Value Judgments in HTA: are we still living the cartesian angst?
12 August, 2015Meetings of the International Academy of Health Preferences Research
17 August, 2015On June 16, the 12th annual meeting of HTAi held in Oslo, Dr. Andrew Oxman made his presentation entitled “Emprego da ATS: necessidades dos clinicians, personas e dos que mazem as decisões”, addressing in his speech a wide range of different expectations of interested parties not related to the assessment of health technologies (ATS), as well as the fact that the principals are responsible for the decisions made, how they can participate in the knowledge production process and how to apply the results in practice; aiming, in this way, a better interaction with the users.
Dr Andrew Oxman works as a researcher in the area of health services at the Global Health Unit of the Norwegian Knowledge Center for Health Services. He completed his graduation in 1979 in the United States, while working as a general clinician in northern Norway. He was editor of the Cochrane Reviewers' Handbook from 1993 to 2003 and presided over the Cochrane Collaboration Steering Group from 1998 to 2000. Editor of the Cochrane Effective Patice and Organization of Care Group since 1994. His work in the last 3 decades has focused on the identification of meios that It allows us to facilitate decision-making in the area of the Health system. Its current line of research aims to promote or use scientific evidence to guide decisions regarding the adoption of measures in the area of health in developing countries.
In the field of assisting effective decision making in ATS, numerous tools and projects emerge in the field of two information systems, allied to the production of data based on evidence and a review of the applicability of these. Among these some projects stand out:
Interactive Summary of Findings (iSoF)
The so-called summaries of conclusions are tables that provide an estimate of the size of the effect of an intervention in each of the two most important cases of interest, together with the assessment that provides certainty of evidence of each of these estimates; These are given based on systematic reviews.
The objective of iSoF is to enhance the understanding and use of evidence for the purposes of interventions in health care and to allow knowledge producers to prepare the presentation of data to an audience and, to the users, to interact with these users, contributing to the Its practice and obtaining more information about basic or specific concepts through the disseminated explanations.
It is an integral part of Developing and Evaluating Communication Strategies to Support Informed Decisions and Practice Based on Evidence (DECIDE), a 5-year project co-founded by the European Commission with the objective of disseminating recommendations based on evidence and validating the methods referred to. à propagação das formuladas diretrizes.
PDQ-Evidence
In English “pretty darn quick”, PDQ-Evidence is a project that aims to promote access to systematic reviews of results based on evidence regarding health systems, as a potential aid in decision making as it enables linkages between them. reviews, overviews of reviews and primary studies. With its database being continually updated and with wide access based on the vast repertoire of languages, it becomes an important and efficient search method in the ATS area.
NICE e-learning
The National Institute for Health and Care Excellence (NICE) presents an important activity of education, learning and professional development through materials available online that facilitate the understanding and application of evidence-based practices aligned with those recommended by NICE guidance.
The educational process is disseminated through resources such as slide presentations, podcasts and discussions of clinical cases, making it accessible to the acquisition of knowledge, breaking the paradigm, updating practice, in a dessa forma, allowing for more efficient and assertive decision-making.