HTA topic submission

Would you like to request the assessment of whether a particular service is not effective, cost-effective or suitable for purpose? Then please complete the form on this page.

We assess services such as operations, medications and tests. If you would like to have this type of service assessed, please complete the form below and then click on “Send”.

Error in order form

Your contact details

Institution / organisation

 

Titel

 

First name

*

Last name

*

E-mail

*

Phone number

 

Details of the service to be assessed

What service is it? And in which patient group?

*

Examples: Electroencephalography (EEG) examinations in patients with headache / antibiotics for colds / vitamin D tests in children

Reasons for the assessment (several reasons possible)

*

Efficacy disputed or not established

Efficacy disputed or not established

Safety disputed or not established

Safety disputed or not established

Cost-effectiveness disputed or not established

Cost-effectiveness disputed or not established

Describe the reasons for the assessment.

*

Estimated quantity (per year) of the service to be assessed

 

Examples: approx. 50,000 packs sold / 800 procedures carried outperationen

Estimated costs (per year in CHF) of the service to be assessed

 

Alternatives to the service to be assessed

 

Note: “No treatment” is also a possible alternative.

Comments

 

Confidentiality of your details

The following groups will have access to the information you submit and your contact details during the process:

·       FOPH employees,
·       stakeholder associations,
·       members of the relevant Federal Commissions,
·       if necessary, external experts recruited by the FOPH.

These persons are obliged to ensure the confidentiality of your information.

Consent to the sharing of your contact details

*

I consent to my contact details being shared with the above-mentioned entities who will treat the information as confidential.

I consent to my contact details being shared with the above-mentioned entities who will treat the information as confidential.

I do not consent to my contact details being shared.

I do not consent to my contact details being shared.

Additional documents (e.g. articles from specialist journals)

Document

 

Document

 

Document

 

Last modification 22.12.2022