Pharmacy Department,Georges Pompidou European Hospital University Paris-Sud,GRADES,Faculty of
Pharmacy Department,Georges Pompidou European Hospital.
Int J Technol Assess Health Care. 2017 Jan;33(2):307-314. doi: 10.1017/S0266462317000393. Epub 2017 Jun 5.
The number of new medical devices for individual use that are launched annually exceeds the assessment capacity of the French national health technology assessment (HTA) agency. This has resulted in hospitals, and particularly university hospitals (UHs), developing hospital-based HTA initiatives to support their decisions for purchasing innovative devices. However, the methodologies used in such hospitals have no common basis. The aim of this study was to assess a mini-HTA model as a potential solution to harmonize HTA methodology in French UHs.
A systematic review was conducted on Medline, Embase, Health Technology Assessment database, and Google Scholar to identify published articles reporting the use of mini-HTA tools and decision support-like models. A survey was also carried out in eighteen French UHs to identify in-house decision support tools. Finally, topics evaluated in the Danish mini-HTA model and in French UHs were compared using Jaccard similarity coefficients.
Our findings showed differences between topics evaluated in French UHs and those assessed in decision support models from the literature. Only five topics among the thirteen most evaluated in French UHs were similar to those assessed in the Danish mini-HTA model. The organizational and ethical/social impacts were rarely explored among the surveyed models used in French UHs when introducing new medical devices.
Before its widespread and harmonized use in French UHs, the mini-HTA model would first require adaptations to the French context.
每年推出的个人使用新型医疗器械数量超过了法国国家卫生技术评估（HTA）机构的评估能力。这导致医院，特别是大学附属医院（UH），制定了基于医院的 HTA 计划，以支持他们购买创新设备的决策。然而，这些医院使用的方法学没有共同的基础。本研究旨在评估迷你 HTA 模型作为协调法国 UH 中 HTA 方法学的潜在解决方案。
我们在 Medline、Embase、卫生技术评估数据库和 Google Scholar 上进行了系统评价，以确定报告使用迷你 HTA 工具和决策支持模型的已发表文章。还对十八家法国 UH 进行了调查，以确定内部决策支持工具。最后，使用杰卡德相似系数比较丹麦迷你 HTA 模型和法国 UH 中评估的主题。
我们的研究结果表明，法国 UH 中评估的主题与文献中评估的决策支持模型之间存在差异。在法国 UH 中评估的 13 个最主要主题中，仅有 5 个与丹麦迷你 HTA 模型评估的主题相似。在引入新的医疗器械时，法国 UH 中使用的调查模型很少探讨组织和伦理/社会影响。
在法国 UH 广泛和协调使用之前，迷你 HTA 模型首先需要适应法国的情况。
