Doing mini–health technology assessments in hospitals: A new concept of decision support in health care?

Ehlers, Lars Holger; Vestergaard, Malene; Kidholm, Kristian; Bonnevie, Birgitte; Pedersen, Poul Holt; Jørgensen, Torben; Jensen, Malene Fabricius; Kristensen, Finn Børlum; Kjølby, Mette

doi:10.1017/s0266462306051178

Cited by 62 publications

(82 citation statements)

References 5 publications

(6 reference statements)

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“…To accompany timely identification with timely assessment in the face of considerable uncertainty, a number of analytical techniques can be employed, e.g. rapid HTA, rapid systematic reviews, mini-HTA [46], etc. Since these assessment tools are already more or less integrated in the health systems of most European member states as well as internationally, the political and social relevance and impact of these methodologies will be high.…”

Section: Discussionmentioning

confidence: 99%

The Contribution of Health Technology Assessment, Health Needs Assessment, and Health Impact Assessment to the Assessment and Translation of Technologies in the Field of Public Health Genomics

Rosenkötter

Vondeling

Blancquaert

et al. 2010

Public Health Genomics

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The European Union has named genomics as one of the promising research fields for the development of new health technologies. Major concerns with regard to these fields are, on the one hand, the rather slow and limited translation of new knowledge and, on the other hand, missing insights into the impact on public health and health care practice of those technologies that are actually introduced. This paper aims to give an overview of the major assessment instruments in public health [health technology assessment (HTA), health needs assessment (HNA) and health impact assessment (HIA)] which could contribute to the systematic translation and assessment of genomic health applications by focussing at population level and on public health policy making. It is shown to what extent HTA, HNA and HIA contribute to translational research by using the continuum of translational research (T1–T4) in genomic medicine as an analytic framework. The selected assessment methodologies predominantly cover 2 to 4 phases within the T1–T4 system. HTA delivers the most complete set of methodologies when assessing health applications. HNA can be used to prioritize areas where genomic health applications are needed or to identify infrastructural needs. HIA delivers information on the impact of technologies in a wider scope and promotes informed decision making. HTA, HNA and HIA provide a partly overlapping and partly unique set of methodologies and infrastructure for the translation and assessment of genomic health applications. They are broad in scope and go beyond the continuum of T1–T4 translational research regarding policy translation.

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Section: Discussionmentioning

confidence: 99%

The Contribution of Health Technology Assessment, Health Needs Assessment, and Health Impact Assessment to the Assessment and Translation of Technologies in the Field of Public Health Genomics

Rosenkötter

Vondeling

Blancquaert

et al. 2010

Public Health Genomics

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“…57,58 . El mini-HTA en los hospitales parece equilibrar la necesidad de calidad y profundidad con el tiempo y los recursos limitados para la evaluación 45 .…”

Section: Presentación De Los Resultados Los Resultados Puedenunclassified

“…Se sigue investigando sobre el impacto real de la ETS local en los diferentes modelos para evidenciar el impacto la ETS basada en hospitales, con el fin de informar sus resultados, que pueden ser útiles para crear un contexto organizacional propicio para el uso de la evidencia cientí-fica y apoyar las prácticas clínicas y la toma de decisiones de gestión en hospitales 45,46 .…”

Section: Oportunidad Y Adaptación Al Tiempo Y áMbito De Deci-unclassified

La evaluación de nuevas tecnologías en salud en hospitales: revisión narrativa

Gómez

Castro

Ruiz

et al. 2016

MedUPB

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La evaluación de nuevas tecnologías en salud en hospitales: revisión narrativaAssessment of new health technology in hospitals: Narrative review / A avaliação de novas tecnologias em saúde em hospitais: revisão narrativa Juan Guillermo Barrientos Gómez 1 , Andrés Eduardo Marín Castro 2 , Laura Becerra Ruiz 3 , María Alejandra Tobón Arango 3 RESUMEN La rápida evolución de la tecnología y con ella la de los diferentes métodos diagnósticos y terapéuticos ha traído consigo un creciente interés por los profesionales de la salud en disponer de los últimos avances y las mejores tecnologías para atender a los pacientes puesto que, a través de estos recursos, se espera reducir la incertidumbre clínica en cuanto a los diagnósticos y tratamientos. Se reconoce que los avances tecnológicos son, en parte, responsables de mejorar la salud de las comunidades y, en consecuencia, de aumentar la expectativa de vida de la población. Sin embargo, el gran número de innovaciones emergentes hace pensar que debe haber un proceso de selección apropiado por parte de los sistemas de salud para garantizar que se logren en la práctica los beneficios y los propósitos planteados. La selección de las nuevas tecnologías debe incluir tanto el análisis de la tecnología en sí como la comparación con otras; este proceso se denomina Evaluación de tecnologías en salud y tiene un enfoque principalmente macro, es decir, desde agencias de evaluación de carácter nacional que evalúan con el objetivo de regular las inclusiones de tecnologías en los sistemas de salud en Colombia. Se trata de un Plan de beneficios; sin embargo, la disponibilidad de las nuevas tecnologías está en las instituciones de salud e implica una evaluación que regule las tecnologías en este nivel. Internacionalmente esto se reconoce como Evaluación de tecnologías basada en hospitales. Este artículo hace una descripción de las evaluaciones de tecnologías, pero con énfasis en metodologías hospitalarias. Palabras clave: administración hospitalaria; evaluación en salud; evaluación de tecnología biomédica; toma de decisiones. ABSTRACTThe rapid evolution of technology and subsequent growth of diagnostic and therapeutic methods has brought about a growing interest in health professionals for having the latest and best technologies to serve patients as these resources are expected to reduce clinical uncertainty regarding diagnosis and treatment. Technological advances are acknowledged in part as being responsible for the improvement in the health of communities and the increase in life expectancy of the population. However, the large number of emerging innovations suggests that health systems must implement an appropriate selection process to ensure that the benefits and objectives are in fact achieved. The selection process of new technologies should include both the analysis of the technology itself as well as how it compares to others. This process is known as health technology assessment. These evaluations focus on the macro level, mainly from national assessment agencies, which evaluate w...

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“…Over time, the mini-HTA was adopted by many Danish hospitals, and it is now used both for requesting equipment and for introducing new treatments [13]. The mini-HTA consists of a questionnaire or a form used to collect data within the health-care organization.…”

Section: The Mini-htamentioning

confidence: 99%

Hospital-Based Health Technology Assessment: Developments to Date

Gagnon

2014

PharmacoEconomics

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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.

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Doing mini–health technology assessments in hospitals: A new concept of decision support in health care?

Abstract: Doing mini-HTA in hospitals seems to balance the need for quality and depth with the limited time and resources for assessment.

Cited by 62 publications

References 5 publications

The Contribution of Health Technology Assessment, Health Needs Assessment, and Health Impact Assessment to the Assessment and Translation of Technologies in the Field of Public Health Genomics

The Contribution of Health Technology Assessment, Health Needs Assessment, and Health Impact Assessment to the Assessment and Translation of Technologies in the Field of Public Health Genomics

La evaluación de nuevas tecnologías en salud en hospitales: revisión narrativa

Hospital-Based Health Technology Assessment: Developments to Date

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