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The outcome of IHE initiatives is providing better information for developing health policy and best medical practices. IHE disseminates information in many ways. In addition to publications in peer-reviewed journals, IHE produces books and a variety of reports synthesizing information in a particular field.

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Results for: Other

ERAS - Value based surgery

September 06, 2017

| Olle Ljungqvist, Thanh Nguyen, Gregg Nelson

This paper reviews implementation of enhanced recovery after surgery (ERAS) and its financial implications. Literature on clinical outcomes and financial implications were reviewed. Reports from many different surgery types shows that implementation of ERAS reduces complications and shortens hospital stay. These improvements have major impacts on reducing the cost of care even…

Exploratory brief on glucose monitoring technologies

January 26, 2017

| Paula Corabian, Dagmara Chojecki

This report provides a summary of recently published information (January 2015 to present) regarding the glucose monitoring technologies that are commercially available in North America, as well as those that are emerging within the next five years (up to 2021).

Health Technology Assessment on the Net: 2016

May 05, 2016

| IHE Institute of Health Economics

This guide has been developed by the information specialists at the Institute of Health Economics in Edmonton Alberta and is intended to facilitate searching for health technology assessments (HTAs) or systematic reviews by providing the list of current and reliable internet-based resources that we regularly use in our work. We have tried as much as possible to match this guide…

A systematic review of the measurement properties of self-report instruments that assess presenteeism

December 18, 2015

| Angus Thompson, Maria Ospina, Liz Dennett, Arianna Waye, Philip Jacobs

Presenteeism, reduced productivity while working, has come into consideration as a major occupational health problem in many countries with serious consequences for both organizations and employees. Increasing evidence shows that presenteeism represents a significant source of productivity losses that can cost organizations much more than does absenteeism, and it can lead to an…

A principal component analysis is conducted for a case series quality appraisal checklist

August 22, 2015

| Bing Guo, Carmen Moga, Christa Harstall, Don Schopflocher

  Objective: Because of a lack of a control group, a case-series study is considered one of the weaker study designs from which to obtain evidence on treatment effectiveness. Under certain circumstances, however, this is the only available evidence to inform health-care decisions. This study's intent was to develop and validate a quality appraisal checklist specifically for…

Supporting the Use of Health Technology Assessments by Decision-Makers.

May 29, 2015

| Julie Polisena, John Lavis, Don Juzwishin, Pam McLean-Veysey, Ian Graham, Christa Harstall, Janet Martin

  A perceived gap exists in how well Canadian health technology assessment (HTA) producers are supporting the use of their HTAs by decision-makers. The authors propose that the newly released HTA Database Canadian search interface incorporate structured decision-relevant summaries of HTAs that would be developed by participating Canadian HTA organizations. The registry would…

Optimizing adoption and diffusion of medical devices at the system level

May 29, 2015

| Ann Scott, Dion Pasichnyk, Christa Harstall, Dagmara Chojecki

This Information Paper is an inventory and broad summary of factors affecting the adoption and diffusion of health technologies and of available models, strategies, tools, and processes for optimizing health technology diffusion.

A systematic review of measurement properties of instruments assessing presenteeism.

February 01, 2015

| Maria Ospina, Liz Dennett, Arianna Waye, Philip Jacobs, Angus Thompson

  Objectives: To assess and compare the measurement properties (ie, validity, reliability, responsiveness) and the quality of the evidence of presenteeism instruments.

Value of databases other than medline for rapid health technology assessments

April 30, 2014

| Diane Lorenzetti, Leigh-Ann Topfer, Liz Dennett, Fiona Clement

  OBJECTIVES: The objective of this study was to explore the degree to which databases otherthan MEDLINE contribute studies relevant for inclusion in rapid health technology assessments (HTA).

Practices for implementing effective public advisory groups of lay people or members of the general public

April 01, 2014

| Carmen Moga, Christa Harstall

This report has been produced in response to a request from Alberta Health (AH). The objective was to perform a review of practices of engaging committees composed of lay people or members of the general public at international, national, provincial, and regional levels. The review attempts to address the following questions: What scientific evidence is available about committees…

Stress and development of depression and heavy drinking in adulthood: moderating effects of childhood trauma.

