International Journal of Technology Assessment in Health Care最新文献

{"title":"Reporting the use of AI in horizon scanning: a brief communication on methodological standards.","authors":"Hannah O'Keefe, Claire Eastaugh, Chris Marshall","doi":"10.1017/S026646232610405X","DOIUrl":"10.1017/S026646232610405X","url":null,"abstract":"<p><strong>Objectives: </strong>The UK is being positioned to become a leader in the field of artificial intelligence (AI), with the government driving the AI Opportunities Action Plan. In line with the government's push for an AI-driven future, horizon-scanning organizations are leveraging AI and embedding it within their methodological practices. To ensure the transparent, reliable, and responsible use of AI, horizon scanning requires a set of tailored reporting items. However, this is a notable gap in the current methodological landscape.</p><p><strong>Methods: </strong>This methods communication discusses the current guidelines, policies, and statements around the use of AI relevant to futures and foresight research for health, social care, and life sciences policy and practice. We include stakeholder positions, research funding applications and writing for publication within the discussion and demonstrate how these guidelines relate to horizon scanning practices, with a focus on the common recommendations for reporting AI.</p><p><strong>Results: </strong>We have utilized the documents to identify and consolidate reporting recommendations into a minimal set of reporting items for AI in horizon scanning. A total of 139 data points were consolidated into 46 reporting items under six categories.</p><p><strong>Conclusions: </strong>Further work is needed to validate these reporting items, but this interim step toward a robust reporting framework fills an immediate methodological need. We encourage those working in the horizon scanning space to continue to explore and embed AI transparently and responsibly in this rapidly adapting field.</p>","PeriodicalId":14467,"journal":{"name":"International Journal of Technology Assessment in Health Care","volume":" ","pages":"e68"},"PeriodicalIF":3.0,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13468941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148603121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What we choose to value in the artificial intelligence era of healthcare.","authors":"Jennifer C Goldsack","doi":"10.1017/S0266462326104061","DOIUrl":"10.1017/S0266462326104061","url":null,"abstract":"","PeriodicalId":14467,"journal":{"name":"International Journal of Technology Assessment in Health Care","volume":" ","pages":"e74"},"PeriodicalIF":3.0,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148603111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic review of health economic evaluations published in Lebanon: summary of current practice, a critical appraisal, and recommendations for future studies.","authors":"Wadih Mina, Rana Rizk, David Burns, Caroline Daccache, Rita Karam, Dwayne Boyers","doi":"10.1017/S0266462326103961","DOIUrl":"10.1017/S0266462326103961","url":null,"abstract":"<p><strong>Introduction: </strong>Health technology assessment is emerging in Lebanon, with an increased interest in health economic evaluations (EEs). Despite the importance of the methodological quality of EEs, no study has examined this issue in Lebanon.</p><p><strong>Objective: </strong>As only methodologically robust health EE can meaningfully inform decision making, this study systematically reviews and critically appraises published full EEs in Lebanon, formulating recommendations to strengthen the quality and consistency of future evaluations within the Lebanese context.</p><p><strong>Methods: </strong>We searched for full model- and trial-based EEs and cost-minimization analyses (CMAs) on NHSEED, Medline, EMBASE, and CINAHL without language or time restrictions. We followed PRISMA guidelines, narratively synthesized the characteristics, methods, and results of studies, and critically appraised them using CHEC for trial-based evaluations and CMA and CHEC-Extended for model-based evaluations.</p><p><strong>Results: </strong>Eight studies, published 2012-2025, were included: five model-based, two trial-based, and one CMA. Assessed technologies included screening/vaccination programs, diagnostic tools, nutrition education, e-mental health interventions, and early versus delayed treatment of hepatitis C. Methodological inconsistencies pertained mostly to discounting rates and willingness-to-pay thresholds. Suboptimal quality pertained mainly to model-based evaluations conducted by Lebanese researchers. Common pitfalls included the perspective being unclear; the identification, measurement, and valuation of costs and outcomes; model validation and calibration; sensitivity analyses; and discounting. The trial-based and CMA met more than 80 percent of the criteria.</p><p><strong>Conclusion: </strong>We identified a limited number of published full EEs in Lebanon and highlighted their major shortcomings. Future work should scale up high-quality EEs in Lebanon, particularly modeling studies, to inform resource allocation.