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DEVELOPMENT OF THE ONTARIO DECISION FRAMEWORK: A VALUES BASED FRAMEWORK FOR HEALTH TECHNOLOGY ASSESSMENT
| Content Provider | Scilit |
|---|---|
| Author | Krahn, Murray Miller, Fiona Bayoumi, Ahmed Brooker, Ann-Sylvia Wagner, Frank Winsor, Shawn Giacomini, Mita Goeree, Ron Schünemann, Holger van der Velde, Gabrielle Petersen, Stephen Sikich, Nancy Dhalla, Irfan |
| Copyright Year | 2018 |
| Description | Objectives: : In 2007, the Ontario Health Technology Advisory Committee (OHTAC) developed a decision framework to guide decision making around nondrug health technologies. In 2012, OHTAC commissioned a revision of this framework to enhance its usability and deepen its conceptual and theoretical foundations.Methods: : The committee overseeing this work used several methods: (a) a priori consensus on guiding principles, (b) a scoping review of decision attributes and processes used globally in health technology assessment (HTA), (c) presentations by methods experts and members of review committees, and (d) committee deliberations over a period of 3 years.Results: : The committee adopted a multi-criteria decision-making approach, but rejected the formal use of multi-criteria decision analysis. Three broad categories of attributes were identified: (I) context criteria attributes included factors such as stakeholders, adoption pressures from neighboring jurisdictions, and potential conflicts of interest; (II) primary appraisal criteria attributes included (i) benefits and harms, (ii) economics, and (iii) patient-centered care; (III) feasibility criteria attributes included budget impact and organizational feasibility.Conclusion: : The revised Ontario Decision Framework is similar in some respects to frameworks used in HTA worldwide. Its distinctive characteristics are that: it is based on an explicit set of social values; HTA paradigms (evidence based medicine, economics, and bioethics/social science) are used to aggregate decision attributes; and that it is rooted in a theoretical framework of optimal decision making, rather than one related to broad social goals, such as health or welfare maximization. |
| Related Links | https://www.cambridge.org/core/services/aop-cambridge-core/content/view/4B4E0FF520FDED96F830C24BED31635A/S0266462318000235a.pdf/div-class-title-development-of-the-ontario-decision-framework-a-values-based-framework-for-health-technology-assessment-div.pdf |
| Ending Page | 299 |
| Page Count | 10 |
| Starting Page | 290 |
| ISSN | 02664623 |
| e-ISSN | 14716348 |
| DOI | 10.1017/s0266462318000235 |
| Journal | International Journal of Technology Assessment in Health Care |
| Issue Number | 3 |
| Volume Number | 34 |
| Language | English |
| Publisher | Cambridge University Press (CUP) |
| Publisher Date | 2018-01-01 |
| Access Restriction | Open |
| Subject Keyword | International Journal of Technology Assessment in Health Care Health Policy and Services Decision Framework Health Technology Health Technology Assessment criteria Decision Making |
| Content Type | Text |
| Resource Type | Article |
| Subject | Health Policy |
