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An Evaluation of the Development and Effectiveness of a Hospital-Based Health Technology Assessment (HB-HTA) Program at the University of Washington Medical Center

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Conceptualising, measuring and valuing the impact of Health Technology Assessment

Grieve, Eleanor (2020) Conceptualising, measuring and valuing the impact of Health Technology Assessment. PhD thesis, University of Glasgow.

How do we assess the impact of Health Technology Assessment (HTA)? Whilst high-income countries (HIC) may have led the way, lower-income countries are increasingly beginning to develop HTA processes to assist in their healthcare decision-making. Understanding how we might quantify the costs and benefits of investing in HTA is important to policy makers and donors. Very few studies have, however, estimated the benefits of the process of HTA in terms of its value to the health system. The global expansion of HTA, its variable implementation, the lack of quantified evidence on health outcomes, along with an increasing investment in these processes at the systems level in low- and middle-income countries (LMIC) has generated greater interest from policy makers about the value and return on investment (ROI) of HTA. A lack of longer-term impact assessment (IA) may undermine its importance and value.

To fill this research gap, we have developed a methodological framework to estimate the ROI in HTA using net health benefits (NHB) as our measure of value. This is the difference between QALYs gained by an intervention and QALYs that could have been gained if the money required to deliver it had been spent on other interventions. We use a mixed-methods approach to quantify the value of HTA and to produce explanatory programme theory on the mechanisms by which HTA impact can be optimised. It is also important to consider opportunity costs when establishing HTA processes but which are often overlooked. The aim is to convey the concepts of potential and realised population NHB, and what we can attribute to the HTA process. Central to understanding this is the ‘value of implementation’ (VOImp). Theory-driven approaches will be used to generate and test contextual explanations for gaps between expected and actual gains in population health.

We envisage the use of this research will encourage accountability of spending decisions and help to optimise the impact of HTA in an era of investment and expansion, in particular, for LMICs, through better understanding of HTA’s role in delivering health outcomes and value for money at the system level. This research will offer a forward-looking model that LMICs can point to as a reference for their own implementation.

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Health technology assessment evidence criteria: what types of evidence should be presented for products used to screen for disease in the United States?

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• March 20, 2019
• Affiliation: Gillings School of Global Public Health, Department of Health Policy and Management
• New technologies can be tools of innovative change in healthcare. They can be associated with improved treatment options, quality of care for patients, and cost savings. Distinguishing valuable technologies from those that offer added costs with no improvements in outcomes is the art of technology assessment. A key function of that art involves selecting those patients, conditions, providers and settings in which a technology may offer improvements over current care. With recent scientific discoveries such as the mapping of the human genome, development of genetic marker tests, and the growing interest in stem cell technologies, innovation is far ahead of any type of assessment that is currently used to establish which technologies should be made accessible to patients. Screening technologies are on the forefront of innovation and may have a dramatic impact on the care of patients in terms of identifying disease and appropriate treatment options at an early stage. As a result, screening technologies are of key interest to health technology assessment (HTA) agencies in the United States and abroad. Similarly, because screening technologies are developing quickly and are believed to have the potential to make a significant change in patient care, it is important to develop a robust level of HTA criteria to evaluate these new technologies and determine which technologies should be integrated into the practice of medicine and made accessible to patients. Findings from this study indicate that while technology assessment organizations do have standard sets of criteria to evaluate products that are therapeutic, the assessment and level of evidence used to evaluate screening technologies are less clear. The objective of this research study is to evaluate existing technology assessment standards for screening technologies in order to establish a best practice that may be implemented by US technology assessment organizations to broaden the criteria used in assessments for screening products. The results of this study indicate that the best practices should include criteria to: support screening reliability, sensitivity and specificity; evaluate data to identify appropriate patient populations; reference to the natural course of the disease; consider ethical implications; and the impact of cost.
• December 2011
• https://doi.org/10.17615/5csa-se13
• Dissertation
• In Copyright
• "... in partial fulfillment of the requirements of the degree of Doctor of Public Health in the Gillings School of Global Public Health"
• University of North Carolina at Chapel Hill
• Chapel Hill, NC
• Open access
• March 18, 2013

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Dissertations / Theses on the topic 'Office of Technology Assessment'

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Youn, Bruno. "Catching Congress Up: Restoring the Office of Technology Assessment." Scholarship @ Claremont, 2019. https://scholarship.claremont.edu/cmc_theses/2227.

Beale, William Mason. "Overt and covert organization culture : a case study of the Office of Technology Assessment /." This resource online, 1990. http://scholar.lib.vt.edu/theses/available/etd-09162005-115024/.

