Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-23T21:46:25.276Z Has data issue: false hasContentIssue false
  • English
  • Français

INTRODUCTION OF INNOVATIVE MEDICAL DEVICES AT FRENCH UNIVERSITY HOSPITALS: AN OVERVIEW OF HOSPITAL-BASED HEALTH TECHNOLOGY ASSESSMENT INITIATIVES

Published online by Cambridge University Press:  20 May 2015

Nicolas Martelli ,
Mathilde Billaux ,
Isabelle Borget ,
Judith Pineau ,
Patrice Prognon  and
Helene van den Brink
Nicolas Martelli
Affiliation:
Pharmacy Department, Georges Pompidou European Hospital, AP-HP, Paris, France Pharmacoeconomics Research Unit, Faculty of Pharmacy, University [email protected]
Mathilde Billaux
Affiliation:
Pharmacy Department, Georges Pompidou European Hospital, AP-HP
Isabelle Borget
Affiliation:
Pharmacoeconomics Research Unit, Faculty of Pharmacy, University Paris-Sud
Judith Pineau
Affiliation:
Pharmacy Department, Georges Pompidou European Hospital, AP-HP
Patrice Prognon
Affiliation:
Pharmacy Department, Georges Pompidou European Hospital, AP-HP
Helene van den Brink
Affiliation:
Pharmacoeconomics Research Unit, Faculty of Pharmacy, University Paris-Sud
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives: Local health technology assessment (HTA) to determine whether new health technologies should be adopted is now a common practice in many healthcare organizations worldwide. However, little is known about hospital-based HTA activities in France. The objective of this study was to explore hospital-based HTA activities in French university hospitals and to provide a picture of organizational approaches to the assessment of new and innovative medical devices.

Methods: Eighteen semi-structured interviews with hospital pharmacists were conducted from October 2012 to April 2013. Six topics were discussed in depth: (i) the nature of the institution concerned; (ii) activities relating to innovative medical devices; (iii) the technology assessment and decision-making process; (iv) the methodology for technology assessment; (v) factors likely to influence decisions and (vi) suggestions for improving the current process. The interview data were coded, collated and analyzed statistically.

Results: Three major types of hospital-based HTA processes were identified: medical device committees, innovation committees, and “pharmacy & management” processes. HTA units had been set up to support medical device and innovation committees for technology assessment. Slow decision making was the main limitation to both these committee-based approaches. As an alternative, “pharmacy & management” processes emerged as a means of rapidly obtaining a formal assessment.

Conclusions: This study provides an overview of hospital-based HTA initiatives in France. We hope that it will help to promote hospital-based HTA activities in France and discussions about ways to improve and harmonize practices, through the development of national guidelines and/or a French mini-HTA tool, for example.

