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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
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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 

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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
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