Centre for Research in Health Economics,Social and Health Care Management,University Carlo Cattaneo - LIUC.
Department of Management,Economics and Industrial Engineering,Politecnico of Milano Centre for Healthcare Improvement,Chalmers University(Sweden).
Int J Technol Assess Health Care. 2017 Jan;33(2):288-296. doi: 10.1017/S0266462317000356. Epub 2017 Jun 5.
Hospital Based Health Technology Assessment (HBHTA) practices, to inform decision making at the hospital level, emerged as urgent priority for policy makers, hospital managers, and professionals. The present study crystallized the results achieved by the testing of an original framework for HBHTA, developed within Lombardy Region: the IMPlementation of A Quick hospital-based HTA (IMPAQHTA). The study tested: (i) the HBHTA framework efficiency, (ii) feasibility, (iii) the tool utility and completeness, considering dimensions and sub-dimensions.
The IMPAQHTA framework deployed the Regional HTA program, activated in 2008 in Lombardy, at the hospital level. The relevance and feasibility of the framework were tested over a 3-year period through a large-scale empirical experiment, involving seventy-four healthcare professionals organized in different HBHTA teams for assessing thirty-two different technologies within twenty-two different hospitals. Semi-structured interviews and self-reported questionnaires were used to collect data regarding the relevance and feasibility of the IMPAQHTA framework.
The proposed HBHTA framework proved to be suitable for application at the hospital level, in the Italian context, permitting a quick assessment (11 working days) and providing hospital decision makers with relevant and quantitative information. Performances in terms of feasibility, utility, completeness, and easiness proved to be satisfactory.
The IMPAQHTA was considered to be a complete and feasible HBHTA framework, as well as being replicable to different technologies within any hospital settings, thus demonstrating the capability of a hospital to develop a complete HTA, if supported by adequate and well defined tools and quantitative metrics.
医院为基础的卫生技术评估（HBHTA）实践，为医院层面的决策提供信息，成为政策制定者、医院管理者和专业人员的紧迫优先事项。本研究总结了在伦巴第大区开发的原始 HBHTA 框架测试所取得的成果：快速基于医院的 HTA（IMPAQHTA）实施。该研究测试了：（i）HBHTA 框架的效率，（ii）可行性，（iii）工具的实用性和完整性，考虑了维度和子维度。
IMPAQHTA 框架在 2008 年在伦巴第大区启动的区域 HTA 计划的基础上在医院层面上实施。通过一项大规模的实证实验，在三年的时间内测试了框架的相关性和可行性，该实验涉及七十四名医疗保健专业人员，他们组织成不同的 HBHTA 团队，评估了二十家不同医院的三十二种不同技术。使用半结构化访谈和自我报告的问卷收集有关 IMPAQHTA 框架相关性和可行性的数据。
拟议的 HBHTA 框架被证明适合于在意大利背景下的医院层面应用，允许进行快速评估（11 个工作日），并为医院决策者提供相关和定量的信息。可行性、实用性、完整性和易用性方面的表现被认为是令人满意的。
IMPAQHTA 被认为是一个完整和可行的 HBHTA 框架，并且可以在任何医院环境中复制到不同的技术，从而展示了医院如果得到充分和明确的工具和定量指标的支持，就有能力开展完整的 HTA。
