TOWARD A CONTINGENCY MODEL FOR HOSPITAL-BASED HEALTH TECHNOLOGY ASSESSMENT: EVIDENCE FROM ADHOPHTA PROJECT.

Détails

ID Serval
serval:BIB_2A944C68C9BE
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
TOWARD A CONTINGENCY MODEL FOR HOSPITAL-BASED HEALTH TECHNOLOGY ASSESSMENT: EVIDENCE FROM ADHOPHTA PROJECT.
Périodique
International journal of technology assessment in health care
Auteur(s)
Cicchetti A., Iacopino V., Coretti S., Fiore A., Marchetti M., Sampietro-Colom L., Kidholm K., Wasserfallen J.B., Kahveci R., Halmesmäki E., Rosenmöller M., Wild C., Kivet R.A.
ISSN
1471-6348 (Electronic)
ISSN-L
0266-4623
Statut éditorial
Publié
Date de publication
01/2018
Peer-reviewed
Oui
Volume
34
Numéro
2
Pages
205-211
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Hospital-based health technology assessment (HB-HTA) is becoming increasingly relevant because of its role in managing the introduction and withdrawal of health technologies. The organizational arrangement in which HB-HTA activities are conducted depends on several contextual factors, although the dominant models have several similarities. The aims of this study were to explore, describe, interpret, and explain seven cases of the application of HB-HTA logic and to propose a classification for HB-HTA organizational models which may be beneficial for policy makers and HTA professionals.
The study was part of the AdHopHTA Project, granted under the European 7th Framework Research Programme. A case study methodology was applied to analyze seven HB-HTA initiatives in seven countries, with collection of qualitative and quantitative data. Cross-case analysis was performed within the framework of contingent organizational theory.
Evidence showed that some organizational or "structural" variables, namely the level of procedure formalization/structuration and the level of integration with other HTA bodies at the national, regional, and provincial levels, predominantly shape the HB-HTA approach, determining a contingency model of HB-HTA. Crossing the two variables, four options have emerged: integrated specialized HTA unit, stand-alone HTA unit, integrated-essential HTA, independent group unit.
No one-best-way approach can be used for HTA at the hospital level. Rather, the characteristics of HTA models depend on many contextual factors. Such conceptualization may aid the diffusion of HB-HTA to inform managerial decision making and clinical practice.
Mots-clé
Decision Making, Europe, Hospital Administration, Humans, Leadership, Personnel Administration, Hospital, Technology Assessment, Biomedical/organization & administration, Biomedical [N03.880], Hospitals [N02.278.421], Organizational case studies [N03.349.380.710], Organizations [N03.540], Technology assessment
Pubmed
Web of science
Création de la notice
19/04/2018 17:51
Dernière modification de la notice
20/08/2019 13:10
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