Hospital-Based Health Technology Assessment: Developments to Date

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.

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

“…Health technology assessment (HTA) to support decision‐making concerning the uptake of new health technologies has spread beyond national health‐care agencies . Thus, local HTA models have been set up in hospitals for the purchasing of health technologies including drug therapies, equipment, and medical devices (MDs).…”

Health technology assessment (HTA) organizations: dimensions of the institutional and political framework

“…On the local/regional level, HTA organizations address issues from local managers, healthcare services, health practitioners, insurance companies and other stakeholders. In recent years there has been an increase of HTA organizations on a hospital/local level 22 . On a national level, the organization provides information to the federal government, national health system, policy makers and other stakeholders 23 .…”

Evaluation et impact non clinique des dispositifs médicaux

“…[5] La connaissance des modèles de Health Technology Assessment (HTA) se diffuse progressivement dans les établissements de santé. [6,7] Cette typologie d'évaluation est de plus en plus souvent mobilisée dans le cadre du référencement des technologies de santé par les Commissions des Médicaments et des Dispositifs Médicaux Stériles (COMEDIMS). [8] …”