February 01, 2013

| Ian Colman, Yasmin Garad, Yiye Zeng, Kiyuri Naicker, Murray Weeks, Scott Patten, Peter Jones, Angus Thompson, T. Cameron Wild

  Purpose: Studies suggest that childhood trauma is linked to both depression and heavy drinking in adulthood, and may create a lifelong vulnerability to stress. Few studies have explored the effects of stress sensitization on the development of depression or heavy drinking among those who have experienced traumatic childhood events. This study aimed to determine the effect…

Utilizing Diverse HTA Products in the Alberta Health Technologies Decision Process: Work in Progress

October 04, 2012

| Ann Scott, Christa Harstall

This project is concerned with describing a comprehensive set of HTA products, not the methods used to produce them. The report describes various products produced by HTA agencies and provides a summary of the basic elements of these products, but an in-depth analysis of, or comparison between, the various products in terms of their methodology is beyond its scope. Information…

Exploratory Brief on Nanomedicine or the Application of Nanotechnology in Human Health Care

March 21, 2012

| Paula Corabian, Dagmara Chojecki, Christa Harstall

This exploratory report provides a summary of some of the published information on the current status of research in and potential future sphere of activity of nanomedicine (Part I) and an inventory of resources on nanotechnology and nanomedicine (Part II). Over the next 5 to 10 years it is expected that the overall impact of nanomedicine will be multifaceted, with significant…

Development of a quality appraisal tool for case series studies using a modified Delphi technique

March 07, 2012

| Carmen Moga, Bing Guo, Don Schopflocher, Christa Harstall

This Methodology Paper summarizes the process, a modified Delphi approach, used to develop a specific checklist for the quality appraisal of case series studies. This work was supplemented with a review of other published checklists and an initial pilot test of the newly developed quality appraisal checklist. Researchers at the Institute of Health Economics with researchers from…

What Do We Know About Knowledge Translation in the Care of Older Adults? A Scoping Review.

March 05, 2012

| Anne-Marie Boström, Susan E Slaughter, Dagmara Chojecki, Carole Estabrooks

  OBJECTIVES: The recent emphasis on knowledge translation (KT) in health care is based on the premise that quality of care improves when research findings are translated into practice. This study aimed to identify the extent, nature, and settings of KT research pertaining to the care of older adults.

Frameworks for post-policy implementation review

March 01, 2012

| IHE Institute of Health Economics

This report describes a framework for evaluating policies developed within the Alberta Health Technologies Decision Process (AHTDP) to strengthen the link between policy development and evidence. The framework was designed as a foundation upon which to build a more detailed and contextualized evaluative process in consultation with all stakeholders who are likely to be affected…

Sources of revenue for nonprofit mental health and addictions organizations in Canada.

October 01, 2010

| Carissa Escober-Doran, Philip Jacobs, Carolyn Dewa

  Objective: In Canada charitable or nonprofit organizations provide government-contracted mental health and addictions services, and they augment government funding by raising charitable revenues. This study estimated by source the revenues of nonprofit mental health and addictions organizations in Canada.

Health Technology Assessment and Comparative Effectiveness in Sweden

July 12, 2010

| Egon Jonsson

  Abstract: The article presents information on the Health Technology Assessment. Guidance for health care practices in Sweden were documented when Medical Collegium was established in 1663 to distinguish quackery from medicine and control the poisonous drugs. In early 1980s, Sweden established the Swedish Council on Technology Assessment in Healthcare to assess major diseases…

Tackling ethical issues in health technology assessment: A proposed framework

July 05, 2010

| Amanda Burls, Lorraine Caron, Ghislaine Cleret de Langavant, Wybo Dondorp, Christa Harstall, Ela Pathak-Sen, Bjørn Hofmann

  OBJECTIVES: Values are intrinsic to the use of health technology assessments (HTAs) inhealth policy, but neglecting value assumptions in HTA makes their results appear more robust or normatively neutral than may be the case. Results of a 2003 survey by the International Network of Agencies for Health Technology Assessment (INAHTA) revealed the existence of disparate methods…

Overview of a formal scoping review on health system report cards

January 15, 2010

| Susan E Brien, Diane Lorenzetti, Steven Lewis, James Kennedy, William A Ghali

  BACKGROUND: There is an extensive body of literature on health system quality reporting that has yet to be characterized. Scoping is a novel methodology for systematically assessing the breadth of a body of literature in a particular research area. Our objectives were to showcase the scoping review methodology in the review of health system quality reporting, and to reporton…

Making the AGREE tool more user-friendly: the feasibility of a user guide based on Boolean operators.

