Medical Center Hospital of the President's Affairs Administration of the Republic of Kazakhstan.
Astana Medical University, Kazakhstan.
Int J Technol Assess Health Care. 2019;35(6):436-440. doi: 10.1017/S0266462318003744. Epub 2019 Mar 4.
The aim of this study was to describe the development and activities of the Hospital-Based Health Technology Assessment (HB-HTA) Unit in the Hospital of the President's Affairs Administration, one of the first examples of the implementation of HB-HTA into the practice of Kazakhstani hospitals.
Details of the development of the Unit were obtained from the hospital's administrative records. The Unit's own records were used to describe the reports prepared and the clinical areas that were covered. Responses to recommendations in the Unit's reports were obtained from hospital administration and individual departments. Estimates of savings and payback periods were based on data from the hospital information system, and data submitted by manufacturers and distributors of medical equipment.
Fifty-one rapid- and mini-HTA reports were prepared by the Unit from 2015 to 2017. Seventeen health technologies (33 percent) were not recommended for implementation in hospital practice. Refusal to implement sixteen of these technologies saved approximately 1,053,500 USD. Of the thirty-four recommended health technologies, twenty-four were implemented to treat or diagnose 1,376 patients, and eight others were included in plans for 2018-20. Of the twenty-four implemented health technologies, twelve did not require additional investments. The payback period of investments for the other twelve implemented technologies is not more than 3 years for six, less than 5 years for four, and more than 10 years for two technologies.
Establishment of the HB-HTA Unit in the hospital created the basis for making informed managerial decisions; identifying key directions for strategic development; and improving hospital management.
本研究旨在描述总统事务管理局医院内基于医院的卫生技术评估（HB-HTA）单元的发展和活动，这是哈萨克斯坦医院实施 HB-HTA 的首批实例之一。
从医院的管理记录中获取了该单元的发展细节。该单元自己的记录用于描述编写的报告和涵盖的临床领域。从医院管理部门和个别科室获得了对单元报告中建议的回应。根据医院信息系统的数据以及医疗设备制造商和经销商提交的数据，对节省和投资回收期进行了估计。
该单元在 2015 年至 2017 年期间编写了 51 份快速和迷你 HTA 报告。有 17 项卫生技术（33%）不建议在医院实践中实施。拒绝实施其中的 16 项技术可节省约 105.35 万美元。在推荐的 34 项卫生技术中，有 24 项被实施用于治疗或诊断 1376 名患者，另有 8 项被列入 2018-2020 年的计划。在实施的 24 项卫生技术中，有 12 项不需要额外投资。另外 12 项实施技术的投资回收期对于 6 项技术不超过 3 年，对于 4 项技术不超过 5 年，对于 2 项技术超过 10 年。
在医院内建立 HB-HTA 单元为做出明智的管理决策、确定战略发展的关键方向以及改善医院管理奠定了基础。
