Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1394
10
1
gregorian
2016
1
1
30
1
online
1
fulltext
en
The health systems\' priority setting criteria for selecting health technologies: A systematic review of the current evidence
Health Technology Assessment
Health Technology Assessment
Original Research
Original Research
<p dir="ltr" style="text-align: justify;"><strong>Background: </strong>In the recent years, using health technologies to diagnose and treat diseases has had a considerable and accelerated growth. The proper use of these technologies may considerably help in the diagnosis and treatment of different diseases. On the other hand, unlimited and unrestricted entry of these technologies may result in induced demand by service providers. The aim of this study was to determine the appropriate criteria used in health technologies priority-setting models in the world.</p>
<p dir="ltr" style="text-align: justify;"><strong> Methods</strong>: Using MESH and free text, we sought and retrieved the relevant articles from the most appropriate medical databases (the Cochrane Library, PubMed and Scopus) through three separate search strategies up to March 2015. The inclusion criteria were as follows: 1) Studies with specific criteria; 2) Articles written in English; 3) Those articles conducted in compliance with priority setting of health technologies. Data were analyzed qualitatively using a thematic synthesis technique.</p>
<p dir="ltr" style="text-align: justify;"><strong> Results</strong>: After screening the retrieved papers via PRISMA framework, from the 7,012 papers, 40 studies were included in the final phase. Criteria for selecting health technologies (in pre assessment and in the assessment phase) were categorized into six main themes: 1) Health outcomes; 2) Disease and target population; 3) Technology alternatives; 4) Economic aspects; 5) Evidence; 6) and other factors. “Health effects/benefits” had the maximum frequency in health outcomes (8 studies); “disease severity” had the maximum frequency in disease and target population (12 studies); “the number of alternatives” had the maximum frequency in alternatives (2 studies); “cost-effectiveness” had the maximum frequency in economic aspects (15 studies); “quality of evidence” had the maximum frequency in evidence (4 studies); and “issues concerning the health system” had the maximum frequency in other factors (10 studies).</p>
<p dir="ltr" style="text-align: justify;"><strong> Conclusion</strong>: The results revealed an increase in the number of studies on health technologies priority setting around the world, and emphasized the necessity of application of a multi- criteria approach for appropriate decision making about healthcare technologies in the health systems.</p>
<p></p>
Priority Setting, Priority Setting Criteria, Health Technology, Health Systems, Health Technology Assessment.
146
162
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-960&slc_lang=en&sid=1
Mohammadreza
Mobinizadeh
mobinreza@yahoo.com
200319475328460021445
200319475328460021445
No
Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran.
Pouran
Raeissi
raeissi2009@yahoo.com
200319475328460021446
200319475328460021446
Yes
Department of Health Services Management, School of Management and Medical Information Science, Iran University of Medical Sciences, Tehran, Iran.
Amir Ashkan
Nasiripour
nasiripour@srbiau.ac.ir
200319475328460021447
200319475328460021447
No
Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran.
Alireza
Olyaeemanesh
arolyaee@gmail.com
200319475328460021448
200319475328460021448
No
National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran.
Seyed Jamaleddin
Tabibi
sjtabibi@yahoo.com
200319475328460021449
200319475328460021449
No
Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran.