Hospital-Based Health Technology Assessment: The Next Frontier

Sampietro-Colom, Laura; Martin, Janet

doi:10.1007/978-3-319-39205-9_1

Cited by 26 publications

(44 citation statements)

References 12 publications

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“…They are faster to execute than full HTAs and are contextualized for the setting from which they are produced [ 22 ]. These characteristics greatly improve uptake among decision makers, and mini-HTA initiatives have emerged in several tertiary care centers and urban regional health authorities in Canada [ 23 ]. However, producing mini-HTAs at the hospital/regional level requires resources and skills that may not be available in Canadian jurisdictions with fewer resources, e.g., rural and northern regional health authorities.…”

Section: Introductionmentioning

confidence: 99%

Putting research in place: an innovative approach to providing contextualized evidence synthesis for decision makers

et al. 2017

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BackgroundThe Contextualized Health Research Synthesis Program (CHRSP), developed in 2007 by the Newfoundland and Labrador Centre for Applied Health Research, produces contextualized knowledge syntheses for health-system decision makers. The program provides timely, relevant, and easy-to-understand scientific evidence; optimizes evidence uptake; and, most importantly, attunes research questions and evidence to the specific context in which knowledge users must apply the findings.MethodsAs an integrated knowledge translation (KT) method, CHRSP:Involves intensive partnerships with senior healthcare decision makers who propose priority research topics and participate on research teams;Considers local context both in framing the research question and in reporting the findings;Makes economical use of resources by utilizing a limited number of staff;Uses a combination of external and local experts; andWorks quickly by synthesizing high-level systematic review evidence rather than primary studies. Although it was developed in the Canadian province of Newfoundland and Labrador, the CHRSP methodology is adaptable to a variety of settings with distinctive features, such as those in rural, remote, and small-town locations.ResultsCHRSP has published 25 syntheses on priority topics chosen by the provincial healthcare system, including:Clinical and cost-effectiveness: telehealth, rural renal dialysis, point-of-care testing;Community-based health services: helping seniors age in place, supporting seniors with dementia, residential treatment centers for at-risk youth;Healthcare organization/service delivery: reducing acute-care length of stay, promoting flu vaccination among health workers, safe patient handling, age-friendly acute care; andHealth promotion: diabetes prevention, promoting healthy dietary habits. These studies have been used by decision makers to inform local policy and practice decisions.ConclusionsBy asking the health system to identify its own priorities and to participate directly in the research process, CHRSP fully integrates KT among researchers and knowledge users in healthcare in Newfoundland and Labrador. This high level of decision-maker buy-in has resulted in a corresponding level of uptake. CHRSP studies have directly informed a number of policy and practice directions, including the design of youth residential treatment centers, a provincial policy on single-use medical devices, and most recently, the opening of the province’s first Acute Care for the Elderly hospital unit.

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Section: Introductionmentioning

confidence: 99%

Putting research in place: an innovative approach to providing contextualized evidence synthesis for decision makers

et al. 2017

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“…Hospital-based HTA (HB-HTA) may be applied as a managerial tool to ensure accountable decision making about the introduction of, the disinvestment from, and the reallocation of HTs (2). Several forms of HB-HTA are employed in diverse manners in many countries (3), with the aim of implementing local HTA processes and methods. Such contextualization takes into consideration the specificity of the hospital culture and organization as well as the contingent characteristics of the assessment process itself, for example, the comparator available in the clinical practice and the hospital's organizational processes (1).…”

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confidence: 99%

Toward a Contingency Model for Hospital-Based Health Technology Assessment: Evidence From Adhophta Project

Cicchetti

Iacopino

Coretti

et al. 2018

Int J Technol Assess Health Care

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“…In particular, they stressed the importance of ensuring that the local context is embedded in assessments. The need for contextualized HTA has been recognized by jurisdictions internationally, leading to the establishment of institution-based HTA units in many countries (Ehlers et al 2006;Sampietro-Colom and Martin 2016). Participants argued that a lack of HTA literacy among health leaders has precluded its widespread incorporation into decision-making processes.…”

Section: Discussionmentioning

confidence: 99%

The Introduction of New Non-Drug Health Technologies (NDTs) into Canadian Healthcare Institutions: Opportunities and Challenges

Stafinski¹,

Deber²,

Rhainds³

et al. 2019

hcpol

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Introduction: A recent pan-Canadian survey of 48 health organizations concluded that structures, processes, factors and information used to support funding decisions on new non-drug health technologies (NDTs) vary within and across jurisdictions in Canada. Objectives: The objectives of this paper were to elicit the views of key stakeholders on the following: (1) possible rationale for these findings, (2) enablers and barriers to the adoption of new NDTs, (3) approaches to optimizing the usefulness of health technology assessment (HTA) and (4) creation of a centralized pan-Canadian review process for NDTs, similar to that already in place for prescription pharmaceuticals. Methods: A one-day facilitated roundtable involving 12 purposefully selected participants who were healthcare institutional/organizational leaders, hospital-based HTA program leaders and academic experts in HTA was conducted. Results: Participants validated the survey findings and identified the following two enablers of technology adoption: (1) access to dedicated information resources and (2) inclusion of innovation in organizational priorities. Participants also identified four barriers, including the lack of (1) consistent decision-making processes within an organization, (2) agreement on what is affordable, (3) integration of HTA and procurement and (4) HTA literacy. Suggested approaches to optimizing the use of HTA focused on embedding the local context into assessments. Conclusions: Given the nature of NDT decision-making and the importance of accounting for local factors in such processes, the value of a centralized HTA review mechanism similar to that in place for drugs may be limited.

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Hospital-Based Health Technology Assessment: The Next Frontier

Cited by 26 publications

References 12 publications

Putting research in place: an innovative approach to providing contextualized evidence synthesis for decision makers

Putting research in place: an innovative approach to providing contextualized evidence synthesis for decision makers

Toward a Contingency Model for Hospital-Based Health Technology Assessment: Evidence From Adhophta Project

The Introduction of New Non-Drug Health Technologies (NDTs) into Canadian Healthcare Institutions: Opportunities and Challenges

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