Assessment canadian coorindating health office technology
Health technology assessment was therefore a natural extension of the production and use of evidence in system-level decision-making. First, CCOHTA was established in 1989 by the federal, provincial and territorial governments with the primary mandate of “coordinating.” This was challenging; Quebec had established a health technology assessment organization (now known as l’Institut national d’excellence en santé et en services sociaux, or INESSS), British Columbia would soon establish the BC Office of Health Technology Assessment, and Alberta had built capacity for health technology assessment within its health ministry. Thus, CCOHTA had a dual role: coordinating information being a producer of health technology assessment for jurisdictions lacking built-in systems.Second was the issue of academic and scientific credibility.
Given these changes in the science and the experience gained, CCOHTA convened a multi-disciplinary committee to address the need for revisions to the guidelines.
The underlying principles of the review process were to keep the guidance nature of the document, to focus on the needs of ‘doers’ (so as to meet the information needs of ‘users’) and to provide information and advice in areas of controversy, with sound direction in areas of general agreement.
The purpose of this review is three-fold: (i) to outline the process which lead to the revision of the Canadian Guidelines; (ii) to describe the major changes made to the second edition of this document; and (iii) to consider the ‘next steps’ as they relate to the impact of such guidelines and the measurement of outcomes related to economic assessments of pharmaceuticals in general.
Perrin Beatty, Canadian minister of health and welfare, 1989–1991, said that Canada needs “a more coordinated approach across the country to ensure that all Canadians are benefiting from the advances being made in health technology.” These words marked the creation of the Canadian Coordinating Office for Health Technology Assessment (CCOHTA).
3.1 Availability of Health Care Technology Despite the importance of health care technology in delivering quality health services, the availability of many new technologies is disproportionately low in Canada given its level of health care spending.
In its Phase Two report, the Committee provided data that showed that, although Canada is the 5 highest among OECD countries in terms of total spending on health care (as a percentage of GDP), it is generally among the bottom third of OECD countries in the availability of health care technology.
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