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KMID : 1146320130010010093
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Journal of Health Technology Assessment
2013 Volume.1 No. 1 p.93 ~ p.102
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New Health Technology Assessment of Surgical Intervention in Korea
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Lee Sun-Hee
Lee Sang-Moo
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Abstract
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Objectives: The new health technology assessment (nHTA) of Korea was adopted in April 2007 and has been implemented for more than 4 years. The results of nHTA are being utilized as evidence for verification of safety and effectiveness at the time of adoptation for the new health technology by Minstry of Health & Welfare. This study aims to analyze results of nHTA for surgical treatments from 2007 to 2011 in South Korea, and present some suggestions for the future of the nHTA.
Methods: Of the 768 cases of new health technology that were assessed in accordance with the Article 53 of the Medical Law since the adoption of the New Health Technology Assessment System. The 63 cases of surgical treatment by excluding 86 cases of test were analyzed. This study analyzed the cases of technologies acknowledge as new health technology and technologies at research stage that need further researches due to lack of evidences on their effectiveness.
Results: 63 HTA results among the 287 cases of surgeries were completed through systematic review and analyzed. Majority of the technology that were acknowledged as new health technology had no safety issues when compared to the existing technology or were similar to existing technology. Effectiveness was accepted only if it is similar or superior to the existing technology. Health technologies were rejected because there was no research in comparison to the existing technology, corresponding comparator was not appropriate.
Conclusion: Analysis of the results of assessment over the last 4 years illustrate that the new technology must have similar or superior safety and effectiveness when compared with the existing technology in order for surgical treatment to be recognized as new health technology in Korea. Exceptionally, there were cases that were acknowledged even without comparative results if there is no substitute technology or comparative research is difficult for ethical reasons. Therefore, efforts must be put in generating evidences by activating researches that can prove the safety and effectiveness of the corresponding technology by comparing them with the existing technology.
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KEYWORD
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New health technology assessment, Surgical intervention
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