Beale, William Mason Jr. "Overt and covert organization culture: a case study of the Office of Technology Assessment." Diss., Virginia Tech, 1990. http://hdl.handle.net/10919/39367.

Mian, Naeem S. "Efficient machine tool thermal error modelling strategy for accurate offline assessment." Thesis, University of Huddersfield, 2010. http://eprints.hud.ac.uk/id/eprint/11054/.

Nylander, David. "Evaluating User Engagement and Usability in an IT Sustainability Impact Assessment Tool : A Qualitative Study with IT Procurement Officers." Thesis, KTH, Skolan för elektroteknik och datavetenskap (EECS), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-280476.

Dandridge, Cyane Bemiss. "Energy efficiency in office technology." Thesis, Massachusetts Institute of Technology, 1994. http://hdl.handle.net/1721.1/12261.

Hardy, Mary Rosalyn. "Stochastic simulation in life office solvency assessment." Thesis, Heriot-Watt University, 1994. http://hdl.handle.net/10399/1398.

De, Jonge Desleigh. "Putting technology to work : experiences of people using assistive technology in the workplace /." St. Lucia, Qld, 2001. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe16744.pdf.

Smith, Heather Alison. "User perceptions of technology and the office." Thesis, London Metropolitan University, 1995. http://repository.londonmet.ac.uk/3276/.

Simpson, Edward. "Assessment of facilities management performance." Thesis, University of Salford, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.341317.

Eberlein, John A. (John Arthur). "Technology transfer at MIT : an analysis of the technology licensing office." Thesis, Massachusetts Institute of Technology, 1989. http://hdl.handle.net/1721.1/14311.

Janse, van Rensburg Francois. "An investigation of indoor air quality assessment in office buildings." Thesis, Port Elizabeth Technikon, 2007. http://hdl.handle.net/10948/32.

Anjum, Nomana. "An environmental assessment of office interiors from the consumers' perspective." Thesis, University of Dundee, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367298.

Varcoe, Barry. "The cost performance of office facilities : an assessment of effectiveness." Thesis, Glasgow Caledonian University, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.517944.

Zheng, Xin. "The office automatic system research based on workflow technology." Thesis, University of Macau, 2005. http://umaclib3.umac.mo/record=b1445898.

Brown, Lucian C. "Utilizing team time/talent assessment tool to reorganize front office training." Menomonie, WI : University of Wisconsin--Stout, 2006. http://www.uwstout.edu/lib/thesis/2006/2006brownl.pdf.

Murray, James. "Needs assessment for administrative office manager associate degree program in the Western Wisconsin Technical College district." Online version, 2001. http://www.uwstout.edu/lib/thesis/2001/2001murrayj.pdf.

Parnes, Debbie Margo. "The impact of office design on orthodontic office production: a qualitative assessment of the opinions of doctors, staff, and patients." Master's thesis, Temple University Libraries, 2011. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/211862.

Kedrosky, Paul S. "Network effects in technology assessment." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/nq21296.pdf.

Friedrich-Nel, H., and Jager L. De. "Meaningful assessment in health technology." Interim : Interdisciplinary Journal, Vol 7, Issue 2: Central University of Technology Free State Bloemfontein, 2008. http://hdl.handle.net/11462/388.

Cane, John W. "Assessment of Web Application Technology." NSUWorks, 2003. http://nsuworks.nova.edu/gscis_etd/442.

Stoffle, Richard W., Michael W. Traugott, Florence V. Jensen, and Robert Copeland. "Social Assessment of High Technology." Institute for Social Research, The University of Michigan, 1987. http://hdl.handle.net/10150/298924.

Kwan, Pui-man, and 關佩文. "Building energy conservation and environmental assessment for office buildings in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B45008097.

Castleton, Holly. "Assessment of design stage energy prediction models for low carbon office buildings." Thesis, University of Sheffield, 2014. http://etheses.whiterose.ac.uk/6676/.

Khalid, Halimaton. "The effects of new office technology on secretaries attitudes and training." Thesis, University of Huddersfield, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.327180.

Ulker, Ozgur. "Office space allocation by using mathematical programming and meta-heuristics." Thesis, University of Nottingham, 2013. http://eprints.nottingham.ac.uk/13604/.

Hollis-Turner, Shairn Lorena. "Educating for employability in office environments." Thesis, Cape Peninsula University of Technology, 2015. http://hdl.handle.net/20.500.11838/1991.

Cook, Jonathan A. "Statistical assessment of learning curve effects in health technology assessment." Thesis, University of Aberdeen, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.401493.

