Akinbobola Esther Oluwatosin, De Domenico Francesca, Manetti Stefania, Noto Guido
Department of Economics, University of Messina, Messina, Italy.
Department for the Promotion of Human Sciences and Quality of Life, San Raffaele Roma University, Rome, Italy.
BMC Health Serv Res. 2025 Jul 3;25(1):917. doi: 10.1186/s12913-025-12879-3.
Both Health Technology Assessment (HTA) and Performance Management (PM) are clinical governance disciplines that aim to improve the quality, equity, and financial sustainability of health organizations and systems. Although HTA and PM share many features, to the authors' knowledge, few studies have investigated their interplay. This study attempts to fill this gap by analysing how the literature has explored and developed the integration between HTA and PM concepts and tolls within healthcare sector.
To address this gap, this study examines 33 papers selected through a scoping review that explores the intersection of HTA and PM within the healthcare sector. In particular, the paper adopted the preferred reporting items for systematic reviews and meta-analysis (PRISMA) methodology to select and analyse articles.
The review highlights the dynamic convergence of HTA and PM, emphasizing how combining these frameworks and functions can enhance decision-making in healthcare. This integration ensures that technologies are adopted on the basis of proven effectiveness in pursuing healthcare systems goals and that performance metrics align with evidence-based practices, leading to better resource allocation and improved patient outcomes. The literature review underscores the need for further research to understand the integration between HTA and PM and their combined impact on organizational performance, sustainability, and resilience in the healthcare sector.
This study contributes to the literature by providing a comprehensive overview of the current state of research on HTA and PM, offering insights for future studies, and practical recommendations for integrating these disciplines to improve healthcare management and policymaking.
卫生技术评估（HTA）和绩效管理（PM）都是临床治理学科，旨在提高卫生组织和系统的质量、公平性和财务可持续性。尽管HTA和PM有许多共同特征，但据作者所知，很少有研究探讨它们之间的相互作用。本研究试图通过分析文献如何探索和发展医疗保健领域中HTA和PM概念及工具的整合来填补这一空白。
为了填补这一空白，本研究审查了通过范围综述选定的33篇论文，该综述探讨了医疗保健领域中HTA和PM的交叉点。具体而言，本文采用系统评价和荟萃分析的首选报告项目（PRISMA）方法来选择和分析文章。
该综述强调了HTA和PM的动态融合，强调了将这些框架和功能结合起来如何能够加强医疗保健决策。这种整合确保在追求医疗保健系统目标时，根据已证实的有效性采用技术，并且绩效指标与循证实践保持一致，从而实现更好的资源分配并改善患者结局。文献综述强调需要进一步开展研究，以了解HTA和PM之间的整合及其对医疗保健领域组织绩效、可持续性和恢复力的综合影响。
本研究通过全面概述HTA和PM的当前研究状况、为未来研究提供见解以及为整合这些学科以改善医疗保健管理和政策制定提供实用建议，为文献做出了贡献。