Keywords

Medical deviceHospital-based HTAMini-HTAInnovation
Type
Assessments
Information
International Journal of Technology Assessment in Health Care , Volume 31 , Issue 1-2 , 2015 , pp. 12 - 18
Copyright
Copyright © Cambridge University Press 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. Drummond, MF, Schwartz, JS, Jönsson, B, et al. Key principles for the improved conduct of health technology assessments for resource allocation decisions. Int J Technol Assess Health Care. 2008;24:244–258.CrossRefGoogle ScholarPubMed
2. O’Donnell, JC, Pham, SV, Pashos, CL, Miller, DW, Smith, MD. Health technology assessment: Lessons learned from around the world-an overview. Value Health. 2009;12 (Suppl 2):S1–S5.CrossRefGoogle ScholarPubMed
3. Orvain, J, Xerri, B, Matillon, Y. Overview of health technology assessment in France. Int J Technol Assess Health Care. 2004;20:25–34.CrossRefGoogle ScholarPubMed
4. Weill, C, Banta, D. Development of health technology assessment in France. Int J Technol Assess Health Care. 2009;25 (Suppl 1):108–111.CrossRefGoogle ScholarPubMed
5. Kidholm, K, Ehlers, L, Korsbek, L, Kjaerby, R, Beck, M. Assessment of the quality of mini-HTA. Int J Technol Assess Health Care. 2009;25:42–48.CrossRefGoogle ScholarPubMed
6. Boudard, A, Martelli, N, Prognon, P, Pineau, J. Clinical studies of innovative medical devices: What level of evidence for hospital-based health technology assessment? J Eval Clin Pract. 2013;19:697–702.CrossRefGoogle ScholarPubMed
7. Mitchell, MD, Williams, K, Brennan, PJ, Umscheid, CA. Integrating local data into hospital-based healthcare technology assessment: Two case studies. Int J Technol Assess Health Care. 2010;26:294–300.CrossRefGoogle ScholarPubMed
8. McGregor, M, Brophy, JM. End-user involvement in health technology assessment (HTA) development: A way to increase impact. Int J Technol Assess Health Care. 2005;21:263–267.CrossRefGoogle ScholarPubMed
9. Ehlers, L, Vestergaard, M, Kidholm, K, et al. Doing mini-health technology assessments in hospitals: A new concept of decision support in health care? Int J Technol Assess Health Care. 2006;22:295–301.CrossRefGoogle ScholarPubMed
10. Sampietro-Colom, L, Morilla-Bachs, I, Gutierrez-Moreno, S, Gallo, P. Development and test of a decision support tool for hospital health technology assessment. Int J Technol Assess Health Care. 2012;28:460–465.CrossRefGoogle ScholarPubMed
11. Cicchetti, A, Francesconi, A, Guizzetti, G, Lago, P, Maccarini, E. The development of hospital based HTA: The experience of five italian hospitals. 3rd Annual Meeting of Health Technology Assessment International (HTAi), Adelaide, South Asutralia, July 2006. Handb Health Technol Assess. 2006;3:51.Google Scholar
12. Cicchetti, A, Marchetti, M, Dibidino, R, Corio, M. Hospital based health technology assessment world-wide survey. Health Technology Assessment International, Hospital Based Health Technology Assessment Sub-Interest Group. 2008 [Internet]; http://www.htai.org/fileadmin/HTAi_Files/ISG/HospitalBasedHTA/2008Files/HospitalBasedHTAISGSurveyReport.pdf.Google Scholar
13. Bodeau-Livinec, F, Simon, E, Montagnier-Petrissans, C, Joël, M-E, Féry-Lemonnier, E. Impact of CEDIT recommendations: An example of health technology assessment in a hospital network. Int J Technol Assess Health Care. 2006;22:161–168.Google Scholar
14. Martelli, N, Lelong, A-S, Prognon, P, Pineau, J. Hospital-based Health Technology Assessment for innovative medical devices in university hospitals and the role of hospital pharmacists: Learning from international experience. Int J Technol Assess Health Care. 2013;92:185–191.CrossRefGoogle Scholar
15. DiCicco-Bloom, B, Crabtree, BF. The qualitative research interview. Med Educ. 2006;40:314–321.CrossRefGoogle ScholarPubMed
16. Novick, G. Is there a bias against telephone interviews in qualitative research? Res Nurs Health. 2008;31:391–398.CrossRefGoogle Scholar
17. Green, J, Thorogood, N. Qualitative methods for health research. London: SAGE; 2004.Google Scholar
18. Landis, JR, Koch, GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159.CrossRefGoogle ScholarPubMed
19. Umscheid, CA, Williams, K, Brennan, PJ. Hospital-based comparative effectiveness centers: Translating research into practice to improve the quality, safety and value of patient care. J Gen Intern Med. 2010;25:1352–1355.CrossRefGoogle ScholarPubMed
20. Gagnon, M-P. Hospital-based health technology assessment: Developments to date. Pharmacoeconomics. 2014;32:819–824.CrossRefGoogle ScholarPubMed
21. Ghiglione, R, Matalon, B. Les enquêtes sociologiques: théories et pratique. Paris: Armand Colin; 1998.Google Scholar
22. Polit, DF, Beck, CT. Generalization in quantitative and qualitative research: Myths and strategies. Int J Nurs Stud. 2010;47:1451–1458.CrossRefGoogle ScholarPubMed
Supplementary material: File

Martelli supplementary material

Martelli supplementary material 1

Download Martelli supplementary material(File)
File 19.9 KB