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

  • Americo Cicchetti (a1), Valentina Iacopino (a2), Silvia Coretti (a1), Alessandra Fiore (a3), Marco Marchetti (a4), Laura Sampietro-Colom (a5), Kristian Kidholm (a6), Jean-Blaise Wasserfallen (a7), Rabia Kahveci (a8), Esa Halmesmäki (a9), Magdalene Rosenmöller (a10), Claudia Wild (a11) and Raul-Allan Kivet (a12)...

Abstract

Objectives: 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.

Methods: 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.

Results: 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.

Conclusions: 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.

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References

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1. Sampietro-Colom, L, Lach, K, Cicchetti, A, et al. The AdHopHTA handbook: a handbook of hospital-based health technology assessment (HB-HTA). Public deliverable; The AdHopHTA Project (FP7/2007-13 grant agreement nr 305018), 2015. http://www.adhophta.eu/sites/files/adhophta/media/adhophta_handbook_website.pdf (accessed March 1, 2018).
2. Cicchetti, A, Fontana, Maccarini M, the NI-HTA Collaborative Group. Hospital-based health technology assessment: Analysis of 5 case studies within the Italian Network of Health Technology Assessment (NI-HTA). Tendenze Nuove. 1/2006.
3. Sampietro-Colom, L, Martin, J. Hospital-based health technology assessment. The next frontier for health technology assessment. New York: Springer; 2016.
4. Lafortune, L, Farand, L, Mondou, I, Sicotte, C, Battista, R. Assessing the performance of health technology assessment organizations: A framework. Int J Technol Assess Health Care. 2008;24:76-86.
5. Martelli, G, La Torre, G, Di Ghionno, E, et al. Health technology assessment agencies: An international overview of organizational aspects. Int J Technol Assess Health Care. 2007;23:414-424.
6. Cicchetti, A, Marchetti, M, Dibidino, R, Corio, M. Hospital-based health technology assessment world-wide survey. HTAi Hospital-Based Health Technology Assessment Interest Group, 2008. www.htai.org (accessed September 2016).
7. Gagnon, MP, Desmartis, M, Poder, T, Witteman, W. Effects and repercussions of local/hospital-based health technology assessment (HTA): A systematic review. Syst Rev. 2014;28:129.
8. Centre for Healthcare Management Studies and Research (Cerismas) (2013). HTA in the Italian Health Care Organizations (in Italian). Final report 2013.
9. Italian Federation of Healthcare Organizations (FIASO). L'evoluzione dell'HTA a livello aziendale. Final report. Rome: FIASO; 2013. Available at: https://www.fiaso.it/Pubblicazioni/L-evoluzione-dell-HTA-a-livello-aziendale. Accessed March 19, 2018.
10. Daft, R. Organization theory and design. 12th ed. South-Western: Cengage Learning Publishers; 2016.
11. Kidholm, K, Ølholm, AM, Birk-Olsen, M, et al. Hospital managers’ need for information in decision-making: An interview study in nine European countries. Health Policy. 2015;119:1424-1432.
12. Halmesmäki, E, Pasternack, I, Roine, R. Hospital-based health technology assessment (HTA) in Finland: A case study on collaboration between hospitals and the national HTA unit. Health Res Policy Syst. 2016;5:14-25.
13. Sampietro-Colom, L, Lach, K, Pasternack, I, et al. Guiding principles for good practices in hospital-based health technology assessment units. Int J Technol Assess Health Care. 2015;31:457-465.
14. EFQM public and voluntary sector excellence model. Brussels: European Foundation for Quality Management; 2003.
15. Yin, RK. Case study research. Design and methods. 3rd ed. Applied Social Research Methods Series. Thousand Oaks, CA: Sage Publishers; 2003.
16. Mathison, S. Encyclopedia of evaluation. Thousand Oaks, CA: Sage; 2005.
17. Cicchetti, A, Marchetti, M, Iacopino, V, D'Amico, G, Sampietro-Colom, L. Organizational models of hospital based HTA: Empirical evidence from Adhophta European Project. Value Health. 2015:18:A560-A561.

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