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Table 1 Ranking of HTA Domains and assessment elements

From: Portable continuous wave Doppler ultrasound for primary healthcare in South Africa: can the EUnetHTA Core Model guide evaluation before technology adoption?

Element ID

Topic/Issue

Median (IQR)

No of responses (%)

Health problem and current use of the technology (CUR)

5 (4,5)

24

 

Target population

  

A0007

What is the target population in this assessment?

5 (4,5)

24

A0023

How many people belong to this target population

5 (3.75, 5)

24

 

Target condition

  

A0002

What is the health condition

5 (4,5)

24

A0003

What are the known risk factors?

5 (4,5)

24

A0004

What is the natural course of the health condition?

4 (4,5)

23

A0005

What are the symptoms or health condition for the patient?

4 (4,5)

24

A0006

What are the consequences of the health condition for the society?

4.5 (4,5)

22

A0009

What aspects of the consequences are targeted by the Umbiflow?

4 (4,5)

23

 

Current management of the condition

  

A0018

What are the other typical or common alternatives to the Umbiflow?

4 (3.5,5)

23

A0024

How is the health condition currently diagnosed according to published guidelines and in practice?

4 (4,5)

24

A0025

How is the health condition currently managed according to published guidelines and in practice?

4 (4,5)

24

 

Utilization

  

A0001

For which health conditions and populations, and for what purposes is the technology used?

4 (3,5)

24

A0011

How much are the technologies utilized?

4 (3,5)

24

F0001

Is Umbiflow a new, innovative mode of care, an add-on to, or modification of a standard mode of care, or a replacement of a standard mode of care?

4 (3,5)

24

Description and technical characteristics of technology (TEC)

4 (3,5)

24

Safety (SAF)

5 (4,5)

24

 

Patient safety

  

C0006

What are the consequences of false positive, false negative and incidental findings generated by using the technology from the viewpoint of patient safety?

4 (3,5)

24

Clinical effectiveness (EFF)

4 (4,5)

23 (95.8)

 

Mortality

  

D0001

What is the expected beneficial effect of intervention on mortality?

4 (4,5)

24

 

Morbidity

 

D0005

How does using Umbiflow affect findings of the health condition?

4 (4,5)

24

D1004

What are the requirements for accuracy in the context where the technology will be used?

4 (3,5)

24

 

Change-in-management

 

D0020

Does use of the test lead to improved detection of the condition?

4 (4,5)

24

D0010

How does the technology modify the need for hospitalisation?

4 (3,5)

24

 

Benefit-harm balance

 

D0029

What are the overall benefits and harms of the technology in health outcomes?

4 (3,5)

24

Costs and Economic aspect

4 (3.4,5)

24

 

Process-related costs

  

G0006

What are the costs of processes related to acquisition and setting up new technology?

4 (3,5)

23

G0007

What are the likely budget impacts of implementing the technology?

4 (3,5)

23

Ethical aspect

4 (4,5)

24

 

Autonomy

  

F0006

Is there a need for any specific interventions or supportive actions concerning information in order to respect patient autonomy when the technology is used?

4 (3.5,5)

23

F0007

Does the implementation or withdrawal of the technology challenge or change professional values, ethics or traditional roles?

4 (3,4.5)

23

 

Legislation

  

F0014

Does the implementation or use of the technology affect the realisation of basic human rights?

4 (3,5)

23

Organizational aspect

4 (3,5)

24

 

Health delivery process

  

G0001

How does the technology affect the current work processes?

4 (3,5)

24

G0100

What kind of patient/participant flow is associated with the new technology?

4 (3,5)

24

G0002

What kind of involvement has to be mobilised for patients/participants and important others and/or caregivers?

4 (3,5)

21

G0003

What kind of process ensures proper education and training of staff?

4 (3,5)

23

 

Management

  

G0008

What management problems and opportunities are attached to the technology?

4 (3,5)

24

Patient and social aspect

4 (4,5)

23 (95.8)

 

Patient’s perspectives

  

H0100

What expectations and wishes do patients have with regard to the technology and what do they expect to gain from the technology?

4 (3,5)

24

 

Communication aspects

  

H0202

How are treatment choices explained to patients?

4 (3,5)

24

Legal aspect

4 (3.5,5)

23 (95.8)

 

Autonomy of the patient

  

I0034

Who is allowed to give consent for minors and incompetent persons?

4 (3,5)

24

 

Privacy of the patient

  

I0009

What do laws/binding rules require with regard to appropriate measures for securing patient data and how should this be addressed when implementing the technology?

4 (3.75,4.25)

24