Ehlers Lars, Vestergaard Malene, Kidholm Kristian, Bonnevie Birgitte, Pedersen Poul Holt, Jørgensen Torben, Jensen Malene Fabricius, Kristensen Finn Børlum, Kjølby Mette
Department of Health, Aarhus University and Aarhus University Hospital, Denmark.
Int J Technol Assess Health Care. 2006 Summer;22(3):295-301. doi: 10.1017/s0266462306051178.
The purpose of this project was to evaluate local decision support tools used in the Danish hospital sector from a theoretical and an empirical point of view.
The use of local decision support was evaluated through questionnaires sent to all county health directors, all hospital managers, and all heads of clinical departments in cardiology, orthopedic surgery, and intensive care. In addition, respondents were asked to submit whatever decision support tools they were using (including mini-HTAs, other forms or checklists, and special procedures for decision making concerning new health technologies). A theoretical analysis of the decision support tools (decision theory) was performed as well as a comparison with the business case method used in private companies. Finally, the Danish mini-HTA was compared with foreign production and use of HTA and HTA-like assessments as local decision support.
The response rate was high (87 percent, 94 percent, 85 percent, respectively). We collected sixty different forms (of which forty-nine were mini-HTAs) and twenty variants of written procedures. We found theoretical and empirical evidence that local involvement in the process of making the HTA could be important for the use of the results from the HTA and for the process of implementing the new technology.
Doing mini-HTA in hospitals seems to balance the need for quality and depth with the limited time and resources for assessment.
本项目旨在从理论和实证角度评估丹麦医院部门使用的本地决策支持工具。
通过向所有郡卫生主管、所有医院管理人员以及心脏病学、骨外科和重症监护领域的所有临床科室主任发放问卷，对本地决策支持工具的使用情况进行评估。此外，还要求受访者提交他们正在使用的任何决策支持工具（包括小型卫生技术评估、其他形式或清单，以及关于新卫生技术决策的特殊程序）。对决策支持工具进行了理论分析（决策理论），并与私营公司使用的商业案例方法进行了比较。最后，将丹麦的小型卫生技术评估与国外作为本地决策支持的卫生技术评估及类似卫生技术评估的产生和使用情况进行了比较。
回复率很高（分别为87%、94%、85%）。我们收集了60种不同的形式（其中49种是小型卫生技术评估）和20种书面程序变体。我们发现理论和实证证据表明，本地参与卫生技术评估过程对于卫生技术评估结果的使用以及新技术的实施过程可能很重要。
在医院开展小型卫生技术评估似乎在评估所需的质量和深度与有限的时间及资源之间取得了平衡。
