FACTORS INFLUENCING DECISION MAKING ON THERAPEUTIC INTERVENTIONS
- Affiliated Author(s)
- 김가은
- Alternative Author(s)
- Kim, Ga Eun
- Journal Title
- International Journal of Technology Assessment in Health Care
- ISSN
- 0266-4623
- Issued Date
- 2013
- Abstract
- Methods: We analyzed the decision-making results of the Committee for New Health Technology Assessment (CnHTA) on fifty-three new nondrug health technologies in Korea from
July 2007 to December 2010. The scope of the committee was mainly limited to safety and efficacy/effectiveness, and every decision was based on a systematic review of the
literature. The committee was composed of healthcare professionals, policy makers, lawyers, and representatives from nongovernmental organizations. Decisions made on
therapeutic interventions were included, while those on diagnostic procedures were excluded.
Results: Factors that positively influenced decisions were lower complication rate than existing technology, similar or greater effectiveness compared with existing technology, ability
to save critical organs, absence of alternative intervention, decreased invasiveness, expansion of patient’s set of choices, and similarity to the mechanism of existing technology.
Factors that negatively influenced decisions were higher complication rates than existing technology, lower effectiveness than comparable technology, low levels of evidence,
unknown mechanisms of intervention, inconsistency, lack of long-term outcomes, lack of comparative data, nonstandardized technology, heterogeneity between control and
treatment, excessively diverse indications, and nongeneralizability.
Conclusions: This qualitative analysis of past decision-making results provided us with clues on the values that decision makers on the Korean CnHTA considered in terms of safety
and effectiveness. These findings will help us develop appraisal guidelines and enhance the objectivity of decision-making processes in Korea.
Keywords: decision making, technology, therapeutic intervention, safety, efficacy
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