Skip to main content
Top
Published in: PharmacoEconomics 9/2014

01-09-2014 | Leading Article

Hospital-Based Health Technology Assessment: Developments to Date

Author: Marie-Pierre Gagnon

Published in: PharmacoEconomics | Issue 9/2014

Login to get access

Abstract

Health technology assessment (HTA) uses a multidisciplinary approach to answer relevant questions regarding the safety, efficacy, effectiveness and cost-effectiveness of health technologies. There is growing interest in implementing HTA methods at the hospital level because it could facilitate decision-making regarding acquisition, implementation or discontinuation of technologies or interventions within the hospital. First, this article provides an overview of current international experiences and knowledge of hospital-based HTA. Then, it presents the different types of hospital-based HTA, providing examples of each of these models, as well as their strengths and limitations. Finally, it proposes a set of emerging issues that could help inform decision-makers who consider implementing hospital-based HTA, or other stakeholders interested in the field.
Literature
1.
go back to reference Granados A. Health technology assessment and clinical decision making: which is the best evidence? Int J Technol Assess Health Care. 1999;15(3):585–92.PubMed Granados A. Health technology assessment and clinical decision making: which is the best evidence? Int J Technol Assess Health Care. 1999;15(3):585–92.PubMed
5.
go back to reference Martelli N, Lelong AS, Prognon P, Pineau J. Hospital-based health technology assessment for innovative medical devices in university hospitals and the role of hospital pharmacists: learning from international experience. Int J Technol Assess Health Care. 2013;29(2):185–91. doi:10.1017/S0266462313000019.PubMedCrossRef Martelli N, Lelong AS, Prognon P, Pineau J. Hospital-based health technology assessment for innovative medical devices in university hospitals and the role of hospital pharmacists: learning from international experience. Int J Technol Assess Health Care. 2013;29(2):185–91. doi:10.​1017/​S026646231300001​9.PubMedCrossRef
7.
go back to reference McGregor M, Brophy JM. End-user involvement in health technology assessment (HTA) development: a way to increase impact. Int J Technol Assess Health Care. 2005;21(2):263–7.PubMed McGregor M, Brophy JM. End-user involvement in health technology assessment (HTA) development: a way to increase impact. Int J Technol Assess Health Care. 2005;21(2):263–7.PubMed
8.
go back to reference Saaid H. The impact of health technology assessment on decision-making processes in public versus not-for-profit private hospitals. Am J Med. 2011;2(2):72–8.CrossRef Saaid H. The impact of health technology assessment on decision-making processes in public versus not-for-profit private hospitals. Am J Med. 2011;2(2):72–8.CrossRef
9.
10.
go back to reference Gagnon M-P, Abdeljelil AB, Desmartis M, et al. Opportunities to promote efficiency in hospital decision-making through the use of health technology assessment. CHSRF series of reports on cost drivers and health system efficiency: paper 7. Ottawa: Canadian Health Services Research Foundation; 2011. Gagnon M-P, Abdeljelil AB, Desmartis M, et al. Opportunities to promote efficiency in hospital decision-making through the use of health technology assessment. CHSRF series of reports on cost drivers and health system efficiency: paper 7. Ottawa: Canadian Health Services Research Foundation; 2011.
13.
go back to reference Ehlers L, Vestergaard M, Kidholm K, Bonnevie B, Pedersen PH, Jorgensen T, et al. Doing mini-health technology assessments in hospitals: a new concept of decision support in health care? Int J Technol Assess Health Care. 2006;22(3):295–301.PubMedCrossRef Ehlers L, Vestergaard M, Kidholm K, Bonnevie B, Pedersen PH, Jorgensen T, et al. Doing mini-health technology assessments in hospitals: a new concept of decision support in health care? Int J Technol Assess Health Care. 2006;22(3):295–301.PubMedCrossRef
