Health technology reassessment and disinvestment instruments: a scoping review
This scoping review synthesised available evidence on HTR and mapped the attributes of tools in the included studies to our predefined conceptual framework. Our results suggest that a stronger focus on sustainability and a consistent stakeholder engagement process may improve implementation of disinvestment frameworks and tools. Further work on contextualising models to the local setting and beyond HTA-related processes would be required.
Authors
- David Aluga (ORCID: https://orcid.org/0000-0001-8133-3525)
- David Mockler (ORCID: https://orcid.org/0000-0001-6171-8751)
- Shibu Shrestha (ORCID: https://orcid.org/0000-0003-1101-0581)
- Claire Gorry (ORCID: https://orcid.org/0000-0001-8484-8823)
- Paula Byrne (ORCID: https://orcid.org/0000-0002-9034-5154)
- Patrick Gillespie
- Susan M. Smith
- Adam G. Elshaug
Institutions
- The University of Melbourne (AU)
- Ollscoil na Gaillimhe – University of Galway (IE)
- Trinity College Dublin (IE)
- Health Service Executive (IE)
- St. James's Hospital (IE)
Publication Details
- Journal
- Health Research Policy and Systems
- Published
- 2026-01-20
- DOI
- https://doi.org/10.1186/s12961-026-01444-x
- Primary Topic
- Health Systems, Economic Evaluations, Quality of Life
- Type
- article
- Field-Weighted Citation Impact
- 0.00