December 30, 2009

| Ann Scott, Carmen Moga, Christa Harstall

  Rationale, aims and objectives: The Appraisal of Guidelines Research and Evaluation (AGREE) instrument is a generic tool for assessing guideline quality. This feasibility study aimed to reduce the ambiguity and subjectivity associated with AGREE item scoring, and to augment the tool's capacity to differentiate between good- and poor-quality guidelines. Note: This is an Alberta…

Comparative Effectiveness: An Overview

February 13, 2009

| David Hailey, Egon Jonsson, Philip Jacobs

The use of the term “comparative effectiveness” (CE) has attracted considerable attention, particularly in the United States. This booklet examines the concept of CE and its relationship to other assessment frameworks.

Effective Dissemination of Findings from Research - A Compilation of Essays

June 01, 2008

| David Hailey, Jeremy Grimshaw, Martin Eccles, Craig Mitton, Carol E. Adair, Emily McKenzie, Scott Patten, Brenda Waye-Perry, Leif Rentzhog, Paul Taenzer, Christa Harstall, Saifee Rashiq, Pamela Barton, Don Schopflocher, Lynda Jobin

Effective Dissemination of Findings from Research contains essays resulting from a workshop on effective dissemination of findings from research organized by the Institute of Health Economics. The publication is intended as one of the many available resources on dissemination of research findings for those interested in the subject. Chapter 3 of this report originally appeared…

Using health technology assessment to identify research gaps: an unexploited resource for increasing the value of clinical research.

February 28, 2008

| Ann Scott, Carmen Moga, Christa Harstall, Jacques Magnan

  Abstract: Health technology assessments (HTAs) are an as yet unexploited source of comprehensive, systematically generated information that could be used by research funding agencies to formulate researchable questions that are relevant to decision-makers. We describe a process that was developed for distilling evidence gaps identified in HTAs into researchable questions…

Spousal Violence Against Women: Preventing Recurrence

January 05, 2008

| Bing Guo, Christa Harstall

Risk assessment tools for predicting recidivism of spousal violence. The objective of this report is to assess the research evidence on the inter-rater reliability and predictive validity of various risk assessment instruments in predicting male-to-female spousal violence recidivism and lethality in those males who had contact with the police system. Information Specialist: Liz…

Creating clinically relevant knowledge from systematic reviews: the challenges of knowledge translation.

August 30, 2007

| Ann Scott, Carmen Moga, Pamela Barton, Saifee Rashiq, Don Schopflocher, Paul Taenzer, Christa Harstall

  Rationale and objective: A research translation strategy for chronic pain was developed that has significant potential to advance the usefulness of systematic reviews (SRs) in clinical practice. Note: This is an Alberta Ambassador Guideline Adaptation Program related publication.

Using HTA to Identify Research Gaps

September 01, 2006

| Ann Scott, Carmen Moga, Christa Harstall

Alberta Heritage Foundation for Medical Research (AHFMR) HTA Initiative #24. Health technology assessments (HTAs) routinely identify questions or research ‘gaps’ that are not adequately addressed by the primary research. The unique situation of having an HTA unit housed within a provincial research funding organization provided an ideal setting for linking research…

A Guide to Health Technology Assessment in the Palliser Health Region

June 01, 2006

| Laurel Stretch, Edith Amend

Alberta Heritage Foundation for Medical Research (AHFMR) HTA Initiative #20. Health Technology Assessment (HTA) is the systematic evaluation of properties, effects and/or other impacts of health care technology. Its primary purpose is to provide objective information to support health care decisions and policy making at the local, regional, national and international levels. NOTE:…

The Alberta Ambassador Program: delivering Health Technology Assessment results to rural practitioners.

