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Joint project of the International Network of Agencies for Health Technology Assessment—Part 2: Managing the diffusion of positron emission tomography with health technology assessment

Published online by Cambridge University Press:  28 March 2006

Elizabeth J. Adams ,
Cari Almazán ,
Berit Mørland ,
Ian Bradbury ,
Richard King  and
Paul Rheinberger
Elizabeth J. Adams
Affiliation:
Veterans Administration Technology Assessment Program
Cari Almazán
Affiliation:
Catalan Agency for Health Technology Assessment and Research
Berit Mørland
Affiliation:
Norwegian Knowledge Centre for the Health Services
Ian Bradbury
Affiliation:
University of Ulster
Richard King
Affiliation:
Monash Medical Centre
Paul Rheinberger
Affiliation:
National Association of Statutory Health Insurance Physicians
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Abstract

Objectives: Since 1997, members of the International Network of Agencies for Health Technology Assessment (INAHTA) have collaborated on a Joint Project to track the diffusion, evaluation, and clinical policy of positron emission tomography (PET). Part 2 of this updated Joint Project report summarizes HTA-based strategies for directing the clinical use of PET and a discussion on the value of HTA in managing the diffusion of high cost diagnostic technologies, which were presented at an INAHTA-sponsored workshop at the Health Technology Assessment International Annual Meeting in 2004 on strategies for managing high cost diagnostic technologies.

Methods: A summary of the workshop proceedings is presented.

Conclusions: Sharing assessment work, universal agreement in assessment conclusions, stakeholder input, and modeling techniques help manage the uncertainty in the evidence base while targeting clinical use of PET toward the most promising indications. Emphasis on HTA findings, linkage between financing of clinical PET and outcome evaluation, and targeted dissemination of scientific findings empower providers to reduce unnecessary utilization and contain costs within a quality improvement framework. Above all, a trustworthy source of HTA information and a process that is conducive to using scientific evidence as the basis for decision making are essential for managing the diffusion of complex and costly diagnostic technologies in patient care.

Keywords

Positron emission tomographyTomography emission computedTechnology assessmentHealth policyDiffusion of innovation
Type
GENERAL ESSAYS
Information
International Journal of Technology Assessment in Health Care , Volume 22 , Issue 2 , April 2006 , pp. 149 - 154
Copyright
© 2006 Cambridge University Press

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