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Health Technology Assessment and Appraisal: Lessons from Reliability-Based Health Technology Appraisal in NICE, England

가치기반 체계에 근거한 의료기술평가: 영국 NICE의 신뢰 지향적 가치판단 과정을 중심으로

  • Lee, Hyun-Ju (Graduate School of Healthcare Management and Policy, the Catholic University of Korea) ;
  • Kwon, Young-Dae (Department of Humanities and Social Medicine, College of Medicine, the Catholic University of Korea)
  • 이현주 (가톨릭대학교 의료경영대학원) ;
  • 권영대 (가톨릭대학교 의과대학 인문사회의학과)
  • Received : 2013.10.31
  • Accepted : 2013.11.25
  • Published : 2013.12.30

Abstract

This paper is a general review contextualizing the state of the domestic health technology assessment. The aim of the paper is to present an overview of health technology assessment in Korea based on examining clinical efficacy as well as cost-benefit analysis, and to suggest the issue of appraisal based on social value. We have included a discussion of a major case study of the technology appraisal process of NICE (the National Institute for Clinical Excellence) in the UK. The review of the existing process of NICE shows that the appraisal both gives interest in health technology a sense of value perspective and raises methodological issues in terms of reliability. Details of the appraisal process and several guidelines for best practice have emerged. Suggestions are listed and their role in assessing is explained as a conclusion.

Keywords

References

  1. S.M. Lee(2009), Evidence-Based Healthcare: Seeking for the Broken Virtuous Circle, Journal of Korean Medical Association, Vol.52(6):532-535. https://doi.org/10.5124/jkma.2009.52.6.532
  2. J. O'Donell, S. Pham, C. Phashos, D. Miller, M. Smith(2009), Health Technology Assessment: Lessons Learned from Around the World - an Overview, Value in Health, Vol.12;S1-S5.
  3. E.Y. Bae(2010), Challenges in Drug Re-evaluation System Based on Health Technology Assessment, Health Economics and Policy, Vol.6(3);163-176.
  4. Y. Inoue, S.W. Jeong, K. Kondo, Y.J. Seo(2011), Stroke Rehabilitation Performance and Outcomes among Hospital, The Korean Journal of Health Service Management, Vol.5(3);53-61.
  5. B.J. Park(2009), Evidence Based Healthcare, Korea Medical Book Publisher, pp.3-19.
  6. F. Kristensen, C. Nielsen, D. Chase, K. Lampe, S. Lee-Robin. M. Makela(2008), What is Health Technology Assessment?, in Health Technology Assessment and Health Policy-Making in Europe, Observatory Studies Series No.14, European Observatory on Health Systems and Policies, pp.31-53.
  7. S.J. Yoon(2005), A Study on a Way of Public Participating Energy Governance: Based on an Evaluation of the Citizens' Consensus Conference on Electricity Policies in Korea, Korean Society and Public Administration, Vol.15(4);121-153.
  8. S.S. Ju(2004), Citizen Participation and Deliberative Democratic Institutions: a Search for a Consensus on Policy Disputes, Economy and Society, Vol.63;124-147.
  9. M.H. Lim(2009), New Health Technology Assessment and Health Insurance Coverage Determinations in Canadian Medicare, Health and Welfare Policy Forum, Vol.155;66-76.
  10. S.M. Lee(2008), Evidence Based Health, Pharmaceutical Policy Affairs, Vol.3(2);83-96.
  11. Y.J. Choi(2012), HTA Development Plan, HIRA Service, Vol.6(4);26-35.
  12. SNU Medical Policy Office(2008), Economic Analysis and Performance Evaluation of Health Technology, Ministry of Health & Welfare 2008-12, pp.15-45.
  13. NECA(2013), Long-term Development Plan for National Evidence-based Healthcare Collaborating Agency, NECA-P-12-012 Research PJT 1.31, pp.37-40.
  14. Korea Institute for Health and Social Affairs(2005), Policy Directions to Facilitate the Economic Evaluation of New Health Technologies: Focused on Pharmaceuticals, Research PJT 2005-02, pp.229-234.
  15. T. Walley(2007), Health Technology Assessment in England: Assessment and Appraisal, Health Care, Vol.187(5);283-295.
  16. http://www,nice.org.uk
  17. NICE(2009), Guide to the Technology Appraisal Process, pp.18-45.
  18. S.M. Lee(2010), Research Review and Social Value Review Committee, NECA Research PJT, pp.36-43.
  19. W.Y. Lee(2012), Review on the Patient and Public Involvement in Health Technology Appraisals at NICE, Critical Social Policy, Vol.34;47-75.
  20. J.H. Chang(2013), Consumer Participation in NICE, England, HIRA Service, Vol.7(3);71-77.
  21. NECA(2012), Foreign Expert Evaluation and Evidence-based Healthcare Capabilities, NECA-P-12-007 Research PJT, pp.81-86.
  22. NECA(2011), NECA's Guidance for Undertaking Systematic Reviews and Meta-Analyses for Intervention, pp.203-210.
  23. S.H. Lee, W.J. Cho(2012), Systematic Review for New Health Technology Assessment, Journal of Korean Medical Association, Vol.55(3);279-291. https://doi.org/10.5124/jkma.2012.55.3.279
  24. NECA(2011), Round Table Conference for Healthcare Utilization Studies of the Public Interest, NECA Research PJT, pp.17-50.
  25. K.J. Ji, C.M. Park(2013), A Study of the Effects upon Satisfaction, Intention to Revisit and Perceived Value by Cerebrovascular Disease Patients through the Quality of Medical Services, The Korean Journal of Health Service Management, Vol.7(2);53-67. https://doi.org/10.12811/kshsm.2013.7.2.053