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TECHNOLOGY ASSESSMENT IN HOSPITALS: LESSONS LEARNED FROM AN EMPIRICAL EXPERIMENT

Published online by Cambridge University Press:  05 June 2017

Emanuela Foglia ,
Emanuele Lettieri ,
Lucrezia Ferrario ,
Emanuele Porazzi ,
Elisabetta Garagiola ,
Roberta Pagani ,
Marzia Bonfanti ,
Valentina Lazzarotti ,
Raffaella Manzini  and
Cristina Masella
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Emanuela Foglia
Affiliation:
Centre for Research in Health Economics, Social and Health Care Management, University Carlo Cattaneo – LIUC
Emanuele Lettieri
Affiliation:
Department of Management, Economics and Industrial Engineering, Politecnico of Milano Centre for Healthcare Improvement, Chalmers University (Sweden)
Lucrezia Ferrario
Affiliation:
Centre for Research in Health Economics, Social and Health Care Management, University Carlo Cattaneo – [email protected]
Emanuele Porazzi
Affiliation:
Centre for Research in Health Economics, Social and Health Care Management, University Carlo Cattaneo – LIUC
Elisabetta Garagiola
Affiliation:
Centre for Research in Health Economics, Social and Health Care Management, University Carlo Cattaneo – LIUC
Roberta Pagani
Affiliation:
Centre for Research in Health Economics, Social and Health Care Management, University Carlo Cattaneo – LIUC
Marzia Bonfanti
Affiliation:
Centre for Research in Health Economics, Social and Health Care Management, University Carlo Cattaneo – LIUC
Valentina Lazzarotti
Affiliation:
School of Industrial Engineering and Management, IIEM, University Carlo Cattaneo – LIUC
Raffaella Manzini
Affiliation:
School of Industrial Engineering and Management, IIEM, University Carlo Cattaneo – LIUC
Cristina Masella
Affiliation:
Department of Management, Economics and Industrial Engineering, Politecnico of Milano
Davide Croce
Affiliation:
Centre for Research in Health Economics, Social and Health Care Management, University Carlo Cattaneo – LIUC School of Industrial Engineering and Management, IIEM, University Carlo Cattaneo – LIUC
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Abstract

Objectives: Hospital Based Health Technology Assessment (HBHTA) practices, to inform decision making at the hospital level, emerged as urgent priority for policy makers, hospital managers, and professionals. The present study crystallized the results achieved by the testing of an original framework for HBHTA, developed within Lombardy Region: the IMPlementation of A Quick hospital-based HTA (IMPAQHTA). The study tested: (i) the HBHTA framework efficiency, (ii) feasibility, (iii) the tool utility and completeness, considering dimensions and sub-dimensions.

Methods: The IMPAQHTA framework deployed the Regional HTA program, activated in 2008 in Lombardy, at the hospital level. The relevance and feasibility of the framework were tested over a 3-year period through a large-scale empirical experiment, involving seventy-four healthcare professionals organized in different HBHTA teams for assessing thirty-two different technologies within twenty-two different hospitals. Semi-structured interviews and self-reported questionnaires were used to collect data regarding the relevance and feasibility of the IMPAQHTA framework.

Results: The proposed HBHTA framework proved to be suitable for application at the hospital level, in the Italian context, permitting a quick assessment (11 working days) and providing hospital decision makers with relevant and quantitative information. Performances in terms of feasibility, utility, completeness, and easiness proved to be satisfactory.

Conclusions: The IMPAQHTA was considered to be a complete and feasible HBHTA framework, as well as being replicable to different technologies within any hospital settings, thus demonstrating the capability of a hospital to develop a complete HTA, if supported by adequate and well defined tools and quantitative metrics.

Keywords

Hospital based health technology assessmentHBHTAHealth care technologyHospitalDecision making
Type
Policies
Information
International Journal of Technology Assessment in Health Care , Volume 33 , Issue 2 , 2017 , pp. 288 - 296
Copyright
Copyright © Cambridge University Press 2017 

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