The Chilean health system has not been completely oblivious to health technology assessment (HTA). In fact, significant advances in the areas of health prioritization using criteria of disease burden, effectiveness and cost-effectiveness among others, can be acknowledged. The introduction of the reform of Explicit Health Guarantees (GES) has been an important milestone in this arena, allowing t...

This paper investigates how fraud schemes can be integrated into the fraud risk assessment process and be incorporated into audit planning. A framework for assessing fraud risk using an evidential reasoning approach based on the belief-function formalism was developed in this paper. The framework extends fraud risk assessment models in prior fraud research in three respects. First, it integrate...

OBJECTIVES Health technology assessment (HTA) has to innovate to best support changing health system environments and to help provide access to valuable innovation under fiscal constraint. METHODS Issues associated with changing HTA paradigms were identified through scoping and explored through deliberation at a meeting of industry and HTA leaders. RESULTS Five broad areas of change (engage...

Health impact assessment (HIA) has many advocates for its use to identify and optimize the health effects of non-healthcare interventions. It is an assessment of the health effects, positive and negative, of a project, programme, or policy. Expertise developed in the United Kingdom from a realization that health impacts are often overlooked during the planning stages of development projects but...

Correctional agencies face increasing pressure to provide more services for increasing caseloads with fewer resources. The Level of Service Inventory-Revised (LSI-R) is a risk/need assessment instrument that was designed to assist correctional agencies in classifying offenders based upon risk of re-offending, thereby allowing agencies to assign appropriate levels of risk/need and develop interv...

There seems to be a general agreement amongst practitioners of economic evaluations, including Health Technology Assessment, that the explicit statement of a perspective is a necessary element in designing and reporting research. Moreover, there seems also to be a general presumption that the ideal perspective is “societal”. In this paper we endorse the first principle but dissent from the seco...

OBJECTIVES The aim of this study was to describe the Norwegian contribution to the broad picture of our international health technology assessment (HTA) history. METHODS A general examination of some pre-HTA activities, as consensus conferences, closer reading of all background papers to the establishment of an HTA agency in Norway, the ongoing activities of this agency, its evaluation, and i...

OBJECTIVE To analyze work organization in psychosocial healthcare services from the logic of the service management field. METHODS Organizational analysis was performed, using a case study in a psychosocial healthcare service located in the city of São Paulo, Southeastern Brazil, between 2006 and 2007. A total of five sources of information were analyzed: Ministério da Saúde (Brazilian Minist...

People with mental health problems have a range of health and social care needs that result in both illness and disability (effects of the illness on social functioning and citizenship). If service development is to be creative and innovative, needs assessment has to focus on the identification of actual need--rather than using the existing services as the basis of planning. To be valid, needs ...

UNLABELLED This article provides examples of adverse health effects, including weather-related injury, food insecurity, mental health issues, and water infrastructure damage, and the responses to these effects that are currently being applied in two Northwest Alaska communities. BACKGROUND In Northwest Alaska, warming is resulting in a broad range of unusual weather and environmental conditio...