Case Studies On Forecasting For Innovative Technologies: Frequent Revisions Improve Accuracy
| Autor: | Diane C. Robertson, Jeffrey C. Lerner, Sara M. Goldstein |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Technology Assessment
Biomedical Transcatheter aortic Biomedical Technology Heart Valve Diseases Breast Neoplasms Breast cancer screening Robotic Surgical Procedures Neoplasms Device Approval Product Surveillance Postmarketing Proton Therapy Humans Medicine Mammography Operations management Biomedical technology Early Detection of Cancer health care economics and organizations Heart Valve Prosthesis Implantation medicine.diagnostic_test business.industry Health Policy Health technology social sciences Digital Breast Tomosynthesis Risk analysis (engineering) Aortic Valve Needs assessment Costs and Cost Analysis Imaging technology Female Diffusion of Innovation business Needs Assessment Forecasting |
| Zdroj: | Health Affairs. 34:311-318 |
| ISSN: | 1544-5208 0278-2715 |
| DOI: | 10.1377/hlthaff.2014.1066 |
| Popis: | Health technology forecasting is designed to provide reliable predictions about costs, utilization, diffusion, and other market realities before the technologies enter routine clinical use. In this article we address three questions central to forecasting's usefulness: Are early forecasts sufficiently accurate to help providers acquire the most promising technology and payers to set effective coverage policies? What variables contribute to inaccurate forecasts? How can forecasters manage the variables to improve accuracy? We analyzed forecasts published between 2007 and 2010 by the ECRI Institute on four technologies: single-room proton beam radiation therapy for various cancers; digital breast tomosynthesis imaging technology for breast cancer screening; transcatheter aortic valve replacement for serious heart valve disease; and minimally invasive robot-assisted surgery for various cancers. We then examined revised ECRI forecasts published in 2013 (digital breast tomosynthesis) and 2014 (the other three topics) to identify inaccuracies in the earlier forecasts and explore why they occurred. We found that five of twenty early predictions were inaccurate when compared with the updated forecasts. The inaccuracies pertained to two technologies that had more time-sensitive variables to consider. The case studies suggest that frequent revision of forecasts could improve accuracy, especially for complex technologies whose eventual use is governed by multiple interactive factors. |
| Databáze: | OpenAIRE |
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