Development of a checklist to guide equity considerations in health technology assessment

dc.contributor.authorBenkhalti, Maria
dc.contributor.authorEspinoza, Manuel
dc.contributor.authorCookson, Richard
dc.contributor.authorWelch, Vivian
dc.contributor.authorTugwell, Peter
dc.contributor.authorDagenais, Pierre
dc.date.accessioned2025-01-20T23:53:59Z
dc.date.available2025-01-20T23:53:59Z
dc.date.issued2021
dc.description.abstractObjectives. Health technology assessment (HTA) can impact health inequities by informing healthcare priority-setting decisions. This paper presents a novel checklist to guide HTA practitioners looking to include equity considerations in their work: the equity checklist for HTA (ECHTA). The list is pragmatically organized according to the generic HTA phases and can be consulted at each step.
dc.description.abstractMethods. A first set of items was based on the framework for equity in HTA developed by Culyer and Bombard. After rewording and reorganizing according to five HTA phases, they were complemented by elements emerging from a literature search. Consultations with method experts, decision makers, and stakeholders further refined the items. Further feedback was sought during a presentation of the tool at an international HTA conference. Lastly, the checklist was piloted through all five stages of an HTA.
dc.description.abstractResults. ECHTA proposes elements to be considered at each one of the five HTA phases: Scoping, Evaluation, Recommendations and Conclusions, Knowledge Translation and Implementation, and Reassessment. More than a simple checklist, the tool provides details and examples that guide the evaluators through an analysis in each phase. A pilot test is also presented, which demonstrates the ECHTA's usability and added value.
dc.description.abstractConclusions. ECHTA provides guidance for HTA evaluators wishing to ensure that their conclusions do not contribute to inequalities in health. Several points to build upon the current checklist will be addressed by a working group of experts, and further feedback is welcome from evaluators who have used the tool.
dc.description.funderHTA unit (UETMISSS) from the regional health network Centre integre univeritaire de sante et de services sociaux de l'Estrie - Centre universitaire de Sherbrooke (CIUSSS de l'Estrie - CHUS)
dc.fuente.origenWOS
dc.identifier.doi10.1017/S0266462320002275
dc.identifier.eissn1471-6348
dc.identifier.issn0266-4623
dc.identifier.urihttps://doi.org/10.1017/S0266462320002275
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/95012
dc.identifier.wosidWOS:000613459600001
dc.language.isoen
dc.revistaInternational journal of technology assessment in health care
dc.rightsacceso restringido
dc.subjectEquity
dc.subjectHealth technology assessment
dc.subjectHealth disparity
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleDevelopment of a checklist to guide equity considerations in health technology assessment
dc.typeartículo
dc.volumen37
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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