</p>","PeriodicalId":14467,"journal":{"name":"International Journal of Technology Assessment in Health Care","volume":" ","pages":"e88"},"PeriodicalIF":3.0,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148603169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the conflict-of-interest reporting practices in published health technology assessment reports.","authors":"Miro Vuković, Filipa Alpeza, Ana Marušić","doi":"10.1017/S0266462326104024","DOIUrl":"10.1017/S0266462326104024","url":null,"abstract":"<p><strong>Background: </strong>Health technology assessment (HTA) informs healthcare policy, reimbursement, and clinical decision making. Transparency in conflict-of-interest (CoI) reporting is critical to ensure the credibility and impartiality of HTA outputs. However, the extent and consistency of CoI disclosures across HTA reports remain unclear.</p><p><strong>Objectives: </strong>To systematically assess the frequency, form, and comprehensiveness of CoI reporting in published HTA reports and to identify possible patterns.</p><p><strong>Methods: </strong>We retrieved and screened 1,215 HTA records from the International HTA Database. After exclusions, 689 English-language reports were analyzed (full and mini HTAs (<i>n</i> = 254), rapid reviews (<i>n</i> = 166), and HTA research studies (<i>n</i> = 269)). CoI statements were categorized as positive (declared CoI) or negative (no CoI). Cross-country comparisons and content analyses of positive statements were conducted distinguishing between the presence of disclosure, its content and granularity, and the transparency of conflict management.</p><p><strong>Results: </strong>CoI statements were present in 71 percent of full/mini HTAs, 60 percent of rapid reviews, and 100 percent of HTA research studies. CoIs were declared in 14, 16, and 83 percent of these categories, respectively. Reporting practices varied widely among agencies, with few providing detailed or standardized disclosures. Financial CoI dominated, while nonfinancial and institutional CoI were less frequently addressed.</p><p><strong>Conclusions: </strong>CoI reporting in HTA remains inconsistent despite its recognized importance for transparency. Disclosure and management of conflicts represent distinct governance functions, both requiring attention. Our findings highlight a need for harmonized, individual-level disclosure policies, and a description of CoI management strategies in HTA processes.</p>","PeriodicalId":14467,"journal":{"name":"International Journal of Technology Assessment in Health Care","volume":" ","pages":"e75"},"PeriodicalIF":3.0,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From task validation to workflow assurance in health technology assessment.","authors":"Gaurav Agarwal, Sharmila Chaudhuri","doi":"10.1017/S0266462326104012","DOIUrl":"10.1017/S0266462326104012","url":null,"abstract":"","PeriodicalId":14467,"journal":{"name":"International Journal of Technology Assessment in Health Care","volume":" ","pages":"e73"},"PeriodicalIF":3.0,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consideration of intersectoral costs and benefits in health economic evaluations of pneumococcal conjugate vaccines: a systematic review.","authors":"Emad Almomani, Musa Dukuray, Inge van der Putten, Aggie Paulus, Adnan Al-Lahham, Ghislaine A P G van Mastrigt","doi":"10.1017/S0266462326103912","DOIUrl":"10.1017/S0266462326103912","url":null,"abstract":"<p><strong>Objectives: </strong>This systematic review explores which intersectoral costs and benefits (ICBs) are considered in the economic evaluation of pneumococcal conjugate vaccines (PCVs) across different age groups and the related impacts on the results of economic evaluations.</p><p><strong>Methods: </strong>Seven databases were searched from 2009 to 2024 for full economic evaluations (Ees) of PCVs from a societal perspective. ICBs were presented narratively and in tabular form. Studies were appraised on quality, and PRISMA guidelines were followed.</p><p><strong>Results: </strong>In all, 57 studies were included. ICBs were captured in the following sectors: patient and family, paid labor (productivity), nonpaid productivity, other sectors (education, leisure, consumption), unspecified sectors for ecological effects (herd immunity, serotype replacement, cross-protection), and equity. In cases where the comparator was no vaccination, 10 studies reported that PCVs were dominant when ICBs were included. After excluding dominant analyses, the median QALY-based incremental cost-effectiveness ratio (ICER) reduction ranged from -3.25 percent (for patient/family costs and productivity loss) to -46.02 percent (in children with ecological effects). Among DALY-based studies, the inclusion of ecological effects reduced the median ICER by -22.97 percent. In head-to-head comparisons, 16 studies reported that PCVs were dominant when ICBs were included.</p><p><strong>Conclusion: </strong>Inclusion of ICBs, except for serotype replacement, showed favorable cost-effectiveness results. This study provides a framework for identifying the intersectoral costs and benefits for the health economic evaluation of PCVs in children and adults.</p>","PeriodicalId":14467,"journal":{"name":"International Journal of Technology Assessment in Health Care","volume":"42 1","pages":"e59"},"PeriodicalIF":3.