HARMONIZING HEALTH TECHNOLOGY ASSESSMENT PRACTICES IN UNIVERSITY HOSPITALS: TO WHAT EXTENT IS THE MINI-HTA MODEL SUITABLE IN THE FRENCH CONTEXT?
| Autor: | Judith Pineau, Hélène van den Brink, Isabelle Borget, Mathilde Billaux, Nicolas Martelli, Capucine Devaux, Patrice Prognon |
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| Přispěvatelé: | Groupe de Recherche et d'Accueil en Droit et Economie de la Santé (GRADES), Université Paris-Saclay |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Decision support system
Technology Assessment Biomedical education MEDLINE Context (language use) Technology assessment Decision Support Techniques Danish Hospitals University 03 medical and health sciences Hospital 0302 clinical medicine MESH: Technology Assessment Biomedical Agency (sociology) parasitic diseases Medicine Humans 030212 general & internal medicine Innovation MESH: Hospitals University Medical education MESH: Humans business.industry 030503 health policy & services Health Policy Environmental resource management Health technology MESH: Decision Support Techniques MESH: Equipment and Supplies language.human_language Purchasing Mini-health technology assessment Equipment and Supplies language Medical devices [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie 0305 other medical science business |
| Zdroj: | International Journal of Technology Assessment in Health Care International Journal of Technology Assessment in Health Care, Cambridge University Press (CUP), 2017, 33 (2), pp.307-314. ⟨10.1017/S0266462317000393⟩ |
| ISSN: | 0266-4623 1471-6348 |
| DOI: | 10.1017/S0266462317000393⟩ |
| Popis: | Background: The number of new medical devices for individual use that are launched annually exceeds the assessment capacity of the French national health technology assessment (HTA) agency. This has resulted in hospitals, and particularly university hospitals (UHs), developing hospital-based HTA initiatives to support their decisions for purchasing innovative devices. However, the methodologies used in such hospitals have no common basis. The aim of this study was to assess a mini-HTA model as a potential solution to harmonize HTA methodology in French UHs.Methods: A systematic review was conducted on Medline, Embase, Health Technology Assessment database, and Google Scholar to identify published articles reporting the use of mini-HTA tools and decision support-like models. A survey was also carried out in eighteen French UHs to identify in-house decision support tools. Finally, topics evaluated in the Danish mini-HTA model and in French UHs were compared using Jaccard similarity coefficients.Results: Our findings showed differences between topics evaluated in French UHs and those assessed in decision support models from the literature. Only five topics among the thirteen most evaluated in French UHs were similar to those assessed in the Danish mini-HTA model. The organizational and ethical/social impacts were rarely explored among the surveyed models used in French UHs when introducing new medical devices.Conclusions: Before its widespread and harmonized use in French UHs, the mini-HTA model would first require adaptations to the French context. |
| Databáze: | OpenAIRE |
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