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Main Title: Taxonomy of medical devices in the logic of health technology assessment
Author(s): Henschke, Cornelia
Panteli, Dimitra
Perleth, Matthias
Busse, Reinhard
Type: Article
Language Code: en
Abstract: Objectives: The suitability of general HTA methodology for medical devices is gaining interest as a topic of scientific discourse. Given the broad range of medical devices, there might be differences between groups of devices that impact both the necessity and the methods of their assessment. Our aim is to develop a taxonomy that provides researchers and policy makers with an orientation tool on how to approach the assessment of different types of medical devices. Methods: Several classifications for medical devices based on varying rationales for different regulatory and reporting purposes were analyzed in detail to develop a comprehensive taxonomic model. Results: The taxonomy is based on relevant aspects of existing classification schemes incorporating elements of risk and functionality. Its 9 × 6 matrix distinguishes between the diagnostic or therapeutic nature of devices and considers whether the medical device is directly used by patients, constitutes part of a specific procedure, or can be used for a variety of procedures. We considered the relevance of different device categories in regard to HTA to be considerably variable, ranging from high to low. Conclusions: Existing medical device classifications cannot be used for HTA as they are based on different underlying logics. The developed taxonomy combines different device classification schemes used for different purposes. It aims at providing decision makers with a tool enabling them to consider device characteristics in detail across more than one dimension. The placement of device groups in the matrix can provide decision support on the necessity of conducting a full HTA.
Issue Date: 2015
Date Available: 27-Oct-2017
DDC Class: 610 Medizin und Gesundheit
Subject(s): health technology assessment
medical devices
health policy
Journal Title: International journal of technology assessment in health care
Publisher: Cambridge University Press
Publisher Place: Cambridge
Volume: 31
Issue: 5
Publisher DOI: 10.1017/s0266462315000562
Page Start: 324
Page End: 330
EISSN: 1471-6348
ISSN: 0266-4623
Notes: Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG geförderten) Allianz- bzw. Nationallizenz frei zugänglich.
This publication is with permission of the rights owner freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively.
Appears in Collections:FG Management im Gesundheitswesen » Publications

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