Original Article(s)
27 May 2022
Vol. 10 (2022)
https://doi.org/10.4081/wpph.2022.9488

Health Technology Assessment in technological innovation processes; implementation of a management model for hospital technological governance at the Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo in Alessandria

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Health Technology Assessment, legislation, international network
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Authors

Tatiana Bolgeo
tbolgeo@ospedale.al.it
Research Training Innovation Infrastructure, Department of Research and Innovation, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Marinella Bertolotti
Research Training Innovation Infrastructure, Department of Research and Innovation, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Antonio Maconi
Research Training Innovation Infrastructure, Department of Research and Innovation, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.

Objectives. Definition of a hospital-based technology governance model (hospital-based Health Technology Assessment (HTA)), involving health professionals at different organizational levels; applying HTA as a rational support tool at corporate organizational level for decisions concerning acquisitions, disposal, monitoring of technologies; implementation of the HTA methodology to create an organizational context favorable to the transfer of scientific evidence in clinical practice and managerial decision-making processes.

Methods. At the end of 2014, the AO Hospital of Alessandria established a Technology Assessment Unit to analyze the requests for the supply of medical and non-medical equipment, involved in healthcare pathway processes. A training course has started, aimed at creating specific skills, to support the clinician requesting the adoption of a new technology.

Results. Over the last 5 years, testing the form deployment has concerned: 56 requests examined by NVT; 226 cases concerning gathering information using the forms; 24 IT instances managed by ICT; 62 requests examined through facilitator support.

Conclusions: To implement at micro level, the HTA methodology within the clinical-organizational structure governance, including decisions concerning clinical practice protocols, auditing and quality monitoring of healthcare performance.

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Citations

Crossref
Scopus
Google Scholar
Europe PMC
SIFO. Il processo di HTA. [citato 31 gennaio 2022]. Disponibile su: http://www.sifoweb.it/images/pdf/pubblicazioni/altreedizioni/Farmacista_Dipartimento/SIFO_Il_processo_di_HTA.pdf
Drummond MF, Schwartz JS, Jönsson B, Luce BR, Neumann PJ, Siebert U, et al. Key principles for the improved conduct of health technology assessments for resource allocation decisions. Int J Technol Assess Health Care. 2008;24:244–58 DOI: https://doi.org/10.1017/S0266462308080343
Douma KFL, Karsenberg K, Hummel MJM, Bueno-de-Mesquita JM, van Harten WH. Methodology of constructive technology assessment in health care. Int J Technol Assess Health Care. 2007;23:162–8. DOI: https://doi.org/10.1017/S0266462307070262
van der Wilt GJ, Rüther A, Trowman R. Scientific Development of HTA-A Proposal by the Health Technology Assessment International Scientific Development and Capacity Building Committee. Int J Technol Assess Health Care. 2019;35:263–5. DOI: https://doi.org/10.1017/S0266462319000539
Drummond MF, Jefferson TO. Guidelines for authors and peer reviewers of economic submissions to the BMJ. The BMJ Economic Evaluation Working Party. BMJ. 1996;313:275–83. DOI: https://doi.org/10.1136/bmj.313.7052.275
Hailey D. Development of the International Network of Agencies for Health Technology Assessment. Int J Technol Assess Health Care. 2009;25:24–7. DOI: https://doi.org/10.1017/S0266462309090370
O’Rourke B, Oortwijn W, Schuller T, International Joint Task Group. The new definition of health technology assessment: A milestone in international collaboration. Int J Technol Assess Health Care. 2020;36:187–90. DOI: https://doi.org/10.1017/S0266462320000215
Hivon M, Lehoux P, Denis J-L, Tailliez S. Use of health technology assessment in decision making: coresponsibility of users and producers? Int J Technol Assess Health Care. 2005;21:268–75. DOI: https://doi.org/10.1017/S0266462305050361
Bossuyt PM, Reitsma JB, Bruns DE, Gatsonis CA, Glasziou PP, Irwig LM, et al. The STARD statement for reporting studies of diagnostic accuracy: explanation and elaboration. Clin Chem. 2003;49:7–18. DOI: https://doi.org/10.1373/49.1.7
Facey K, Boivin A, Gracia J, Hansen HP, Lo Scalzo A, Mossman J, et al. Patients’ perspectives in health technology assessment: a route to robust evidence and fair deliberation. Int J Technol Assess Health Care. 2010;26:334–40. DOI: https://doi.org/10.1017/S0266462310000395
Mays N, Pope C, Popay J. Systematically reviewing qualitative and quantitative evidence to inform management and policy-making in the health field. J Health Serv Res Policy. luglio 2005;10:6–20. DOI: https://doi.org/10.1258/1355819054308576
Wale JL, Scott AM, Bertelsen N, Meade N, HTAi Patient and Citizen Involvement in HTA Interest Group (PCIG). Strengthening international patient advocacy perspectives on patient involvement in HTA within the HTAi Patient and Citizen Involvement Interest Group - Commentary. Res Involv Engagem. 2017;3:3. DOI: https://doi.org/10.1186/s40900-016-0053-8

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Health Technology Assessment in technological innovation processes; implementation of a management model for hospital technological governance at the Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo in Alessandria. (2022). Working Paper of Public Health, 10(1). https://doi.org/10.4081/wpph.2022.9488