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

Lipska, Iga (avtor), Hren, Rok (avtor)

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.

• Jezik: Angleški jezik
• Ključne besede: healthcare, health technology assessment, hospitals
• Vrsta gradiva: Članek v reviji
• Tipologija: 1.01 - Izvirni znanstveni članek
• Organizacija: FMF - Fakulteta za matematiko in fiziko
• Različica publikacije: Objavljena publikacija
• Datum objave: 25.04.2024
• Leto izida: 2024
• Št. strani: 16 str.
• Številčenje: Vol. 12, iss. 9, art. no. 889
• PID: 20.500.12556/RUL-156000
• UDK: 614
• ISSN pri članku: 2227-9032
• DOI: 10.3390/healthcare12090889
• COBISS.SI-ID: 194068739
• Datum objave v RUL: 26.04.2024

Gradivo je del revije

• Naslov: Healthcare
• Skrajšan naslov: Healthcare
• Založnik: MDPI AG
• ISSN: 2227-9032
• COBISS.SI-ID: 520110873

Licence

• Licenca: CC BY 4.0, Creative Commons Priznanje avtorstva 4.0 Mednarodna
• Povezava: http://creativecommons.org/licenses/by/4.0/deed.sl
• Opis: To je standardna licenca Creative Commons, ki daje uporabnikom največ možnosti za nadaljnjo uporabo dela, pri čemer morajo navesti avtorja.

Sekundarni jezik

• Jezik: Slovenski jezik
• Ključne besede: zdravstvo, vrednotenje zdravstvenih tehnologij, bolnišnice

Projekti

• Financer: ARIS - Javna agencija za znanstvenoraziskovalno in inovacijsko dejavnost Republike Slovenije
• Številka projekta: P2-0348-2022
• Naslov: Nove slikovno-analitske metode