14.
go back to reference Grundstrom JP. Mini-HTA trends for medical devices in the Nordics. 16th Annual International Meeting of the International Society for Pharmacoeconomics and Outcomes Research; 2011. Grundstrom JP. Mini-HTA trends for medical devices in the Nordics. 16th Annual International Meeting of the International Society for Pharmacoeconomics and Outcomes Research; 2011.
15.
go back to reference Lettieri E, Masella C, Nocco U. Budgeting and health technology assessment: first evidence obtained from proposal forms used to submit the adoption of new technology. Int J Technol Assess Health Care. 2008;24(4):502–10. doi:10.1017/S0266462308080665.PubMedCrossRef Lettieri E, Masella C, Nocco U. Budgeting and health technology assessment: first evidence obtained from proposal forms used to submit the adoption of new technology. Int J Technol Assess Health Care. 2008;24(4):502–10. doi:10.​1017/​S026646230808066​5.PubMedCrossRef
16.
go back to reference Rosenstein AH, O’Daniel M, Geoghan K. Assessing new technology: how are other hospitals facing the challenge? Healthc Financ Manag. 2003;57(10):70–4. Rosenstein AH, O’Daniel M, Geoghan K. Assessing new technology: how are other hospitals facing the challenge? Healthc Financ Manag. 2003;57(10):70–4.
18.
go back to reference Catananti C, Cicchetti A, Marchetti M. Hospital-based health technology assessment: the experience of Agostino Gemelli University Hospital’s HTA unit. Ital J Public Health. 2011;2(2):23–8. Catananti C, Cicchetti A, Marchetti M. Hospital-based health technology assessment: the experience of Agostino Gemelli University Hospital’s HTA unit. Ital J Public Health. 2011;2(2):23–8.
19.
go back to reference Bodeau-Livinec F, Simon E, Montagnier-Petrissans C, Joel ME, Fery-Lemonnier E. Impact of CEDIT recommendations: an example of health technology assessment in a hospital network. Int J Technol Assess Health Care. 2006;22(2):161–8. doi:10.1017/S0266462306050975.PubMedCrossRef Bodeau-Livinec F, Simon E, Montagnier-Petrissans C, Joel ME, Fery-Lemonnier E. Impact of CEDIT recommendations: an example of health technology assessment in a hospital network. Int J Technol Assess Health Care. 2006;22(2):161–8. doi:10.​1017/​S026646230605097​5.PubMedCrossRef
22.
go back to reference McGregor M. Impact of TAU reports. Technology Assessment Unit (TAU) of the McGill University Health Centre (MUHC), McGill University Health Centre; 2008. McGregor M. Impact of TAU reports. Technology Assessment Unit (TAU) of the McGill University Health Centre (MUHC), McGill University Health Centre; 2008.
23.
go back to reference Martin J. Pan-Canadian Network for Hospital-Based HTA: next steps. Hospital/Regional HTA Symposium: Local Evidence-Based Decisions for Health Care Sustainability. Ottawa; 2013. Martin J. Pan-Canadian Network for Hospital-Based HTA: next steps. Hospital/Regional HTA Symposium: Local Evidence-Based Decisions for Health Care Sustainability. Ottawa; 2013.
24.
go back to reference Banken R. L’ETMIS au Québec—dimensions organisationnelles. L’expérience du secteur de la santé. Rencontre INESSS établissements universitaires du secteur des services sociaux ETMISS: Institut national d’excellence en santé et en services sociaux (INESSS); 2011. Banken R. L’ETMIS au Québec—dimensions organisationnelles. L’expérience du secteur de la santé. Rencontre INESSS établissements universitaires du secteur des services sociaux ETMISS: Institut national d’excellence en santé et en services sociaux (INESSS); 2011.
Metadata
Title
Hospital-Based Health Technology Assessment: Developments to Date
Author
Marie-Pierre Gagnon
Publication date
01-09-2014
Publisher
Springer International Publishing
Published in
PharmacoEconomics / Issue 9/2014
Print ISSN: 1170-7690
Electronic ISSN: 1179-2027
DOI
https://doi.org/10.1007/s40273-014-0185-3

Other articles of this Issue 9/2014

PharmacoEconomics 9/2014 Go to the issue