March 31, 2006

| Saifee Rashiq, Pamela Barton, Christa Harstall, Don Schopflocher, Paul Taenzer

  Background: The purpose of Health Technology Assessment (HTA) is to make the best possible summary of the evidence regarding specific health interventions in order to influence health care and policy decisions. The need for decision makers to find relevant HTA data when it is needed is a barrier to its usefulness. These barriers are highest in rural areas and amongst isolated…

An Exploratory Review of Evaluations of Health Technology Assessment Agencies

February 01, 2006

| Margaret Wanke, Don Juzwishin, Richard Thornley, Liza Chan

Alberta Heritage Foundation for Medical Research (AHFMR) HTA Initiative #16. The objectives of this review were: To propose a generic evaluation framework for HTA agencies to strengthen their evaluation capacity. To conduct a review of HTA agencies to understand what aspects of HTA agencies have been evaluated, approaches/methods used, outcomes of hte evaluations and to understand…

Consumer Involvement in Health Technology Assessment

December 01, 2005

| David Hailey

Alberta Heritage Foundation for Medical Research (AHFMR) HTA Initiative #21. Much of the activity and purpose of HTA is related to interaction with organizations and individuals with interests in the technologies that are being considered. The focus is often stakeholders with major financial or operational responsbilities for health technologies, including government authorities,…

Bridging the Gap: The Use of Research Evidence in Policy Development

September 01, 2005

| Jon Brehaut, Don Juzwishin

Alberta Heritage Foundation for Medical Research (AHFMR) HTA Initiative #18. This paper has two specific objectives: to describe some of the challenges of using research evidence to inform healthcare policy making; and to provide policy makers and researchers with a framework or tool that would identify and facilitate the use of research evidence and other information in healthcare…

Risk management for Health Technology Assessment Programs

May 01, 2005

| David Hailey, Don Juzwishin

Alberta Heritage Foundation for Medical Research (AHFMR) HTA Initiative #19. The intent is to develop an overview as a guide to HTA managers; this paper should be regarded as a vehicle for further discussion on these issues. NOTE: In 2006 the Alberta Heritage Foundation for Medical Research HTA unit moved to IHE. Documents produced in and prior to 2006 have different formats; the…

Review of Health Technology Assessment Products 2003-2004

January 30, 2005

| David Hailey

Alberta Heritage Foundation for Medical Research (AHFMR) Information Paper #23. The activities of the HTA Unit in 2002–2003, as reflected in various types of reports it had produced and related dissemination activities, were reviewed in a paper published in 2004. The paper provided an overview of the effectiveness of the Unit as an aid to its future management, drawing on…

Quantitative Approaches to Patient Safety - Research in Risk Analysis and Risk Management as Applied to Radiotherapy

October 01, 2004

| Robert Lee, Karie-Lynn Kelly, Chris Newcomb, David Cooke, Edidiong Ekaette, Peter Craighead, Peter Dunscombe

Alberta Heritage Foundation for Medical Research (AHFMR) HTA Initiative #15. This paper summarizes the first steps in a research program designed to inform technology assessment and decision-making associated with radiotherapy (treatment of cancer with ionizing radiation) at the Tom Baker Cancer Centre (TBCC) in Calgary, Alberta. NOTE: In 2006 the Alberta Heritage Foundation for…

Standard Quality Assessment Criteria for Evaluating Primary Research Papers from a Variety of Fields

February 01, 2004

| Leanne Kmet, Robert Lee, Linda Cook

Alberta Heritage Foundation for Medical Research (AHFMR) HTA Initiative #13. Appraising the quality of evidence is an important, yet difficult task, complicated by the consideration of disparate evidence. Quality checklists for assessing RCTs abound, yet it is acknowledged that even within this single study the reliability, validity, feasibility and utility of the various tools…

Accuracy and reliability of using computerized interpretation of electrocardiograms for routine examinations

January 01, 2002

| Paula Corabian

Alberta Heritage Foundation for Medical Research (AHFMR) HTA Report #25. This report is a systematic review of the literature on the use of computerized electrocardiogram (ECG) interpretation for detecting heart conditions as a part of routine medical examinations in healthy adults. The aim of this report is to inform practitioners and other interested parties on the available…

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