Hospital-based health technology assessment in France: A focus on medical devices
| Autor: | Philippe Lechat, Camille Dutot, Florence Favrel-Feuillade, Laurent Mairot, Christophe Roussel, Emmanuel Luigi, Iliona Hounliasso, Karine Szwarcensztein, Albane Degrassat-Théas, Hélène Coulonjou, Laurent Piazza, Cécile Vienney, Anne-Aurélie Epis de Fleurian, Thao Nguyen, Nicolas Martelli, Régis Beuscart, Cyril Puc |
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| Rok vydání: | 2017 |
| Předmět: |
Decision support system
Technology Assessment Biomedical business.industry 030503 health policy & services media_common.quotation_subject Health technology Public relations 030226 pharmacology & pharmacy 03 medical and health sciences 0302 clinical medicine Documentation Promotion (rank) Equipment and Supplies Work (electrical) Blueprint Health care Humans Medicine Pharmacology (medical) France 0305 other medical science business Adaptation (computer science) Decision Making Organizational media_common |
| Zdroj: | Therapies. 72:115-123 |
| ISSN: | 0040-5957 |
| Popis: | Hospital-based health technology assessment (HTA) guides decisions as to whether new healthcare products should be made available within hospital structures. Its extension to medical devices (MDs) makes it possible to analyse several relevant aspects of these healthcare products in addition to their clinical value, and such evaluations are of interest to national health authorities, other healthcare establishments and industry. The aim of this work was to formulate several recommendations for a blueprint for hospital-based HTA for MDs in France. Five themes based on the work of the European Adopting hospital-based HTA in the EU (AdHopHTA) project were defined. Each member of the roundtable was then allocated a documentation task based on their experience of the theme concerned, and a literature review was carried out. An inventory of hospital-based HTA was performed and six recommendations aiming to strengthen and improve this approach were put forward: (1) encouragement of the spread of the hospital-based HTA culture and participation in communications and the promotion of this approach to hospital decision-makers; (2) adaptation of hospital-based HTA to the needs of decision-makers, taking into account the financial timetable and strategic objectives of the healthcare establishment; (3) harmonisation of the dossiers requested from industry between healthcare establishments, based on a common core; (4) promotion of the sharing of hospital-based HTA data under certain conditions, with data dissociable from the HTA report and the use of a validated methodology for the literature review; (5) creation of a composite indicator reflecting data production effort and the sharing of HTA activities, to be taken into account in the distribution of funds allocated for teaching, research and innovation missions considered of general interest; (6) the transmission of information directly from local to national level by pioneering centres. This work highlights the major issues at stake in hospital-based HTA and the need to valorise such activities in France. |
| Databáze: | OpenAIRE |
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