on how they prioritize technologies for assessment.
The majority of HSSs directly serves a customer. Some customers actively request early assessments of new health technologies, thereby diminishing the need for priority setting for the HSSs. All systems express a concern to miss an important technology and/or to select an unimportant technology. Almost all HSSs use explicit selection criteria, but these criteria hardly ever are operationalized. The number of criteria used varies, but costs and health benefit of the technology are always taken into account. The process of reaching a final decision is implicit, undocumented in all but one system, and is based on agreement by consensus.
The process of making the final decision on which technologies to assess can be improved by applying existing criteria more consistently and transparently. Current practice does not safeguard against missing an important technology. This finding is probably most important to act upon for systems with customers that do not actively request assessment of specific technologies.
- SourceAvailable from: Reinhard Busse01/2008;
- International Journal of Technology Assessment in Health Care 01/2010; 26(1):338-345. · 1.55 Impact Factor
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ABSTRACT: Natural resource management organizations carry out a range of activities to examine possible future conditions and trends as part of their planning process, but the distinct approach of formal horizon scanning is often a missing component of strategic thinking and strategy development in these organizations. Horizon scanning is a process for finding and interpreting early indications of change in the external environment of an organization or field. Effective horizon scanning serves as an early warning system to identify potential opportunities and threats, enable decisionmakers to plan accordingly and take timely action, and foster a culture of foresight throughout an organization. This paper reviews and discusses the key items needed to create an effective horizon scanning system: conceptual frameworks, organizational approaches, design principles, techniques to improve effectiveness, and techniques for analyzing and interpreting scanning results.General Technical Report. 09/2013; GTR-NRS-121:20.