OSTEBA – Basque Office for Health Technology Assessment
– Dr. José Asua, Director, OSTEBA
History and Structure
Osteba was established in June 1992. It is accountable to the Health Research and Innovation Directorate of the Ministry for Health in the Basque Country.
Osteba is funded from the Ministry for Health budget. Advisory committees provide scientific support and identify priorities in a structured way. Osteba works in close collaboration with epidemiology research units and the Drug Information Centre.
Osteba's reports are used by the Ministry for Health and the Basque Health Service-Osakidetza for policy making and by hospitals, clinicians and private care providers to improve medical practice and the organization of healthcare delivery.
- To contribute to the appropriate use of existing and future health technology
- To provide information on safety, efficacy, effectiveness, accessibility, and equity about different technologies, as required by decision makers in the Basque Country.
How OSTEBA Works
Most of the work is conducted in-house in collaboration with expert panels and external professionals who may be physicians, economists, epidemiologists, lawyers, or ethicists, usually coming from the Basque Ministry for Health, Universities and the Basque public health service. The reports are based on systematic reviews and cost analyses and include context related aspects.
Osteba has its own early warning system 'Sortek' linked to the prioritization process for assessment and is the co-ordinator of the Spanish Network for New and Emerging Technologies, 'GENTECS'.
Osteba is member of the following networks: INAHTA, HTA-i, EUnetHTA, EuroScan, G-I-N, ADAPT, AEETS, AUnETS, Guiasalud, PHGEN and HEN and collaborates in several European Union projects.
Osteba publishes full assessment reports, mini HTA reports, methodological guides, Clinical Practices Guidelines (GPG) and a newsletter "Osteba Berriak". These are disseminated by direct mailing and the Web site. Press releases are produced for each report.
Osteba also gives courses and lectures to clinicians and policy makers, and collaborates in several MSc and PhD programs. In this way, Osteba coordinates a series of training activities on the methodology of health services research and assessment.
Current Projects (A Selection)
- Spanish information network for identification, prioritization and early assessment of new and emerging health technologies
- Spanish information network for the identification, prioritization and delisting of obsolete technologies in hospitals
- Monitoring systems, methodological approach
- Optimizing the information sources to be consulted in the HTA agencies
- Analysis of costs and results of telemedicine implementation in primary and specialized health care services
- Clinical Practice Guideline on breast feeding
- Recommendations on the treatment of children with hyperactivity disorder
- Recommendations for the rational implementation of Genomics in the Basque Health System
- Clinical Practice Guidelines in Primary Care
- To promote the evaluative culture and evidence-based medicine among policy makers and clinicians
- To intensify collaborative projects at a local and international level
- To improve dissemination strategies and the impact of the HTA products
- To reinforce links with regulatory bodies as well as safety and quality improvement policies
- To improve the process of CPG development and implementation
- To support new initiatives in HTA developing countries
- To assess the impact of innovations in Health Care Systems
- To develop methodological tools for the assessment of new and obsolete technologies
- To develop methodological tools for the implementation of monitoring systems
Description of population served: Basque Region
Population served (mil): 2.1
Current HTA budget (mil USD): 2.8
Permanent staff: 14
Ongoing TA projects: 20
Director: Dr. José Asua
Contact person: Dr. José Asua
Basque Office for Health Technology Assessment, Osteba
Ministry for Health, Basque Government
Calle Donostia 1
ES-01010 Vitoria-Gasteiz Spain