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HTA Report (AHFMR)

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  1. Assessment of telehealth applications: Version 1 [Download]

    Title: Assessment of telehealth applications: Version 1
    Creator: Alberta Heritage Foundation for Medical Research
    Description: This outline of issues in the assessment of telehealth is intended as a resource document for health care funders, providers and administrators. Health authorities and others in Alberta face decisions on the procurement and use of this information and communication technology. Such decisions should be informed by the results of assessment. This publication provides a framework for use when specific telehealth applications are under consideration. A brief outline is given of general requirements for telehealth applications, bringing together some points which will need consideration during development of a business case. There is then a discussion of a more detailed approach to assessment. This covers specification, performance measures, outcomes, summary measures, operational considerations and other issues related to telehealth applications. Telepsychiatry and teleradiology are used as examples to provide further details of assessment elements. Use of cost analysis and further details on telehealth applications and their assessment are covered in appendices. This document gives a basic framework for assessment of telehealth applications. Use of the framework will require a commitment to systematic collection of data and to comparison of telehealth applications with alternatives. In applying the approaches given to evaluation of proposals and programs, analysts will need to give further consideration to issues such as the power and experimental design of comparative studies. Involvement of persons with expertise in evaluation will be highly desirable. Input from both managers and evaluators will be needed to provide a useful synthesis of assessment data in the context of the health care system.
    Subjects: Telemedicine, AHFMR HTA 4
    Date Created: 1997/10/01
  2. Quantitative ultrasound for bone density measurement [Download]

    Title: Quantitative ultrasound for bone density measurement
    Creator: Homik, Joanne
    Description: his report has been prepared in view of the increasing interest in ultrasound technology for diagnosis of osteoporosis. Until recently, quantitative ultrasound (QUS) was mainly being used in research settings. This procedure is still not covered by provincial fee schedules. The recent FDA pre-marketing approvals of the Hologic Sahara and Lunar Achilles devices for general use in the diagnosis of osteoporosis can be expected to increase interest in the use of this technology by both consumers and healthcare providers. The issues addressed in this report include the current status of quantitative ultrasound technology, its performance and predictive value compared to x-ray based technologies, availability of machines, and issues related to its use in Canada. HTA 11.
    Subjects: Bone Density Measurement
    Date Created: 1998/09/01
  3. Stereotactic radiosurgery: options for Albertans [Download]

    Title: Stereotactic radiosurgery: options for Albertans
    Creator: Schneider, Wendy L.
    Description: The present report has been prepared following a request by Alberta Health in relation to referral of patients outside the province for treatment with stereotactic radiosurgery (SRS). There was interest by the department in the comparative effectiveness of the two main approaches to SRS (GK and LINAC) and in the current status of the technology. In addition, the opportunity has been taken to consider cost and organizational issues related to the provision of SRS services for Alberta, either within the province or through referral elsewhere. HTA 9
    Subjects: Intercranial lesions - Therapy
    Date Created: 1998/03/01
  4. Strategies to Reduce Emergency Department Overcrowding [Download]

    Title: Strategies to Reduce Emergency Department Overcrowding
    Creator: Guo, Bing
    Description: This report aims to identify strategies that have been evaluated and reported in the literature and to assess their effectiveness in reducing emergency department overcrowding. ISBN 1-894927-35-4 (online)
    Subjects: Emergency Rooms - Overcrowding - Systematic Reviews
    Date Created: 2006/02/01
  5. Treatment options for acoustic neuroma [Download]

    Title: Treatment options for acoustic neuroma
    Creator: Schneider, Wendy L.
    Description: The present health technology assessment report has been prepared following a request by Alberta Health and Wellness for additional information on the use of stereotactic radiosurgery (SRS) in the treatment of acoustic neuroma, one of the applications considered in an earlier publication on SRS. Two main issues are considered here. The first is the place and role of SRS in management of acoustic neuroma, in comparison with neurosurgical techniques. The second is the comparative performance of the two most commonly available forms of SRS, the modified linear accelerator (LINAC) and the Gamma Knife® (GK), a device that makes use of radiation from cobalt-60 sources. Matters related to cost have not been addressed in detail. HTA Report #15.
    Subjects: Acoustic Neuroma - Sterotactic Radiosurgery, Vestibular Schwannoma - Therapy
    Date Created: 1999/07/01
  6. Trigger Point Injections for Chronic Non-malignant Musculoskeletal Pain [Download]

    Title: Trigger Point Injections for Chronic Non-malignant Musculoskeletal Pain
    Creator: Scott, Ann
    Description: The objective of this report is to assess the efficacy and safety of using trigger point injection (TPI) to treat patients with chronic non-malignant musculoskeletal pain, based on a systematic review of the current published evidence, and to determine the current state of the procedure, the feasibility of delivering it to patients in regional communities, and the clinical accreditation and training required to perform it. HTA Report #35. ISBN 1-894927-07-9 (online)
    Subjects: Chronic Pain Management - Health Technology Assessment, Chronic Pain Management - Systematic Revview
    Date Created: 2005/01/01
  7. Vagus Nerve Stimulation for Refractory Epilepsy [Download]

    Title: Vagus Nerve Stimulation for Refractory Epilepsy
    Creator: Corabian, Paula
    Description: This report has been produced in response to a request from Alberta Health and Wellness for an update on the use of vagus nerve stimulation (VNS) for refractory epilepsy. The intent was to inform health policy makers, medical practitioners, and the public on the current status of the use of VNS for refractory epilepsy in both adults and children and on its use and coverage in Canada. This review is confined to the use of VNS therapy for refractory epilepsy. This report consists of two main sections. The first section summarizes the findings of the current review of the published literature that has provided evidence on the long-term safety and efficacy/effectiveness of VNS when used for this indication and on the issues related to its use. The second section presents updated information on the use and coverage of VNS procedure in Canada. This information was obtained by a survey of the provincial/territorial Medical Directors across Health Ministries in Canada conducted to determine the use and provision of VNS therapy in Canada and whether the surgical procedures and devices associated with it were publicly funded/covered. This section also presents information on the commercially available VNS devices and the costs of these devices and of each of their components. HTA 24: Series A
    Subjects: Refractory Epilepsy - Therapy
    Date Created: 2001/03/01