title: Post-introduction observation of healthcare technologies after coverage: the Spanish proposal.
abstract: OBJECTIVE
  When a new health technology has been approved by a health system, it is difficult to guarantee that it is going to be efficiently adopted, adequately used, and that effectiveness, safety, and consumption of resources and costs are in line with what was expected in preliminary investigations. Many governmental institutions promote the idea that efficient mechanisms should be established aimed at developing and incorporating continuous evidence into health technologies management. The purpose of this article is to stimulate the discussion on systematic post-introduction observation of health technologies.
  
  
  METHODS
  Literature review and input of HTA experts.
  
  
  RESULTS
  The study addresses the key issues related to post-introduction observation and presents a summary of the guide commissioned by the Spanish Ministry of Health, Social Policy and Equality to the Galician HTA agency for the prioritization and implementation of systematic post-introduction observation in Spain. The manuscript describes the prioritization tool developed as part of this project and discusses the main aspects of protocol development, observation implementation, and assessment of results.
  
  
  CONCLUSIONS
  The observation of prioritized health technologies after they are introduced in standard clinical practice can provide useful information for health organizations. However, implementing the observation of health technologies can require specific policy frameworks, commitment from different stakeholders, and dedicated funding.
authors.affiliation: Galician Regional Health Authority.
authors.forename: Leonor
authors.initials: L
authors.lastname: Varela-Lema
authors.forename: Alberto
authors.initials: A
authors.lastname: Ruano-Ravina
authors.forename: Teresa Cerdá
authors.initials: TC
authors.lastname: Mota
authors.forename: Nora
authors.initials: N
authors.lastname: Ibargoyen-Roteta
authors.forename: Inaki
authors.initials: I
authors.lastname: Imaz
authors.forename: Inaki
authors.initials: I
authors.lastname: Gutiérrez-Ibarluzea
authors.forename: Juan Antonio
authors.initials: JA
authors.lastname: Blasco-Amaro
authors.forename: Enrique
authors.initials: E
authors.lastname: Soto-Pedre
authors.forename: Laura
authors.initials: L
authors.lastname: Sampietro-Colom
mesh_terms: D004059:Diffusion of Innovation; D019317:Evidence-Based Medicine; D017063:Outcome Assessment, Health Care; D013030:Spain; D011795:Surveys and Questionnaires; D013673:Technology Assessment, Biomedical