HTA means a systematic process of evaluation of medical technologies, procedures and tools, but also organizational structures in which medical services are provided. The investigations are criteria such as effectiveness, safety and cost, each taking into account social, legal and ethical aspects. The result of an HTA study will be used as HTA report. This is intended primarily as a decision-making help with health issues. These include the adoption of innovations in the power Catalogue of statutory health insurance by the Joint Federal Committee (G-BA).
With randomized controlled studies exist since the 1930s, . The term "Technology Assessment" for the first time in 1965 in the U.S. Congress mentioned and includes transportation, transport, energy, food, defence and space . Always bring new medical developments with the need to include such considerations and analyses on the health sector, in particular because the financial resources is increasingly limited. Between 1970 and 1980 are the first concepts for the evaluation of technologies in health care, especially through case studies.
The first panel, which is specifically with technology assessments in the health care landscape, "Congressional Office of Technology Assessment (OTA), 1972, in which the U.S. is formed. Its task is to collect relevant data and information to the politicians . From the mid-1980s European governments also lead such national programs - first in Sweden (1987) and the Netherlands (1988), a little later in France (1990) and Britain (1991) [3].
In the following years, there were a steady internationalization of HTA and networking facilities. 1985 was the International Society of Technology Assessment in Health Care (ISTAHC) as the main forum for HTA questions. The International Network of Agencies for Health Technology Assessment (INAHTA) since 1993 promotes international cooperation and information exchange of such facilities. Since then, a systematic standardization and development of methods for example, by book series with HTA reports and literature major directories such as the Cochrane Collaboration.
In Germany, the policy encourages the development of HTA relevant. In 1994, the Office for Technology Assessment at the German Bundestag. Under a new initiative of the Federal Ministry of Health, 1995, HTA programme, which is also in SGB V anchored. 2000, the German Institute for Documentation and Information (DIMDI, after the BMG), the German HTA programme. To do so, the German Agency for Health Technology Assessment at the DIMDI (DAHTA @ DIMDI). The latest body with respect to HTA developed the Institute for Quality and Efficiency in Health Care (IQWiG) since 2004 advice on health problems and evaluations of evidence-based guidelines.
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