| What medical specialists like and dislike about health technology assessment reports. | |
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MedLine Citation:
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PMID: 19770117 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To examine how medical specialists view health technology assessment (HTA) and its role in policy-making. METHODS: Semi-structured interviews with 28 medical specialists practising in Quebec and Ontario (Canada) to examine their views on an HTA report relevant to their specialty (prostate-specific antigen screening, electroconvulsive therapy and prenatal screening for Down's syndrome). RESULTS: Medical specialists represent a particularly demanding audience for HTA producers because they are knowledgeable about current studies in their field and often contribute to the evidence base that HTA seeks to synthesize. In all three cases, specialists not only challenged specific points in the content of the HTA reports but also offered different and sometimes conflicting appraisals of the clinical relevance and policy implications. More than just the timeliness and usefulness of HTA findings are at issue. The views of specialists are grounded in a clinical understanding of what counts as evidence and how decisions should be made, a view that contrasts with the societal perspective of HTA. CONCLUSIONS: HTA producers cannot afford to overlook medical specialists who play a key role in the adoption of health technologies. Establishing a transparent dialogue between producers and users of HTA reports could enrich policy recommendations. |
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Authors:
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Pascale Lehoux; Myriam Hivon; Jean-Louis Denis; Stephanie Tailliez |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of health services research & policy Volume: 14 ISSN: 1355-8196 ISO Abbreviation: J Health Serv Res Policy Publication Date: 2009 Oct |
Date Detail:
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Created Date: 2009-09-22 Completed Date: 2009-12-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9604936 Medline TA: J Health Serv Res Policy Country: England |
Other Details:
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Languages: eng Pagination: 197-203 Citation Subset: H |
Affiliation:
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Department of Health Administration, University of Montreal, Montreal,Quebec, Canada. pascale.lehoux@umontreal.ca |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Attitude of Health Personnel* Decision Making, Organizational* Diffusion of Innovation Electroconvulsive Therapy Female Humans Information Dissemination* Interviews as Topic Male Medicine* Policy Making Pregnancy Prenatal Care Prostate-Specific Antigen / analysis Technology Assessment, Biomedical* |
| Grant Support | |
ID/Acronym/Agency:
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MOP-64200//Canadian Institutes of Health Research |
| Chemical | |
Reg. No./Substance:
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EC 3.4.21.77/Prostate-Specific Antigen |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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