Overcoming barriers in hospital-based health technology assessment (HB-HTA): international expert panel consensus

Lipska, Iga (author), Hren, Rok (author)

The purpose of this article is to investigate the common facilitators and barriers associated with the implementation of hospital-based health technology assessment (HB-HTA) across diverse hospital settings in seven countries. Through a two-round Delphi study, insights were gathered from a panel of 15 HTA specialists from France, Hungary, Italy, Kazakhstan, Poland, Switzerland, and Ukraine. Experts initially conducted a comprehensive review of the HB-HTA implementation in their respective countries, identifying the barriers and facilitators through descriptive analysis. Subsequently, panel experts ranked these identified barriers and facilitators on a seven-point Likert scale. A median agreement score ≥ 6 and interquartile range (IQR) ≤ 1 was accepted as reaching a consensus. Out of the 12 statements categorized as external and internal barriers and facilitators, the expert panel reached consensus on six statements (two barriers and four facilitators). The external barrier, which achieved consensus, was the lack of the formal recognition of the role of HB-HTA in national or regional legislations. The internal barrier reaching consensus was the limited availability of human resources dedicated to HB-HTA. This qualitative study indicates that HB-HTA still has progress to make before being formally accepted and integrated across most countries, although by building on the facilitating factors we identified there may be an opportunity for the implementation of internationally developed strategies to strengthen HB-HTA practices.

• Language: English
• Keywords: healthcare, health technology assessment, hospitals
• Work type: Article
• Typology: 1.01 - Original Scientific Article
• Organization: FMF - Faculty of Mathematics and Physics
• Publication version: Version of Record
• Publication date: 25.04.2024
• Year: 2024
• Number of pages: 16 str.
• Numbering: Vol. 12, iss. 9, art. no. 889
• PID: 20.500.12556/RUL-156000
• UDC: 614
• ISSN on article: 2227-9032
• DOI: 10.3390/healthcare12090889
• COBISS.SI-ID: 194068739
• Publication date in RUL: 26.04.2024

Record is a part of a journal

• Title: Healthcare
• Shortened title: Healthcare
• Publisher: MDPI AG
• ISSN: 2227-9032
• COBISS.SI-ID: 520110873

Licences

• License: CC BY 4.0, Creative Commons Attribution 4.0 International
• Link: http://creativecommons.org/licenses/by/4.0/
• Description: This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.

Secondary language

• Language: Slovenian
• Keywords: zdravstvo, vrednotenje zdravstvenih tehnologij, bolnišnice

Projects

• Funder: ARIS - Slovenian Research and Innovation Agency
• Project number: P2-0348-2022
• Name: Nove slikovno-analitske metode