Hamedani, Zahra. "Visual Discomfort Assessment in Office Environments: Light-induced Physiological Responses and Visual Performance." Thesis, Griffith University, 2020. http://hdl.handle.net/10072/392053.

Majumdar, WindyJoy Springs. "System of systems technology readiness assessment." Thesis, Monterey, Calif. : Naval Postgraduate School, 2007. http://bosun.nps.edu/uhtbin/hyperion-image.exe/07Sep%5FMajumdar.pdf.

Stahl-Timmins, William Marck. "Information graphics in health technology assessment." Thesis, University of Exeter, 2011. http://hdl.handle.net/10036/4026.

Rothman, Craig Jeremy. "Objective assessment of manufacturing technology investments." Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/73403.

Drenkhahn, Robert (Robert A. ). "Critical assessment of thorium reactor technology." Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/77064.

Juras, Sherrie Ann. "Digital portfolios: Advancing assessment through technology." CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/1951.

Seckman, John. "Applying information technology to commercial office building operations : new tools and techniques." Thesis, Massachusetts Institute of Technology, 1992. http://hdl.handle.net/1721.1/70219.

Wang, Chia-Chi. "Online solicitation management system for the Office of Technology Transfer and Commercialization." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2950.

Price, Todd. "Patient Satisfaction Management in Office Visits and Telehealth in Health Care Technology." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5032.

Arismendez, Murillo Danel. "Back-Office improvement : When outsourcing is not an option." Thesis, KTH, Skolan för informations- och kommunikationsteknik (ICT), 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-51036.

Tang, Wai-ming Gilbert. "A critical assessment of the impact of professional property management on office building leasing." Click to view the E-thesis via HKUTO, 2002. http://sunzi.lib.hku.hk/hkuto/record/B42576994.

Almouayad, Alazm Zafer. "Study on solar driven office cooling system." Thesis, Högskolan i Halmstad, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-40442.

Johansson, Ramnäs Tobias, and Christoffer Wern. "Office Open XML conversion with integrated result-altering GUI." Thesis, Linköpings universitet, Medie- och Informationsteknik, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-119988.

Tang, Wai-ming Gilbert, and 鄧偉明. "A critical assessment of the impact of professional property management on office building leasing." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B42576994.

King, Alvin D. "Needs assessment of the Multicultural Students Services Office at the University of Wisconsin-Stout." Online version, 2008. http://www.uwstout.edu/lib/thesis/2008/2008kinga.pdf.

Schwarz, Heinrich Joachim 1959. "Techno-Territories : the spatial, technological and social reorganization of office work." Thesis, Massachusetts Institute of Technology, 2003. http://hdl.handle.net/1721.1/8019.

Himmel, Nik. "Technology adoption at the workplace : Optimal office utilization in the context of sustainability." Thesis, Linnéuniversitetet, Institutionen för informatik (IK), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-100579.

Ericsson, Emil, and Eric Gregorson. "Quantitative Risk Assessment of Wave Energy Technology." Thesis, Uppsala universitet, Elektricitetslära, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-342033.

Stokes, Kathryn L. "A technology assessment of biotechnology in Ghana." Thesis, University of Strathclyde, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.401310.

Dixon, Kira Leigh. "Assessment through technology in the choral classroom." Kansas State University, 2013. http://hdl.handle.net/2097/15993.

WALLACE, MARJORIE EDMONDS. "CONTROL TECHNOLOGY ASSESSMENT OF ARC WELDING OPERATIONS." University of Cincinnati / OhioLINK, 2000. http://rave.ohiolink.edu/etdc/view?acc_num=ucin975336281.

Bahli, Bouchaïb. "An assessment of information technology outsourcing risks." [Montréal] : École des hautes études commerciales, 2002. http://wwwlib.umi.com/cr/umontreal/fullcit?pNQ72440.

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Computer Science > Computation and Language

Title: can gpt-4 do l2 analytic assessment.

Abstract: Automated essay scoring (AES) to evaluate second language (L2) proficiency has been a firmly established technology used in educational contexts for decades. Although holistic scoring has seen advancements in AES that match or even exceed human performance, analytic scoring still encounters issues as it inherits flaws and shortcomings from the human scoring process. The recent introduction of large language models presents new opportunities for automating the evaluation of specific aspects of L2 writing proficiency. In this paper, we perform a series of experiments using GPT-4 in a zero-shot fashion on a publicly available dataset annotated with holistic scores based on the Common European Framework of Reference and aim to extract detailed information about their underlying analytic components. We observe significant correlations between the automatically predicted analytic scores and multiple features associated with the individual proficiency components.

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