Evidence map›Paper›PMID 28949463›Full record

ArticleInternational journal of health policy and management2017

Providing Value to New Health Technology: The Early Contribution of Entrepreneurs, Investors, and Regulatory Agencies.

Pascale Lehoux, Fiona A Miller, Geneviève Daudelin, Jean-Louis Denis

Abstract read
In one paragraph

Article in International journal of health policy and management, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  20. Problems and Promises of Health Technologies: The Role of Early Health Economic Modeling.International journal of health policy and management · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Pascale LehouxDepartment of Health Management, Evaluation and Policy, School of Public Health, University of Montreal, Montréal, QC, Canada.
Fiona A MillerInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Geneviève DaudelinInstitute of Public Health Research of University of Montreal (IRSPUM), Montréal, QC, Canada.
Jean-Louis DenisÉcole Nationale d'administration publique (ENAP), Quebec City, QC, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNew technologies constitute an important cost-driver in healthcare, but the dynamics that lead to their emergence remains poorly understood from a health policy standpoint. The goal of this paper is to clarify how entrepreneurs, investors, and regulatory agencies influence the value of emerging health technologies.

methodsOur 5-year qualitative research program examined the processes through which new health technologies were envisioned, financed, developed and commercialized by entrepreneurial clinical teams operating in Quebec's (Canada) publicly funded healthcare system.

resultsEntrepreneurs have a direct influence over a new technology's value proposition, but investors actively transform this value. Investors support a technology that can find a market, no matter its intrinsic value for clinical practice or healthcare systems. Regulatory agencies reinforce the "double" value of a new technology-as a health intervention and as an economic commodity-and provide economic worth to the venture that is bringing the technology to market.

conclusionPolicy-oriented initiatives such as early health technology assessment (HTA) and coverage with evidence may provide technology developers with useful input regarding the decisions they make at an early stage. But to foster technologies that bring more value to healthcare systems, policy-makers must actively support the consideration of health policy issues in innovation policy.

Indexed as

EntrepreneurshipGovernment RegulationInvestmentsBiomedical TechnologyHealthcare FinancingHealth Services Needs and DemandHumansInventionsQualitative ResearchQuebecEarly HTAHealth PolicyHealth Technology Development (HTA)Innovation PolicyTechnology-Based Ventures

Identifiers

PMID28949463
PMCPMC5582437

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.