Evaluations of public health interventions produced by health technology assessment agencies: A mapping review and analysis by type and evidence content

Pascale Renée Cyr*, Vageesh Jain, Kalipso Chalkidou, Trygve Ottersen, Unni Gopinathan

*Corresponding author for this work

    Research output: Contribution to journalReview articlepeer-review

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    Abstract

    Objectives: Health technology assessments (HTAs) have been suggested as a strategy to bridge the evidence-to-policy gap in public health. It is unclear to what extent HTAs have been prepared to assist decisions to implement public health interventions (PHIs). We aimed to describe the experience of HTA agencies by mapping, classifying, and analyzing the evidence content of HTAs of PHIs. 

    Methods: We systematically searched databases of 35 HTA agencies from 18 countries for evaluations of PHIs between 2008-2018. Interventions were classified using the International Classification of Health Interventions and the evidence content analysed with the INAHTA Product-Type-mark checklist. 

    Results: Only 1010 (9%) of HTAs were on PHIs. 500 (50%) publications targeted Body Systems and Functions, 302 (30%) Health-related Behaviours, 137 (14%) the Environment and 44 (4%) Activities and Participation Domains. Out of 734 publications perused, few met the criteria of full-HTAs (71;10%) or mini-HTAs (110;15%). Most were rapid reviews (420;57%). 72% of all reports came from only 6 countries. 

    Conclusion: HTAs on PHIs were uncommon relative to clinical interventions. HTAs on population-based PHIs were less comprehensive in quality and rigor of the evidence. Countries with more resources and mature HTA-systems had done the most evaluations. Exploring the experiences of forerunners could help overcome barriers to evaluations of PHIs and exploit the full potential of HTAs to promote evidence-based public health.

    Original languageEnglish
    Pages (from-to)1054-1064
    Number of pages11
    JournalHealth Policy
    Volume125
    Issue number8
    Early online date25 May 2021
    DOIs
    Publication statusPublished - Aug 2021

    Bibliographical note

    Funding Information: This work was supported by the Research Council of Norway [grant number, 260588] .

    Open Access: This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)

    Publisher Copyright: © 2021 The Authors.. Published by Elsevier B.V.

    Citation: Pascale Renée Cyr, Vageesh Jain, Kalipso Chalkidou, Trygve Ottersen, Unni Gopinathan, Evaluations of public health interventions produced by health technology assessment agencies: A mapping review and analysis by type and evidence content, Health Policy, Volume 125, Issue 8, 2021, Pages 1054-1064,
    ISSN 0168-8510.

    DOI: https://doi.org/10.1016/j.healthpol.2021.05.009.

    Keywords

    • Decision-making
    • Evidence-informed health policy
    • Health technology assessment
    • Priority-setting
    • Public health interventions
    • Public health policy

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