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148470520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating environmental considerations in HTA: The strategy of the Institut National d'Excellence en Santé et Services Sociaux (INESSS).","authors":"Pascale Lehoux, Monika Wagner, Isabelle Ganache, Catherine Truchon, Bertrand Neveu, Marie-Claude Sirois, Mélanie Caron, Michèle de Guise","doi":"10.1017/S0266462326103997","DOIUrl":"10.1017/S0266462326103997","url":null,"abstract":"","PeriodicalId":14467,"journal":{"name":"International Journal of Technology Assessment in Health Care","volume":" ","pages":"1-23"},"PeriodicalIF":3.0,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13440447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148436729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Toward hybrid mental health care: an early health technology assessment based on stakeholder analysis and economic simulations.","authors":"Mari Skoge, Linn Nathalie Støme, Sofie Ragnhild Aminoff, Henrik Myhre Ihler, Kari Jorunn Kværner, Josina Vink, Kristin Lie Romm","doi":"10.1017/S0266462326103985","DOIUrl":"10.1017/S0266462326103985","url":null,"abstract":"<p><strong>Objectives: </strong>Combining digital and traditional treatment elements as part of a hybrid care delivery model may strengthen the sustainability of mental health care. However, implementation problems permeate efforts of digitalizing routine care. The objective of this formative study is to explore current unmet stakeholder needs and the potential value of hybrid care models for the treatment of severe mental disorders, in order to guide further research and inform practical implementation strategies.</p><p><strong>Methods: </strong>We applied Step Up, an early health technology assessment (eHTA) framework. We performed (a) a template analysis of qualitative data from a stakeholder workshop mapping unmet needs, potential effects of hybrid care models, and conditions relevant for implementation and (b) exploratory economic simulations of the impact of increasing video consultation use in routine services on quantitative sustainability parameters.</p><p><strong>Results: </strong>The template analysis revealed stakeholder-anticipated value from hybrid care models across all domains: patient, clinician, and next-of-kin user experiences; clinical variables; organizational setup; and economy. Two recommendations for enhancing implementation were identified: promoting nuanced perceptions of digitalized care and developing clinician incentives. The simulations demonstrated that a moderate increase in video consultations may impact clinical capacity, as well as economic and environmental sustainability.</p><p><strong>Conclusions: </strong>This study provides early decision support concerning hybrid care models during the conceptual stage of service innovation. It reveals that conservative changes toward digitalized practices can create new opportunities for organizing services and have a substantial impact on sustainability parameters. Successful implementation across clinical contexts requires continuous consideration of the clinician user perspective, starting from the conceptual phase.</p>","PeriodicalId":14467,"journal":{"name":"International Journal of Technology Assessment in Health Care","volume":" ","pages":"e65"},"PeriodicalIF":3.0,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13440443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148430120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rethinking Slovenia's HTA System.","authors":"Rok Hren","doi":"10.1017/S0266462326103948","DOIUrl":"10.1017/S0266462326103948","url":null,"abstract":"","PeriodicalId":14467,"journal":{"name":"International Journal of Technology Assessment in Health Care","volume":" ","pages":"1-3"},"PeriodicalIF":3.0,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13440444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148411667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Next-generation methods in health technology assessment (HTA): need, rigor, and implementability.","authors":"Marina Richardson, Federico Augustovski, Melissa Pegg, Cyril Seck, Sitanshu Sekhar Kar, Wim Goettsch","doi":"10.1017/S0266462326103900","DOIUrl":"10.1017/S0266462326103900","url":null,"abstract":"<p><p>The Health Technology Assessment International (HTAi) 2025 annual meeting featured three main plenaries to explore next-generation (NextGen) evidence in health technology assessment (HTA). In this commentary, we capture the discussions of Plenary 2: <i>NextGen Methods: Hype or Here to Stay?</i> Each plenary panelist was tasked to convincingly debate the need, rigor, and implementability of one of three emerging method domains in HTA: (1) Environmental Sustainability, (2) Adaptive HTA, and (3) Artificial Intelligence (AI)-enabled Real-World Evidence (RWE). The three panelists convincingly debated that their method would endure beyond initial hype; all three methods were perceived to have a moderate to high level of need, rigor, and implementability by the audience. Key questions from the audience included a request for examples of where HTA reviews have considered environmental sustainability, a challenge for adaptive HTA to embrace other value elements outside of cost-effectiveness, and a question about how the human-in-the-loop principle fits into AI-driven RWE and what this means for HTA agencies that are already stretched for resources. In this commentary, we summarize the presentations, discussions, and audience engagement to provide readers with accessible insight into the debate about which method(s) are anticipated to endure beyond their initial hype.</p>","PeriodicalId":14467,"journal":{"name":"International Journal of Technology Assessment in Health Care","volume":" ","pages":"e58"},"PeriodicalIF":3.0,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148396114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}