Guiding Principles for Good Practices in Hospital-Based Health Technology Assessment Units

Abstract

Guiding principles for good practices set up a benchmark for HB-HTA because they represent the ideal performance of HB-HTA units; nevertheless, when performing HTA at hospital level, context also matters; therefore, they should be adapted to ensure their applicability in the local context.

Single‐use flexible bronchoscopes compared with reusable bronchoscopes: Positive organizational impact but a costly solution

“…Thus, local HTA models have been set up in hospitals for the purchasing of health technologies including drug therapies, equipment, and medical devices (MDs). This approach considers a wide range of aspects, including the medical, social, ethical, and economic implications of the development, diffusion, and use of health technologies . Several authors highlight that, to capture their overall impact, nonclinical criteria must be integrated into the assessment of MDs .…”

Aplicação de Avaliação de Tecnologias em Saúde (ATS) na tomada de decisão em hospitais

“…Tal estágio de evolução permitiu que houvesse experiência e massa crítica suficientes para o desenvolvimento de amplo estudo sobre boas práticas de ATS em hospitais. Sampietro-Colom et al (2016) realizaram estudo para a definição de princípios de boas práticas de ATS em hospitais. O estudo foi conduzido por especialistas europeus que realizaram um amplo trabalho envolvendo revisão de literatura, pesquisas em larga escala, grupo focal, pesquisa Delphi e mais de cem entrevistas presenciais.…”

“…De acordo com os autores, os resultados do trabalho da unidade de ATS em hospitais devem ser medidos pelo impacto interno e externo, a curto e médio prazos, bem como o impacto a longo prazo no desempenho do hospital e na saúde das comunidades. Foram definidos 15 princípios orientadores para boas práticas de ATS em hospitais, os quais estão organizados em quatro diferentes dimensões: Processo de Avaliação; Liderança, Estratégia e Parcerias; Recursos; e Impacto (Sampietro-Colom et al, 2016).…”

What drives hospital wards’ ambidexterity: Insights on the determinants of exploration and exploitation

“…Literature states that POS could support the continuous learning development of any healthcare organisation, fostering innovation processes [19,22]. Research [23] has revealed the capability of POS to assist and sustain healthcare decision-makers in the formal redesign and evaluation of patient processes, thus optimising their clinical pathway, achieving a higher efficiency, and leveraging exploitation activities. Therefore, POS is strategically relevant in hospital settings, being related to the quality of results achieved, spending less time for their achievement [19], and impacting hospital policies [24].…”